Estimating the Proportion of People Living With HIV Who May Benefit From the Reverse Algorithm for the Diagnosis of Incident Syphilis

Sex Transm Dis. 2024 Jun 1;51(6):e26-e29. doi: 10.1097/OLQ.0000000000001955.

Abstract

Among 8455 people engaged in HIV care in 4 US cities, 4925 (58%) had treponemal testing at care entry. Of the 4925 tested, 3795 (77%) had a nonreactive result and might benefit from the reverse algorithm for a future incident syphilis diagnosis. Furthermore, low-barrier treponemal testing as a first step in the reverse algorithm may increase syphilis screening and decrease time to treatment.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Adult
  • Algorithms*
  • Female
  • HIV Infections* / diagnosis
  • HIV Infections* / epidemiology
  • Humans
  • Incidence
  • Male
  • Mass Screening* / methods
  • Middle Aged
  • Syphilis Serodiagnosis*
  • Syphilis* / diagnosis
  • Syphilis* / epidemiology
  • United States / epidemiology