faculty

Publications

Traditional versus reverse algorithm for diagnosis of syphilis – An Indian perspective from a national referral laboratory for sexually transmitted infections

Groups and Associations Verma S, Panda PS, Muralidhar S, Rajan S, Khunger N.
Indian Journal of Sexually Transmitted Diseases and AIDS 2025

Syphilis diagnosis can be confirmed by two testing algorithms. In the traditional algorithm, a nontreponemal test is used as a screening test to rule out syphilis which, if reactive, is confirmed by a treponemal test. In the reverse algorithm, a treponemal test is used as a screening test, which, if positive, is confirmed by a nontreponemal test. If the nontreponemal is negative, a second treponemal assay of a different principle is performed to resolve the discordant result. The aim of this study was to compare the traditional and reverse algorithms for the diagnosis of syphilis in a National Referral Apex Centre for Sexually Transmitted Infections.