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Subject 511-5-4 SEROLOGIC TEST FOR SYPHILIS FOR PREGNANT WOMEN

Rule 511-5-4-.01 Purpose

The purpose of this Rule is to detect the presence of syphilis in a pregnant or postpartum woman and provide appropriate treatment for the woman and baby.

Rule 511-5-4-.02 Definitions

Unless a different meaning is required by the context, the following terms as used in these Rules shall have the meaning hereinafter respectively ascribed to same:

(a) "Standard serologic test for syphilis" means a test designed to detect evidence of syphilis and approved by the Department. This definition includes, but is not limited to, the VDRL (Venereal Disease Research Laboratory) and the RPR (Rapid Plasma Reagin) tests.
(b) "Physician" means any person licensed to practice medicine in the State of Georgia under O.C.G.A. Chapter 43-34.
(c) "Clinical laboratory" means a laboratory licensed by the Department to perform a standard serologic test for syphilis. Provided however, a clinical laboratory exempted from the licensing requirement by other rules and regulations of the Department shall not be required to be licensed by these rules and regulations.
(d) "Department" means the Georgia Department of Public Health.

Rule 511-5-4-.03 Provisions

(1) Every pregnant woman shall have a blood specimen taken as prescribed herein for a standard serologic test for syphilis.
(2) Every pregnant woman who delivers a live born or stillborn baby and did not have the required blood specimens taken during gestation shall have a blood specimen taken as prescribed herein for a standard serologic test for syphilis.
(3) Every physician in this state providing prenatal care to a pregnant woman, or delivering or attending a woman just delivered, shall take or cause to be taken a venous blood specimen for submission to a clinical laboratory for a standard serologic test for syphilis as follows:
(a) A blood specimen shall be taken at the initial visit to the physician for prenatal care and a second blood specimen shall be taken during the third trimester of gestation. Provided, however, if the initial visit is in the third trimester, a blood specimen is not required.
(b) Any physician who delivers a baby or who attends a woman who has just delivered a baby and cannot confirm that the woman had the test required in (a) above, shall within six (6) hours of such delivery take or cause to be taken a specimen of venous blood from the woman delivering a live born or stillborn baby.
(4) The attending physician shall report to the Department any positive standard serologic test for syphilis, within twenty-four (24) hours of receipt of the original laboratory report, unless the woman is proven not to be infected. The report shall be admitted in a manner prescribed by the Department.