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Test ID: RPR Test
Rapid Plasma Reagin test
Non-treponemal qualitative and semi-quantitative testing procedure for serologic detection of syphilis in patient serum
Useful For

Non-treponemal assays are useful to help distinguish between treated and untreated syphilis, as this test detects antibodies against lecithin, cholesterol and cardiolipin, which are present in many syphilis patients. The tes is also used for monitoring the progression of disease and treatment response.

(For HMC users only: This test cannot be ordered directly, it will be added by lab if Treponema pallidum Ab Antibody found positive)

Method name and description

Slide agglutination test

Reporting name

RPR Test

Aliases

RPR Titer

Specimen type / Specimen volume / Specimen container

Specimen type: Serum or plasma

Specimen volume: 3-5 mL

Specimen container: Plasma collected in sodium heparin, Serum collected in Yellow top gel tubes

Collection instructions / Special Precautions / Timing of collection

Collection by venipuncture as per organization guidelines

No special precautions/ No timing of collection

Storage and transport instructions

Maintain specimen at 2-8°C

The specimens should be transported to Virology Section in cold box immediately

Specimen Rejection Criteria

Quantity of blood not sufficient

Wrong blood container

Container breakage / sample leaking

Lipemic sample

Grossly hemolyzed serum

Biological reference intervals and clinical decision values

No reference

Reactive / Nonreactive

Reactive with titer (1:1), (1:2), (1:4), (1:8), (1:16)…..etc.

Factors affecting test performance and result interpretation

1-False negative results can occur, because of failure to recognize prozone reaction. Prozone reaction occurs in 1% to 2% of patients with secondary syphilis.

2-False positive reaction is reported in disease such as infectious mononucleosis, leprosy, malaria, lupus erythematous, vaccinia and virus pneumonia.

Turnaround time / Days and times test performed / Specimen retention time

Turnaround time: Within 7 days

Days and times test performed: Daily except Friday and Saturday from 7am to 3pm

Specimen retention time: 2 weeks