Note:
Interview periods may be modified if a history of symptoms, a negative
test result, or incidental treatment are documented. If symptom history
is questionable, a maximum interview period should be used. If the patient
claims no partners during the interview period, then the most recent
partner before the interview period should be elicited and notified.
* Many
syphilis cases cannot be staged until after the case is closed. When
the stage of syphilis is undetermined at the time of interview, a
one-year interview period should be used. That is, STD prevention
programs should initially interview a patient as early latent syphilis
(730) and then, if appropriate, reclassify at case closure as late
latent syphilis (745), latent syphilis of unknown duration (740),
or not syphilis (serofast). To reclassify an early latent case as
late latent or unknown duration, the following criteria must be met:
no history of exposure to a known case of syphilis (as determined
by interviewing the case and following up on sex partners), no history
of symptoms in the last year, no history of a negative blood test
in the last year, and no rise in titer of two dilutions or more.
A case should be reported even if treatment is not verified. |