Description

The RPR (Rapid Plasma Reagin) With Reflex to Titer blood test is a two-step process used to detect antibodies associated with syphilis, a sexually transmitted infection caused by Treponema pallidum.

  • RPR Screening: Identifies the presence of antibodies that may indicate syphilis infection.
  • Reflex to Titer: If the RPR is positive, the lab automatically measures antibody levels to determine disease activity and guide treatment decisions.

This testing approach provides both initial screening and quantitative follow-up in one convenient test.

Purpose of the Test

  • Detect syphilis infection (primary, secondary, or latent stages)
  • Quantify antibody levels to monitor treatment effectiveness
  • Guide follow-up care for positive RPR results
  • Aid in prevention of transmission to sexual partners
  • Support prenatal screening to protect maternal and fetal health

Who Should Consider This Test?

  • Individuals with risk factors for sexually transmitted infections
  • Patients with symptoms of syphilis (sores, rash, fever, fatigue)
  • Pregnant individuals as part of prenatal screening
  • People undergoing STI testing for peace of mind
  • Healthcare providers monitoring treatment response in confirmed syphilis cases

What the Test Measures

  • RPR (Rapid Plasma Reagin): Detects nonspecific antibodies produced in response to syphilis infection.
  • Titer (if reflexed): Measures the concentration of antibodies, helping determine disease stage and response to therapy.

A negative result generally rules out syphilis, while a positive result is followed by a titer to assess activity and guide treatment.

Fasting Required?

No fasting required.