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Syphilis SurveillanceFailure to Screen in a University Hospital
Kenneth J. Tomecki, MD;
Martin E. Plaut, MD
JAMA. 1976;236(23):2641-2642.
Abstract
Of 5,954 adult inpatients consecutively discharged from a university hospital during a three-month period, only 8.4% had serologic tests for syphilis performed during hospitalization. The testing rate was 20.1% on patients admitted to a medical teaching service and 1.4% on a surgical teaching service. In patients tested, a positive rapid plasma reagin test result was obtained in 6.2% and the diagnosis was confirmed by further testing, but effective therapy was not always given. Only 9 of 30 patient records listed syphilis as a diagnosis on discharge. We conclude that serologic testing for syphilis is routinely omitted in the evaluation of hospitalized patients; even when tests are positive, the results are often ignored.
(JAMA 236:2641-2642, 1976)
Author Affiliations
From the Department of Dermatology (Dr Tomecki) and the Infectious Disease Service (Dr Plaut), State University of New York at Buffalo.
Footnotes
Reprint requests to Buffalo General Hospital, 100 High St, Buffalo, NY 14203 (Dr Plaut).
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