Rapid Plasma Reagin Titer


Sunquest Code:RPRTAB  
Epic Code:LAB8012Epic Name:Rapid Plasma Reagin Titer
Order Instructions:Order TREPT first. This test will be non-orderable by the provider. The RPRAB will reflex to this test.
Synonyms:Syphilis Screening Test; RPR; VDRL; Prenatal Screen
Methodology:Multiplex Flow Detection
CPT Code:----------CPTCODES HERE----------
Turnaround Time:Performed daily; results are reported within 24 hours.
Associated Links:

Syphilis Serology Algorithm



Collection Instructions

Specimen:Blood
Optimal Volume:6 mL
Minimum\Peds Volume:4.2 mL
Container:Red or gold (gel) (Green (lithium heparin, no gel), Green (lithium heparin, gel), Green (sodium heparin, no gel), Purple (EDTA), Red (no gel))
Causes for Rejection:Hemolysis
Contraindications:This test (RPRTAB) is not used to test CSF specimens; see VDRL, Cerebrospinal Fluid.


Processing and Shipping

Specimen Processing:Centrifuge and leave sample in serum separator tube (preferred). Alternatively, aliquot 3 mL, 2 mL minimum. Store in refrigerator.
Shipping Instructions:Ship at refrigerated temperature.
Test Performed at or Referral Lab Specialty Core  (UMMC-East Bank)


Interpretive

Reference Range:Negative
Use:The quantitative RPR test is performed on patients with syphilis, a fourfold rise in titer in a repeat specimen may suggest infection, a reinfection, or a treatment failure. A fourfold decrease in the titer following treatment for early syphilis usually indicates that therapy was adequate. Unusually high RPR titers can be seen with concurrent human immunodeficiency virus type 1 infection. Unusually high false-positive titers may also be seen in patients with lymphomas.


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