O diagnostico de sifilis na gestacao em nosso pais pode ser feito utilizando-se teste nao treponemico de floculacao do tipo VDRL
, para triagem.
Em relacao a realizacao do VDRL
no momento da internacao, a recomendacao do Fundo das Nacoes Unidas para a Infancia (UNICEF) e que, se o exame nao for realizado durante o pre-natal, deve-se faze-lo na hora do parto.
Despite numerous attempts to contact the patient to return for repeat HIV and VDRL
testing, he was lost to follow-up.
test result was positive at a 1:32 serum dilution, as was TP-PA with 4+ reactivity.
Neurosyphilis: The qualitative VDRL
, a non-trepomcnal test, remains the screening test of choice for cerebrospinal fluid (CSF) to assist in the diagnosis of neurosyphilis.(6-7) VDRL
is highly specific but insensitive, therefore, a positive can be used for diagnosis but a negative does not rule out neurosyphilis.
Confirmation of initial infection can be done by use of serum non-treponemal (VDRL
and RPR) and treponemal (FTA-ABS, TPPA) tests.
We interviewed them using a pre-tested questionnaire to understand their risk behaviour, risk perception and following that, we collected about 500ml blood samples for testing HIV and VDRL
(Venereal Disease Research Laboratory) to test the syphilis ...and Hepatitis B.