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Syphilis
MessageA nonreactive resullt does not exlude the possibility of exposure to or infection with syphilis. T pallidum antibodies may be undetectable in some stages of the infection and in some clinical conditions.
Test Code
SYPHIL
Alias/See Also
Syphilis antibody with reflex, T pallidum antibodies
Preferred Specimen
Serum (red top) tube
Minimum Volume
0.5 mL
Other Acceptable Specimens
Serum ( serum separator tube SST)
Instructions
Normal procedures for collecting and storing serum samples.
Transport Container
Serum (red top or serum separator tube SST)
Transport Temperature
Room Temperature
Specimen Stability
Room Temperature: 7 days
Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Gross Hemolysis
Methodology
Automated antigen sandwich assay, using direct chemiluminescent technology.
Setup Schedule
Daily
Report Available
Daily
Limitations
Specimens that contain... | Have an insignificant effect on the assay up to... |
Hemoglobin | 500 mg/dL |
Triglycerides (intralipids) | 100 mg/dL |
Cholesterol | 400 mg/dL |
Bilirubin | 40 mg/dL |
Protein (serum albumin) | 11 g/dL |
Hyper-IgG | 30 mg/mL |
Biotin | 3500n/mL |
Reference Range
Nonreactive
A reactive result will reflex to confirmatory testing to Quest reference lab.
A reactive result will reflex to confirmatory testing to Quest reference lab.
Clinical Significance
Syphilis is primarily transmitted via sexual contact, but can also be transmitted from mother to fetus. Syphilis is caused by the spirochete T. pallidum, which has never been successfully cultured in artificial media. Syphilis infections are classified into early (infectious) and late (non-infectious) stages. Early syphilis may be further divided into primary, secondary, and early latent syphilis. The signs and symptoms of syphilis are numerous; before the advent of serological testing, precise diagnosis was very difficult. In fact, the disease was often confused with other diseases, particularly in its tertiary stage. If not treated, syphilis can cause serious effects such as damage to the heart, aorta, brain, eyes, and bones. In some cases, these effects can be fatal. Therefore, the serological diagnosis of syphilis is very important.
Performing Laboratory
Shady Grove Adventist Medical Center