Serologic Syphilis Screen

General Information

Lab Name

Serologic Syphilis Screen

Lab Code

SYPHSC

Epic Name

Syphilis Screen

Description

Samples that are screened at borderline/reactive will be sent to the state lab for supplemental testing.

To diagnose congenital syphilis in neonate/infants and to monitor treatment responses, quantitative RPR testing should be performed instead of the serologic syphilis screen. For congenital syphilis diagnosis, concurrent quantitative RPR testing of maternal serum should be obtained, to enable comparison between neonatal and maternal RPR titers.

Synonyms

reagin, RPR, SYPHS, Treponema pallidum

Components

Code Name
SYPHT T. pallidum IgG/IgM Ab (Bioplex)
RPRSCB RPR Screen
SYPHSI Syphilis Screening Status

Interpretation

Method

Multiplex immunoassay

Reference Range

See individual components

Guidelines

Ordering & Collection

Specimen Type

Serum

Collection

Preferred: 6 mL blood in GOLD SST Tube

Also Acceptable: RED TOP

Plasma can only be used if a serum sample is not available and the use of plasma has been approved by the Lab Medicine Resident. Note: if screening results are not negative, a serum sample will need to be drawn for the mandatory State Lab supplemental testing, leading to reporting delays.

Unacceptable: Green, Lavender, Orange RST or Blue Top tube.

Handling Instructions

Stability: Refrigerated: 14 days (preferred); Frozen at -20°C or colder: Long Term (avoid repeated freeze-thaws)

Quantity

requested: 2 mL serum
minimum: 1.2 mL serum

Processing

Refrigerate serum

STAT requests need approval from Lab Medicine Resident on call

Performance

LIS Dept Code

Immunology (IMM)

Performing Location(s)

UW-MT Immunology
206-520-4600

Clinical Lab, Room NW220,
University of Washington Medical Center,
1959 NE Pacific street, Seattle, WA 98195

Frequency

Monday-Friday

Available STAT?

No

Billing & Coding

CPT codes

86780

LOINC

34954-8

Interfaced Order Code

UOW3611