<p> <span style="font-size:12px;"><span style="font-family:arial,helvetica,sans-serif;">Syphilis Total. Reactive test results are automatically tested for RPR titer and TP-PA confirmation tests, as needed</span></span>.</p> <p> If Syph total is reactive, RPR and TPPA must be tested within 5 days of collection.&nbsp;</p>

<p> <span style="font-size:12px;"><span style="font-family:arial,helvetica,sans-serif;">Serum separator tube (SST), Rapid serum tube (RST) or Red top serum tube with no additive</span></span></p>

<p> <span style="font-size:12px;"><span style="font-family:arial,helvetica,sans-serif;">Serum separator tube (SST), Rapid serum tube (RST)or Red top serum tube with no additive</span></span></p>

<p> <span style="font-size:12px;"><span style="font-family:arial,helvetica,sans-serif;">3 mL of blood (1 ml of serum)</span></span></p>

<p> <span style="font-size:12px;"><span style="font-family:arial,helvetica,sans-serif;">Refrigerate (2-8&deg;C) up to 7 days; Samples should be frozen (&lt;-20&deg;C)</span></span></p>

<p> <span style="font-size:12px;"><span style="font-family:arial,helvetica,sans-serif;">Within two hours of collection, centrifuge. Serum collected in a red top tube should be removed from the red cells if testing will be delayed.</span></span></p>

<p> <span style="font-size:12px;"><span style="font-family:arial,helvetica,sans-serif;">Refrigerate (2-8&deg;C) up to 7 days; Samples should be frozen (&lt;-20&deg;C)</span></span></p>

<p> <span style="font-size:12px;"><span style="font-family:arial,helvetica,sans-serif;">Insufficient quantity, gross hemolysis, lipemia.&nbsp; Specimen container unlabeled or labeled incorrectly. No date and time of collection or collector completed.</span></span></p>

<p style="line-height: normal; margin-bottom: 0pt;"> <span style="font-size:12px;"><span style="font-family:arial,helvetica,sans-serif;">Non-reactive</span></span></p>

<p> <span style="font-size:12px;"><span style="font-family:arial,helvetica,sans-serif;"><span class="TextRun SCXW210887196 BCX0" data-contrast="auto" lang="EN-US" style="accent-color: auto; place-content: normal; place-items: normal; place-self: auto; alignment-baseline: auto; anchor-name: none; animation: 0s ease 0s 1 normal none running none; animation-composition: replace; app-region: none; appearance: none; aspect-ratio: auto; backdrop-filter: none; backface-visibility: visible; background: none 0% 0% / auto repeat scroll padding-box border-box rgba(0, 0, 0, 0); background-blend-mode: normal; baseline-shift: 0px; baseline-source: auto; border-image: none 100% / 1 / 0 stretch; border-color: rgb(0, 0, 0); border-collapse: separate; border-end-end-radius: 0px; border-end-start-radius: 0px; border-width: 0px; border-style: none; border-spacing: 0px; border-start-end-radius: 0px; border-start-start-radius: 0px; border-radius: 0px; inset: auto; box-decoration-break: slice; box-shadow: none; box-sizing: content-box; break-after: auto; break-before: auto; break-inside: auto; buffered-rendering: auto; caption-side: top; caret-color: rgb(0, 0, 0); clear: none; clip: auto; clip-path: none; clip-rule: nonzero; color: rgb(0, 0, 0); color-interpolation: srgb; color-interpolation-filters: linearrgb; color-rendering: auto; color-scheme: normal; columns: auto; column-fill: balance; gap: normal; column-rule: 0px rgb(0, 0, 0); column-span: none; contain: none; contain-intrinsic-block-size: none; contain-intrinsic-size: none; contain-intrinsic-inline-size: none; container: none; content: normal; content-visibility: visible; counter-increment: none; counter-reset: none; counter-set: none; cursor: text; cx: 0px; cy: 0px; d: none; direction: ltr; display: inline; dominant-baseline: auto; empty-cells: show; field-sizing: fixed; fill: rgb(0, 0, 0); fill-opacity: 1; fill-rule: nonzero; filter: none; flex: 0 1 auto; flex-flow: row; float: none; flood-color: rgb(0, 0, 0); flood-opacity: 1; font-feature-settings: normal; font-kerning: none; font-optical-sizing: auto; font-palette: normal; font-size-adjust: none; font-stretch: 100%; font-synthesis: weight style small-caps; font-variant-ligatures: none; font-variant-numeric: normal; font-variant-east-asian: normal; font-variant-alternates: normal; font-variant-position: normal; font-variation-settings: normal; forced-color-adjust: auto; grid-area: auto; grid: none; height: auto; hyphenate-character: auto; hyphenate-limit-chars: auto; hyphens: manual; image-orientation: from-image; image-rendering: auto; initial-letter: normal; inline-size: auto; inset-area: none; inset-block: auto; inset-inline: auto; interpolate-size: numeric-only; isolation: auto; lighting-color: rgb(255, 255, 255); line-break: auto; line-height: 17.2667px; list-style: outside none disc; margin: 0px; marker: none; mask: none; mask-type: luminance; math-depth: 0; math-shift: normal; math-style: normal; max-height: none; max-width: none; min-height: 0px; min-width: 0px; mix-blend-mode: normal; object-fit: fill; object-position: 50% 50%; object-view-box: none; offset: normal; opacity: 1; order: 0; outline: rgb(0, 0, 0) none 0px; outline-offset: 0px; overflow: visible; overflow-anchor: auto; overflow-clip-margin: 0px; overflow-wrap: break-word; overlay: none; overscroll-behavior-block: auto; overscroll-behavior-inline: auto; overscroll-behavior: auto; padding: 0px; page: auto; paint-order: normal; perspective: none; perspective-origin: 0px 0px; pointer-events: auto; position: static; position-anchor: auto; position-area: none; position-try: none; position-visibility: always; quotes: auto; r: 0px; resize: none; rotate: none; ruby-align: space-around; ruby-position: over; rx: auto; ry: auto; scale: none; scroll-behavior: auto; scroll-margin-block: 0px; scroll-margin: 0px; scroll-margin-inline: 0px; scroll-padding-block: auto; scroll-padding: auto; scroll-padding-inline: auto; scroll-snap-align: none; scroll-snap-stop: normal; scroll-snap-type: none; scroll-timeline: none; scrollbar-color: auto; scrollbar-gutter: auto; scrollbar-width: auto; shape-image-threshold: 0; shape-margin: 0px; shape-outside: none; shape-rendering: auto; speak: normal; stop-color: rgb(0, 0, 0); stop-opacity: 1; stroke: none; stroke-dasharray: none; stroke-dashoffset: 0px; stroke-linecap: butt; stroke-linejoin: miter; stroke-miterlimit: 4; stroke-opacity: 1; stroke-width: 1px; tab-size: 8; table-layout: auto; text-align-last: auto; text-anchor: start; text-combine-upright: none; text-decoration-style: solid; text-decoration-color: rgb(0, 0, 0); text-decoration-skip-ink: auto; text-emphasis: none rgb(0, 0, 0); text-emphasis-position: over; text-orientation: mixed; text-overflow: clip; text-rendering: auto; text-shadow: none; text-size-adjust: auto; text-spacing-trim: normal; text-underline-offset: auto; text-underline-position: auto; text-wrap-style: initial; timeline-scope: none; touch-action: auto; transform: none; transform-box: view-box; transform-origin: 0px 0px; transform-style: flat; transition: all; translate: none; unicode-bidi: normal; user-select: text; vector-effect: none; vertical-align: baseline; view-timeline: none; view-transition-class: none; view-transition-name: none; visibility: visible; border-block-end: 0px none rgb(0, 0, 0); border-block-start: 0px none rgb(0, 0, 0); border-inline-end: 0px none rgb(0, 0, 0); -webkit-border-image: none; border-inline-start: 0px none rgb(0, 0, 0); -webkit-box-align: stretch; -webkit-box-decoration-break: slice; -webkit-box-direction: normal; -webkit-box-flex: 0; -webkit-box-ordinal-group: 1; -webkit-box-orient: horizontal; -webkit-box-pack: start; -webkit-font-smoothing: auto; -webkit-line-break: auto; -webkit-line-clamp: none; -webkit-locale: &quot;en-US&quot;; block-size: auto; margin-block: 0px; margin-inline: 0px; -webkit-mask-box-image-source: none; -webkit-mask-box-image-slice: 0 fill; -webkit-mask-box-image-width: auto; -webkit-mask-box-image-outset: 0; -webkit-mask-box-image-repeat: stretch; max-block-size: none; max-inline-size: none; min-block-size: 0px; min-inline-size: 0px; padding-block: 0px; padding-inline: 0px; -webkit-print-color-adjust: economy; -webkit-rtl-ordering: logical; -webkit-ruby-position: before; -webkit-tap-highlight-color: rgba(0, 0, 0, 0); -webkit-text-combine: none; -webkit-text-fill-color: rgb(0, 0, 0); -webkit-text-orientation: vertical-right; -webkit-text-security: none; -webkit-text-stroke-color: rgb(0, 0, 0); -webkit-user-drag: none; -webkit-user-modify: read-only; -webkit-writing-mode: horizontal-tb; white-space-collapse: preserve; width: auto; will-change: auto; word-break: normal; writing-mode: horizontal-tb; x: 0px; y: 0px; z-index: auto; zoom: 1;" xml:lang="EN-US"><span class="NormalTextRun SCXW210887196 BCX0">Test is performed in batch, once per day, six days a week</span></span></span></span></p> <p> L&amp;D/Newborn specimens tested 7 days a week.</p>

<p style="line-height: normal; margin-bottom: 0pt;"> <span style="font-size:12px;"><span style="font-family:arial,helvetica,sans-serif;">Multiplex immunoassay</span></span></p>

<p> <span style="font-size:12px;"><span style="font-family:arial,helvetica,sans-serif;">Clinical Microbiology</span></span></p>

<p> <span style="font-size:12px;"><span style="font-family:arial,helvetica,sans-serif;">&nbsp;Syphilis</span></span></p>

<p style="line-height: normal; margin-bottom: 0pt;"> <span style="font-family:arial,helvetica,sans-serif;"><span style="font-size:12px;">Intended for the qualitative detection of total antibodies to&nbsp;<i style="font-family: Georgia; font-size: small;">Treponema pallidium&nbsp;</i>and should be used in conjunction with other laboratory tests and clinical findings to aid in the diagnosis of syphilis infection.</span></span></p>

<p> <span style="font-size:12px;"><span style="font-family:arial,helvetica,sans-serif;">Routine venipuncture</span></span></p>

<p> <span style="font-size:12px;"><span style="font-family:arial,helvetica,sans-serif;">86780</span></span></p>

<p style="line-height: normal; margin-bottom: 0pt;"> <span style="font-size:12px;"><span style="font-family:arial,helvetica,sans-serif;">Specimens with positive Syphilis Total results are automatically tested for RPR titer and a confirmatory treponemal test (Treponema pallidum partical agglutination test), as needed.</span></span></p> <p style="line-height: normal; margin-bottom: 0pt;"> <span style="font-size:12px;"><span style="font-family:arial,helvetica,sans-serif;">For patients diagnosed with syphilis (i.e., positive Total and confirmatory test), the CDC recommends that response to therapy be assessed by RPR test (a 4-fold decline in titer, or undetectable RPR titer) after 6 months.&nbsp;</span></span></p> <p style="line-height: normal; margin-bottom: 0pt;"> <span style="font-size:12px;"><span style="font-family:arial,helvetica,sans-serif;">Tests are performed on all obstetrics patients regardless of previous results.&nbsp; If there is no previous patient data, the requested tests are performed.&nbsp;</span></span></p> <p style="line-height: normal; margin-bottom: 0pt;"> <span style="font-size:12px;"><span style="font-family:arial,helvetica,sans-serif;">VDRL test is performed on CSF samples as a Sendout test for patients with positive serum test results, only.</span></span></p>