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A recently updated guideline on syphilis screening includes a new recommendation against routine screening of low-risk asymptomatic individuals, according to the U.S. Preventive Services Task Force.
"Given the low incidence of syphilis infection in the general population and the consequent low yield of such screening, the USPSTF concludes that potential harms of screening ... in a low-incident population outweigh the benefits," the document states (Ann. Fam. Med. 2[4]:362-65, 2004).
This "D" level recommendation is the only change to the previous recommendations, issued in 1996.
Routine syphilis screening of all pregnant women is still recommended, as is screening of all people at increased risk for syphilis infection ("A" level recommendations).
High-risk groups include men who have sex with men and engage in other high-risk sexual behavior, commercial sex workers, people who exchange sex for drugs, and people in adult correctional facilities.
The task force grades each recommendation according to one of five levels, based on the ...
Source: HighBeam Research, USPSTF: guideline on routine syphilis screening revised.(News)