Rapid Plasma Reagin (RPR)

Description
The Rapid Plasma Reagin (RPR) test is a semi-quantitative test for antibodies to cardiolipin (non-treponemal antibodies). The RPR is useful for the assessment of disease activity and treatment monitoring. The laboratory routinely tests for a prozone reaction on all sera. Not UKAS accredited.
Clinical details
Treponema pallidum serology, rather than RPR, is the routine syphilis screening test. Genital ulcers should be swabbed and tested for HSV and Trep. pallidum DNA via PCR. Suggest discuss all suspected syphilis cases with a sexual health specialist.
Related condition
Reference range

A sustained two bottle dilution (i.e. four-fold) increase in the RPR titre suggests reinfection or treatment failure

Units
Titre
Synonyms
RPR, VDRL, Syphilis, Non-treponemal
Testing site
Synnovis : Infection Sciences : Blackfriars Hub
Laboratory
Virology
Sample type and volume required
2.5 - 5ml Yellow Top Serum Separation Tube (SST) Clotted Blood (for serum).
Special sample instructions

Performed only on samples from GUM clinic patients with previously confirmed positive Syphils serology.

Storage and transport
Place labelled sample in a sealed sample bag and send to Central Specimen Reception (CSR). To prevent sample haemolysis please store samples in refrigerator if a delay in sending samples to CSR is unavoidable.
Turnaround time
3 working days
Contacts
For the most up-to-date contact list and service information, please refer to the User Manual.

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