Investor Presentaiton
Laboratory testing algorithm
T. pallidum Total
Antibody Screen
Syphilis
RPR
TPPA
screen
Negative
n/a
n/a
Reactive
Non-Reactive¹
Reactive
Reactive
n/a
RPR
Interpretation
No serologic evidence of past or current syphilis infection.
In the setting of recent exposure, or signs/symptoms of primary syphilis,
repeat testing in 2 to 4 weeks.
Consistent with syphilis infection.
Clinical manifestations and treatment history is required to refine
interpretation:
i) Infectious syphilis (primary, secondary or early latent)
ii) Late latent syphilis
iii) Tertiary syphilis
iv) Treated syphilis with persistent reactive RPR
No serologic evidence of past or current syphilis infection.
Screening test is most likely falsely reactive.
Indeterminate Syphilis serology is inconclusive.
Recommend repeat testing in 2 to 4 weeks.
Consistent with syphilis infection.
Clinical manifestations and treatment history is required to refine
interpretation
Reactive
Non-Reactive
Non-Reactive
Reactive²
Non-Reactive
Reactive
Non-Reactive
Reactive
Non-Reactive
T. pallidum particle
agglutination (TPPA)
Reactive (or
Repeat
Reactive)
Non-Reactive³
Indeterminate
Reactive5
(or Repeat Reactive)
Source: Syphilis testing algorithm: https://rrpl-
testviewer.ehealthsask.ca/SCI/What%20is%20new%20at%20SDCL/Syphilis%20Algorithm%20Interpretation%20v3.1.pdf
+
Saskatchewan
Health AuthorityView entire presentation