The study shows that HIV testing rates are low among this sample of MSM, and younger age and previous syphilis test
were associated with never testing in multivariate analysis.
Tarnagda et al., "Evaluation of the diagnostic performance and operational characteristics of four rapid immunochromatographic syphilis tests
in Burkina Faso," African Health Sciences, vol.
The objective of this study was to identify health worker barriers to syphilis screening in pregnant women during prenatal care in the Los Andes Health Network, and to analyze the factors that limit the availability of rapid syphilis tests
. Figure 1 schematically illustrates the problem that gave rise to this project, as well as implementation strategies and expected programmatic changes.
Chiappe et al., "Rapid syphilis tests
as catalysts for health systems strengthening: a case study from Peru," PLoS ONE, vol.
* Immunologic disorder (positive LE cell preparation, abnormal anti-DNA or anti-Sm values, false-positive VDRL syphilis test
Among these 68 mothers, 21 (30.9%) did not receive prenatal care or a syphilis test
[greater than or equal to] 45 days before delivery (Figure).
As blood is routinely drawn during the antenatal checkup for haemoglobin, a free syphilis test
was offered to all participants.
One week later, the rash had not resolved and the patient demanded a syphilis test
; a 1:8 ratio on the rapid plasma reagin (RPR) test indicated syphilis; a confirmatory fluorescent treponemal antibody-absorption double staining (FTA-ABS) test also was reactive.
Each year, an estimated 100 000+ stillbirths in the Americas are attributable to congenital syphilis, defined as an infant born to a mother who was untreated or inadequately treated for syphilis during pregnancy, or an infant with a positive syphilis test
(3, 10, 12).
However, results may have been underestimated because not all parturients with a positive syphilis test
result and fetal deaths were investigated.
Specifically, these variables were: mother's age at delivery; date of last menstrual period; any previous stillbirth(s); mother's syphilis test
result and date; birth outcome (live birth, abortion, miscarriage (defined as pregnancy loss at < 28 weeks gestation), or stillbirth (defined as pregnancy loss at [greater than or equal to] 28 weeks gestation)); infant's delivery date; gestational age at delivery; and birth weight.