[HIV-STD-Prevention] New considerations for health care providers who test patients for syphilis #u#

[Bortoli Gianna A]

Statement below can also be found here: https://www.hhs.gov/about/news/2024/06/12/statement-assistant-secretary-health-levine-point-care-testing-syphilis.html

FOR IMMEDIATE RELEASE
Wednesday, June 12, 2024


Statement from Assistant Secretary for Health Levine
on Point of Care Testing for Syphilis

Over the past decade, syphilis rates and case numbers in the U.S. have increased across all populations. In response to this surge in syphilis cases, HHS formed the National Syphilis and Congenital Syphilis Syndemic Federal Task Force<https://u7061146.ct.sendgrid.net/ls/click?upn=u001.gqh-2BaxUzlo7XKIuSly0rC6o6YV8blrEUXATzvacddTKtPoq1fK0UmyWdjZDcjRHtjKl-2BF6ehHwjBq5RIGK-2FPIaLK-2BSqf-2BGFm3j0ooueucLh4jgQSOSdHjxrL7zqavtEEyPICr5VqwR9CQf3dcwPx3A8sNZdgsALoZyDdAVMDUY4-3DGga1_YT6Y2ePIcdRPKYLVvGslXHjmD0MW-2B8ShCVxdLo3FTrFwBLo7CBhnbrVxFhD-2BYLs18F1qXNnSZOjQ-2BTZGfXFkeUzx6t4SO1H9nIjlSbXjqiTrK2xw31G2eKuhRazmzf4a-2FDCvciajyXtATIn1NsSnnaiYQco1JiyBlljTrWxLAA4PKbITNOVcOJVxKIiWeSuCIwL3ImqOHnFVejRGuyqnH8Ji2j4WaS8oSCoE4zkwRlJ5dJ2w8fxtALKsH2y3jatUVLPd8-2BdMR1zePd7Bk-2Fw5x5qb3h-2BzJlwt7cxdkOpKTaKzAzZwJIz-2F1hrREIUgHrHosMaLAiaGQZQEHhAtUKsOpUI3EBoCh2Sm-2BwWijypiem8-3D> led by HHS Assistant Secretary for Health Admiral Rachel Levine.
Today, this task force issued new considerations for health care providers who test patients for syphilis. The new HHS document "Considerations for the Implementation of Point of Care Tests for Syphilis<https://u7061146.ct.sendgrid.net/ls/click?upn=u001.gqh-2BaxUzlo7XKIuSly0rC2YqRcMqzK7JZB4KkhrWJE47-2Fgsn0ARtNpYW07UH-2BkaPGnrRaiwtTfvCPO2ACleZ1zAXBM07tMAT64PF3Iphfp-2BK4pnIlbasMWanv5ck76tH8moyJRyCXxtMPSSeFMsluaThk2vbdbQ-2BfykwJ-2FicXt8-3DP3XG_YT6Y2ePIcdRPKYLVvGslXHjmD0MW-2B8ShCVxdLo3FTrFwBLo7CBhnbrVxFhD-2BYLs18F1qXNnSZOjQ-2BTZGfXFkeUzx6t4SO1H9nIjlSbXjqiTrK2xw31G2eKuhRazmzf4a-2FDCvciajyXtATIn1NsSnnaiYQco1JiyBlljTrWxLAA4PKbITNOVcOJVxKIiWeSuCIwL3ImqOHnFVejRGuyqnH5RQ43cQ21QdDw0FzjB5tb39nyTWDrHXsO3RHsZGjmFowC5JQGoxK7yCOD7NtMKJ1JVC7iiZUD3YF0wXMaBkRxrBPSDzWq4IDH8WL4A-2BkTfV55o9F0Oozg210B8tKzO25YL4uCeOKgWfMmy2fbrBFZs-3D>," outlines four main differences between syphilis point of care tests and laboratory-based serologic syphilis tests and highlights the best settings to consider use of point-of-care tests. It also examines parameters for point of care testing program implementation and management, provides answers to common questions, and lists links to related resources.
"Syphilis testing is crucial, as syphilis infections can be difficult to diagnose because many of those infected may not have symptoms," said Admiral Rachel L. Levine, MD, Assistant Secretary for Health. "The Food and Drug Administration has authorized two point-of-care tests for syphilis that can provide rapid test results during the same visit in about 15 minutes. This can help overcome barriers in our ability to timely diagnose patients in communities across the nation."
Syphilis is curable but has re-emerged as a global public health threat. Since 2012, congenital syphilis cases have surged in the United States. If untreated, syphilis can seriously damage the heart and brain and can cause blindness, deafness, and paralysis. When transmitted during pregnancy, it can cause miscarriage, lifelong medical issues, and infant death.
Read the new resource "Considerations for the Implementation of Point of Care Tests for Syphilis<https://u7061146.ct.sendgrid.net/ls/click?upn=u001.gqh-2BaxUzlo7XKIuSly0rC2YqRcMqzK7JZB4KkhrWJE47-2Fgsn0ARtNpYW07UH-2BkaPGnrRaiwtTfvCPO2ACleZ1zAXBM07tMAT64PF3Iphfp-2BK4pnIlbasMWanv5ck76tH8moyJRyCXxtMPSSeFMsluaThk2vbdbQ-2BfykwJ-2FicXt8-3DVyTs_YT6Y2ePIcdRPKYLVvGslXHjmD0MW-2B8ShCVxdLo3FTrFwBLo7CBhnbrVxFhD-2BYLs18F1qXNnSZOjQ-2BTZGfXFkeUzx6t4SO1H9nIjlSbXjqiTrK2xw31G2eKuhRazmzf4a-2FDCvciajyXtATIn1NsSnnaiYQco1JiyBlljTrWxLAA4PKbITNOVcOJVxKIiWeSuCIwL3ImqOHnFVejRGuyqnH-2F4ZwCf1-2FVf-2F0Sm6JwApTnF30xVuv9ainbiob2CTUk6aKDxvhf6F7zxNeS7BlHv3R4YtA7wJi4X-2BbrKVMkt-2BZuC1CR0ArJbCU4oV6pAL1YySGtWSf-2FApyFFc1IE4xaTu5G9pMY1iBEne8uWGvGZAA3s-3D>" and sign up for the Stopping Syphilis: The HHS Summer Seminar Series<https://u7061146.ct.sendgrid.net/ls/click?upn=u001.gqh-2BaxUzlo7XKIuSly0rCya3-2BNrP01xrFFcCH469HBLHT1y1nG0Kyp19IVwbDq3YPMRC9nzlrW42l2qYQ3nYqg-3D-3DpRTM_YT6Y2ePIcdRPKYLVvGslXHjmD0MW-2B8ShCVxdLo3FTrFwBLo7CBhnbrVxFhD-2BYLs18F1qXNnSZOjQ-2BTZGfXFkeUzx6t4SO1H9nIjlSbXjqiTrK2xw31G2eKuhRazmzf4a-2FDCvciajyXtATIn1NsSnnaiYQco1JiyBlljTrWxLAA4PKbITNOVcOJVxKIiWeSuCIwL3ImqOHnFVejRGuyqnH76VGux-2BQDyq5RSlLqyzVeZA1P8v8QSNXYS5TrtysWC8kbtPhO9pHUk6GlB4ct6I0wXOvj4tdnAXZu4RiLSzZLyUSUjCFFveMYXVxHLzWf-2F2cwjdOAqh4GUT-2BMrA3se3ucBpIEB7FnEniC5PYWAzexQ-3D>. The June 26 webinar will highlight the new point of care testing considerations. Future webinars in this series will cover other important topics and share knowledge and tools to help find practical solutions to help reverse the syphilis and congenital syphilis epidemic in the United States.

RECENT PUBLICATION
Identifying gaps in syphilis treatment and prenatal care among pregnant individuals (contemporaryobgyn.net)<https://t.emailupdates.cdc.gov/r/?id=h8bf038cb,1c0f6cde,1c10a4e4&e=QUNTVHJhY2tpbmdJRD1VU0NEQ18xMDU0LURNMTI5MDYwJkFDU1RyYWNraW5nTGFiZWw9TkNCREREJTIwUGFydG5lciUyMEFsZXJ0JTIwNSUyRjIzJTJGMjAyNA&s=-sQX7ymzgn4nic-Ri7h9WPicnL5iKfivKuLUVlN-1vY>
CDC's Dr. Kate Miele spoke with Contemporary OB/GYN about the recently published article Syphilis Treatment Among People Who are in Six U.S. States - SET-NET, 2018-2021<https://t.emailupdates.cdc.gov/r/?id=h8bf038cb,1c0f6cde,1c10a4e5&e=QUNTVHJhY2tpbmdJRD1VU0NEQ18xMDU0LURNMTI5MDYwJkFDU1RyYWNraW5nTGFiZWw9TkNCREREJTIwUGFydG5lciUyMEFsZXJ0JTIwNSUyRjIzJTJGMjAyNA&s=Z-V0lsjM6ldB678snvC_4939R1KOZ0TL9iEQs-CkBXI>. Data from this study shows that fewer than two-thirds of people with syphilis during pregnancy were adequately treated. People without timely prenatal care (at least one visit more than 30 days before end of pregnancy) or no prenatal care were less likely to be adequately treated. However, nearly one third of those with timely prenatal care were still inadequately or not treated. People with complicated lived experiences, such as substance use or being unhoused, were twice as likely to receive inadequate or no treatment.
Syphilis Treatment Among People Who Are Pregnant in Six U.S. States, 2018-2021<https://t.emailupdates.cdc.gov/r/?id=h8bf038cb,1c0f6cde,1c10a4e6&e=QUNTVHJhY2tpbmdJRD1VU0NEQ18xMDU0LURNMTI5MDYwJkFDU1RyYWNraW5nTGFiZWw9TkNCREREJTIwUGFydG5lciUyMEFsZXJ0JTIwNSUyRjIzJTJGMjAyNA&s=OJaz2xlbQI-7LqZhmZS8j5LcgvQwDjKmbmGA1hewGfk>
Overall, the data illuminate gaps in prenatal care that can serve as barriers to adequate treatment for syphilis, said Dr. Miele. "Although timely prenatal care remains an important opportunity for getting people syphilis care, we need to be looking at other opportunities to reach people."



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