Syphilis

Message
A 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.


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



The CPT Codes provided in this document are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payor being billed. Any Profile/panel component may be ordered separately. Reflex tests are performed at an additional charge.