Screen sexually active, nonpregnant adolescents and adults for syphilis, USPSTF says.
"Using a reaffirmation process, the USPSTF concludes with high certainty that there is a substantial net benefit of screening for syphilis infection in nonpregnant persons who are at increased risk for infection," the authors, led by Carol M.
Assess risk: Clinicians should know how common syphilis is in their community and assess their patient's individual risk.or other sexually transmitted infections, and those who use illicit drugs, or who have a history of incarceration, sex work, or military service.Traditional screening algorithm: Start with a nontreponemal test such as Venereal Disease Research Laboratory [VDRL] or rapid plasma reagin [RPR].
They add that differences in sexual networks also play a role in disparities and that sexually active people in communities with higher STI rates may be more likely to become infected.Dr Judith O'Donnell "Primary care clinicians rely on USPSTF recommendations to help prioritize evidence-based prevention in practice, so this reaffirmation is a critical step to remind us of the importance of regularly assessing risk and screening with a readily available screening test in the office," she added.
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