Using standard serology blood tests to diagnose latent syphilis
Goal. To conduct a comparative assessment of the results of regulated serological tests obtained as a result of blood tests in patients suffering from latent syphilis. Materials and methods. The authors examined 187 patient medical records with newly diagnosed latent syphilis in FGBU GNTsDK (State R...
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Format: | Article |
Language: | English |
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State Scientific Center of Dermatovenereology and Cosmetology
2017-08-01
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Series: | Vestnik Dermatologii i Venerologii |
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Online Access: | https://www.vestnikdv.ru/jour/article/view/241 |
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author | G. L. Katunin A. B. Rubtsov |
author_facet | G. L. Katunin A. B. Rubtsov |
author_sort | G. L. Katunin |
collection | DOAJ |
description | Goal. To conduct a comparative assessment of the results of regulated serological tests obtained as a result of blood tests in patients suffering from latent syphilis. Materials and methods. The authors examined 187 patient medical records with newly diagnosed latent syphilis in FGBU GNTsDK (State Research Center for Dermatology, Venereology and Cosmetology), Health Ministry of the Russian Federation, in 2006-2015. The results of patient blood tests were analyzed with the use of non-treponemal (microprecipitation test/RPR) and treponemal (passive hemagglutination test, immune-enzyme assay (IgA, IgM, IgG), IFabs, immunofluorescence test and Treponema pallidum immobilization test) serology tests. Results. According to the results of blood tests of latent syphilis patients, the largest number of positive results was obtained as a result of treponemal serology tests such as immune-enzyme assay (100%), passive hemagglutination test (100%) and IFabs (100%). The greatest number of negative results was observed in non-treponemal (microprecipitation test/RPR) serology tests: in 136 (72.7%) patients; evidently positive results (4+) test results were obtained in 8 (4.3%) patients only. According to the results of a comparative analysis of blood tests in patients suffering from latent syphilis obtained with the use of treponemal serology tests, the greatest number of evidently positive results (4+) was noted for the passive hemagglutination test (67.9%). Negative treponemal test results were obtained with the use of the immunofluorescence test and Treponema pallidum immobilization test (21.9% and 11.8% of cases, respectively). Moreover, weakly positive results prevailed for the immunofluorescence test: in 65 (34.7%) patients. Conclusion. These data confirm that the following treponemal tests belong to the most reliable ones for revealing patients suffering from latent syphilis: immune-enzyme assay, passive hemagglutination test and IFabs. |
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format | Article |
id | doaj.art-6021c8f14afc4d4b94f3511f35f2a6cb |
institution | Directory Open Access Journal |
issn | 0042-4609 2313-6294 |
language | English |
last_indexed | 2024-03-12T06:28:58Z |
publishDate | 2017-08-01 |
publisher | State Scientific Center of Dermatovenereology and Cosmetology |
record_format | Article |
series | Vestnik Dermatologii i Venerologii |
spelling | doaj.art-6021c8f14afc4d4b94f3511f35f2a6cb2023-09-03T01:42:57ZengState Scientific Center of Dermatovenereology and CosmetologyVestnik Dermatologii i Venerologii0042-46092313-62942017-08-0103697410.25208/0042-4609-2016-0-3-69-74240Using standard serology blood tests to diagnose latent syphilisG. L. Katunin0A. B. Rubtsov1State Research Center of Dermatovenereology and Cosmetology, Ministry of Healthcare of the Russian FederationState Research Center of Dermatovenereology and Cosmetology, Ministry of Healthcare of the Russian FederationGoal. To conduct a comparative assessment of the results of regulated serological tests obtained as a result of blood tests in patients suffering from latent syphilis. Materials and methods. The authors examined 187 patient medical records with newly diagnosed latent syphilis in FGBU GNTsDK (State Research Center for Dermatology, Venereology and Cosmetology), Health Ministry of the Russian Federation, in 2006-2015. The results of patient blood tests were analyzed with the use of non-treponemal (microprecipitation test/RPR) and treponemal (passive hemagglutination test, immune-enzyme assay (IgA, IgM, IgG), IFabs, immunofluorescence test and Treponema pallidum immobilization test) serology tests. Results. According to the results of blood tests of latent syphilis patients, the largest number of positive results was obtained as a result of treponemal serology tests such as immune-enzyme assay (100%), passive hemagglutination test (100%) and IFabs (100%). The greatest number of negative results was observed in non-treponemal (microprecipitation test/RPR) serology tests: in 136 (72.7%) patients; evidently positive results (4+) test results were obtained in 8 (4.3%) patients only. According to the results of a comparative analysis of blood tests in patients suffering from latent syphilis obtained with the use of treponemal serology tests, the greatest number of evidently positive results (4+) was noted for the passive hemagglutination test (67.9%). Negative treponemal test results were obtained with the use of the immunofluorescence test and Treponema pallidum immobilization test (21.9% and 11.8% of cases, respectively). Moreover, weakly positive results prevailed for the immunofluorescence test: in 65 (34.7%) patients. Conclusion. These data confirm that the following treponemal tests belong to the most reliable ones for revealing patients suffering from latent syphilis: immune-enzyme assay, passive hemagglutination test and IFabs.https://www.vestnikdv.ru/jour/article/view/241сифилисскрытыйпозднийсерологические тестыsyphilislatent syphilisserology tests |
spellingShingle | G. L. Katunin A. B. Rubtsov Using standard serology blood tests to diagnose latent syphilis Vestnik Dermatologii i Venerologii сифилис скрытый поздний серологические тесты syphilis latent syphilis serology tests |
title | Using standard serology blood tests to diagnose latent syphilis |
title_full | Using standard serology blood tests to diagnose latent syphilis |
title_fullStr | Using standard serology blood tests to diagnose latent syphilis |
title_full_unstemmed | Using standard serology blood tests to diagnose latent syphilis |
title_short | Using standard serology blood tests to diagnose latent syphilis |
title_sort | using standard serology blood tests to diagnose latent syphilis |
topic | сифилис скрытый поздний серологические тесты syphilis latent syphilis serology tests |
url | https://www.vestnikdv.ru/jour/article/view/241 |
work_keys_str_mv | AT glkatunin usingstandardserologybloodteststodiagnoselatentsyphilis AT abrubtsov usingstandardserologybloodteststodiagnoselatentsyphilis |