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. 2020 Apr:219:263-266.e1.
doi: 10.1016/j.jpeds.2019.11.035. Epub 2020 Feb 21.

Reverse Sequence Syphilis Screening and Discordant Results in Pregnancy

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Reverse Sequence Syphilis Screening and Discordant Results in Pregnancy

Jessica E P Williams et al. J Pediatr. 2020 Apr.

Abstract

A "reverse sequence syphilis screening" algorithm is widely used for syphilis testing. This retrospective study showed that most (65%) pregnant women with discordant screening results (treponemal multiplex flow immunoassay IgG+/rapid plasma reagin-) had a nonreactive confirmatory Treponema pallidum-particle agglutination assay, likely indicative of a false-positive reaction.

Keywords: congenital syphilis; maternal syphilis; reverse syphilis screening.

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