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Entry of Syphilis Serology

High-trend,[link widoczny dla zalogowanych], are serum relapse, or recurrence of clinical symptoms, if any, conclusions can be: syphilis relapse. ② other diagnosis: syphilis. (4) TPPA positive, RPR-negative: ① If the prosecution history and treatment history who denied the request for their review after 4 weeks. If RPR positive diagnosis: syphilis. Such as RPR negative, in a request to provide proof of regular treatment,[link widoczny dla zalogowanych], the conclusion is: syphilis after treatment, serum response negative. ② If those who were seized after a formal treatment, a history of more than 2 years, and the hospital CSF (white blood cells, VDRL, protein, colloidal gold) was negative. Conclusion can: cure syphilis. 3 Diagnosis and visa issues should pay attention to the key after the emergence of RPR false negative diagnosis of syphilis and syphilis screening part of the issue of certificates. 3.1 Syphilis RPR several possibilities arise false negative analysis (1) immigration officers in two and late syphilis little or none. Phenomenon with syphilis before the l% ~ 2% in patients with secondary syphilis can occur. These patients have clinical symptoms, when the clinical suspicion of syphilis and RPR negative, we must guard against the phenomenon of the former with the emergence of quantitative test should be diluted samples, while monitoring the TPPA 『6; (2) because the serum of patients with early syphilis reagin ( cardiolipin antibodies) were too low to measure, so the RPR-negative, so their short-term review; (3) can occur after treatment of syphilis RPR negative, it is to understand the treatment history; (4) deny the history and treatment of the history of those who were seized because of the positive TPPA explained how it was infected with syphilis, who were seized to conceal their history can not be patient persuasion, let with the diagnosis; (5) The most critical is the first laboratory to improve the quality of management strict rules, to strengthen the quality of monitoring reagent,[link widoczny dla zalogowanych], which is the prerequisite and prerequisite. Syphilis 3.2 health check whether the issue of certificates of infectious syphilis is an important part of our monitoring is the key issue of health inspection certificate. It was suggested to cure some syphilis patients for the clinical diagnosis of the health examination certificate issued _7]. In reality, the immigration officers at times, while recognizing the infection,[link widoczny dla zalogowanych], but can not provide written proof of the cases or the other of cerebrospinal fluid to check them often have difficulties. I believe that those who remained negative by the RPR, after review of TPPA positive, because it is not contagious, it may issue a certificate of health examination. In short, immigration officers on the diagnosis of syphilis, RPR and TPPA carried out at the same time, we must combine history, treatment history and laboratory tests such as a comprehensive analysis and judgments, while the positive RPR titer changes were observed dynamically in order to determine whether contagious, to understand their disease and the efficacy outcome,[link widoczny dla zalogowanych], effectively prevent the transmission of latent syphilis and immigration, quarantine supervision to do more in place.
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