ED Syphilis Screening Boosts Surveillance, Diagnoses

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ED Syphilis Screening Boosts Surveillance, Diagnoses
Preventive ScreeningScreeningHIV Infection
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The program modeled on HIV screening uses opt-out screening to simplify testing and avoid bias.

An emergency department opt-out testing strategy led to big increases in syphilis screening and diagnosis in the Chicago area, according to the results of a new study. Newly diagnosed cases were generally asymptomatic, highlighting the potential of such a strategy to catch cases early and prevent complications..

The testing protocol called for offering syphilis screening to anyone between the ages of 18 and 64 with no HIV diagnosis and no history of HIV screening in the past 12 months, as well as based on clinical discretion. The researchers compared data from 2 years before the intervention was implemented and the first 2 years afterwards, between June 2017 and May 2021. It included a total of 299,651 ED encounters.

Stanford acknowledged that the test puts an additional burden on ED personnel. False positives can occur due to previously treated infections, requiring contact with patients or access to medical records to confirm a result.

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