Syphilis infections are increasing in Melbourne. Syphilis is a serious public health problem and can eventually cause brain infections, dementia, lung and heart failure, blindness and even death if left untreated.
Early detection is key to reducing transmission. Early symptoms may look like herpes. If you test for herpes, test for syphilis on same swab

Resources available to guide result interpretation and treatment.

Syphilis is an important global health problem which leads to serious complications including neurological problems and stillbirth. Despite availability of tests and treatment, rates of syphilis have climbed dramatically across Melbourne, affecting men, women and putting infants at risk.

Early detection is key. As a result, Melbourne Pathology has adopted a multiplex assay that enables simultaneous testing of herpes viruses and syphilis on a single swab. This will be run on all herpes PCR swabs labelled as collected from a genital site in order to detect early syphilis infections.

Primary syphilis can mimic herpes. Swab all genital lesions. Secondary syphilis is the most infectious stage. All STI screening should include syphilis serology.

A positive syphilis PCR confirms infectious syphilis. A syphilis history is essential to guide interpretation of serology.

Use the ASHM tool to guide result interpretation and contact Melbourne Sexual Health Centre doctors line on 1800 009 903 if you require further support.

Confirm syphilis history, interpret results, determine treatment need, treat, notify DOH and conduct contact tracing (partner management). Assess for pregnancy in women of reproductive age