A Model for Syphilis Screening in the Emergency Department

Area of Science:

• Public Health
• Infectious Diseases
• Epidemiology

Background:

• Syphilis incidence is increasing, especially among men who have sex with men and African American men.
• Syphilis screening rates are low in emergency departments, despite being a predictor for HIV.
• Limited research exists on syphilis screening in emergency settings since the early 2000s.

Purpose of the Study:

• To describe an operational model for routine syphilis screening in an emergency department.
• To highlight the advantages of a reverse testing algorithm for syphilis detection.
• To emphasize the importance of public health partnerships for syphilis management.

Main Methods:

• Implementation of a routine syphilis screening program in June 2017 at University Hospitals Cleveland Medical Center.
• Utilized a reverse syphilis testing algorithm.
• Collaborated with the Cleveland Department of Public Health for diagnostics and follow-up.

Main Results:

• The operational model facilitated routine syphilis screening.
• The reverse testing algorithm offered advantages over traditional methods.
• Partnership with public health ensured comprehensive diagnostic and follow-up care.

Conclusions:

• Routine syphilis screening in emergency departments is feasible and beneficial.
• A reverse testing algorithm can enhance syphilis detection efficiency.
• Public health collaborations are crucial for effective STI control programs.