Syphilis in pregnancy: Difference between revisions
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== Background == |
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* Risk of transmission to fetus |
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** Primary and secondary syphilis: 70 to 100% |
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** Early latent syphilis: 40% |
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** Late latent syphilis: 10% |
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==Management== |
==Management== |
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*For primary, secondary, or early latent syphilis: [[Is treated by::benzathine penicillin G]] 2.4 million units IM weekly for 1-2 doses |
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*For tertiary neurosyphilis, treat as usual |
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*Postpartum, follow guidelines for [[congenital syphilis]] to decide whether and how to treat the neonate |
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[[Category:Infectious diseases]] |
[[Category:Infectious diseases]] |
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Revision as of 18:31, 15 August 2020
Background
- Risk of transmission to fetus
- Primary and secondary syphilis: 70 to 100%
- Early latent syphilis: 40%
- Late latent syphilis: 10%
Management
- For primary, secondary, or early latent syphilis: benzathine penicillin G 2.4 million units IM weekly for 1-2 doses
- For late latent, latent syphilis with unknown duration, or tertiary syphilis not involving the CNS: benzathine penicillin G 2.4 million units IM weekly for 3 doses
- For tertiary neurosyphilis, treat as usual
- Postpartum, follow guidelines for congenital syphilis to decide whether and how to treat the neonate
