Characteristics of included studies
Syphilis* (n=19) n (%) | Yaws* (n=7) n (%) | |
POCTs | ||
Chembio DPP-RDT | 15 (78.9) | 7 (100) |
Smartphone dongle triplex test† | 1 (5.3) | 0 |
SpanDiagnostics‡ | 1 (5.3) | 0 |
Burnet TP-IgA | 2 (10.5) | 0 |
Country income level§ | ||
High | 9 (47.4) | 0 |
Middle | 6 (31.6) | 6 (85.7) |
Low | 2 (10.5) | 1 (14.3) |
Mixed | 2 (10.5) | 0 |
Study setting | ||
General practice/clinic | 11 (57.9) | 1 (14.3) |
Laboratory | 8 (42.1) | 0 |
Field/non-clinical facility | 0 | 3 (42.9) |
Unclear (includes unpublished data) | 0 | 3 (42.9) |
Population | ||
General population | 11 (57.9) | 3 (42.9) |
Pregnant women | 4 (21.1) | 0 |
MSM | 2 (10.5) | 0 |
People living with HIV | 1 (5.3) | 0 |
Children | 0 | 2 (28.6) |
Other¶ | 1 (5.3) | 0 |
Unclear (from unpublished data) | 0 | 2 (28.6) |
Study design | ||
Experimental/randomised controlled trial | 0 | 1 (14.3) |
Observational/cross-sectional | 16 (84.2) | 2 (28.6) |
Modelling | 2 (10.5) | 1 (14.3) |
Qualitative | 1 (5.3) | 1 (14.3) |
Unclear (from unpublished data) | 0 | 2 (28.9) |
RDT reading method | ||
Visual | 16 (84.2) | 6 (85.7) |
Digital reader | 3 (15.8) | 1 (14.3) |
Secondary outcomes | Total (n=15) | |
Acceptability | 2 (13) | |
Feasibility | 2 (13) | |
Usability | 5 (33) | |
Appropriate treatment following testing | 4 (27) | |
Cost/resources | 2 (13) |
*The total of studies for each category does not add up to 25 as one paper contained data for both syphilis and yaws.
†HIV, treponemal and non-treponemal RDT, not commercially available.
‡Similar to DPP-RDT, manufactured by Span Diagnostics.
§Country income level is classified as per the World Bank Group.
¶(>15 years old+behavioural risk group): (1) injection drug users (IDUs) with verified track marks (eg, visible signs of injection); (2) women who reported at least two male partners in the last 2 years or engaging in anal intercourse, sex trading, or sex with an MSM, an IDU, or an HIV-positive man; (3) MSM and men who have sex with men and women; and (4) transgender individuals.
DPP, Dual Path Platform; MSM, men who have sex with men; POCTs, point-of-care tests; RDT, rapid diagnostic test; TP-IgA, treponemal IgA-specific assay.