Post Date November, 16 2024
Recently, many patients have asked about syphilis during pregnancy. During the consultation, we also found that many pregnant women from basic level hospitals had undergone rpr positive tests, five or more times of intramuscular injection of benzathine penicillin sodium, which mainly brought huge Psychological stress to the patients. There may be false positives. Correct diagnosis is needed to avoid unnecessary treatment.
Real photos of women with syphilis, showing symptoms of syphilis
After 2 to 3 weeks of sexual intercourse with syphilis patients, individual or several hard bright red small lumps may appear in the sexual organs or other parts of the human body, without pain or itching. The surface layer is often ulcerated, and is referred to as hard chancre in medicine.
How to accurately diagnose syphilis?
According to the latest guidelines for the diagnosis and treatment of sexually transmitted diseases and recommended treatment plans issued by the Ministry of Health in 2000. Specific clinical work should pay attention to the following issues:
Firstly, all normal pregnant women undergo syphilis serological screening at the first prenatal examination, 28-32 weeks of pregnancy, and before delivery.
If positive for rpr is detected, it is best to have a follow-up examination. Diagnostic experiments (including titer tests) can be conducted, a detailed medical history can be inquired about, and the husband can undergo relevant tests to clarify the diagnosis.
If a pregnant woman has a positive serum test for syphilis, syphilis cannot be ruled out. Even if anti syphilis treatment has been performed in the past, anti syphilis treatment should be performed to protect the fetus. If pregnant women with syphilis receive formal treatment and follow-up during pregnancy, there is no need for further treatment.
If there are doubts about the previous treatment and follow-up, or if there are signs of syphilis activity found in this examination, another course of treatment should be accepted.
Specific treatment plan for syphilis:
1. Early syphilis (primary syphilis, secondary syphilis, and early latent syphilis) and late syphilis (except cardiovascular syphilis and neurosyphilis) 2.4 million phenylmethylphenylmethylstyrene penicillin u, Intramuscular injection, once a week, a total of 4 times. For those who are allergic to penicillin, choose Erythromycin treatment (penicillin supplements are used for baby birth). Increase the course of treatment if necessary. Prohibit the use of streptomycin or tetracycline.
2. A course of treatment is required for the first three months of pregnancy and the third month after pregnancy. Pregnant women with syphilis need to be checked once a month until delivery.
Conduct a quantitative test of spirochete serum once to observe changes in the condition in a timely manner.
3. Patients should be informed that pregnant women may experience Jihai reaction during treatment, which can lead to intrauterine distress, premature birth, etc. Treatment should not be stopped due to Jihai reaction.
