Syphilis prevention measures. Types and methods of prevention of syphilis in different categories of patients. Specific prophylaxis of syphilis

Prevention of syphilis is a set of fairly simple measures, the observance of which will help protect against a life-threatening disease. It is not surprising that the disease is classified as a group of socially significant problems: it is easily transmitted, but it is very difficult to get rid of the disease even today. That is why the issues of general and individual prevention of syphilis must be approached with all seriousness.

Features of the disease

Almost every one of us is at risk of this disease. But in order to prevent infection and avoid a lot of trouble, you need to be as knowledgeable as possible in the following issues related to syphilis:

  • etiology;
  • epidemiology;
  • clinic;
  • prevention.

Etiology

Let's start in order. The cause of syphilis, like any other infectious disease, is infection with pathogenic microorganisms. In this case, the causative agent of infection is pale treponema. These microbes multiply by transverse division in a 30-hour cycle. In blood or serum at a temperature of +4 °C, the infection is viable throughout the day. This feature is important to consider during direct blood transfusion. Pale treponema instantly dies in a dry environment under the influence of ultraviolet rays and high temperatures (above +42 ° C). Microbes die in contact with preparations of arsenic, mercury and bismuth. In frozen tissues, treponema live for several weeks, and in a humid environment - no more than 15 hours. The infection enters the human body through the damaged epidermis or mucous membranes.

Epidemiology

Only a person can get sick with syphilis, and therefore an infected patient is a source of infection transmission. The disease can be acquired or congenital. Elementary reminders of syphilis prevention are present in medical institutions in almost all countries of the world, but, unfortunately, the disease continues to be diagnosed everywhere. In some states or their individual regions, the incidence can reach almost epidemic proportions.

Clinic (symptoms)

Not only healthy people need to know about the prevention of syphilis, but also those who have already contracted the infection. As you know, this disease occurs in several stages, at each of which the probability of transmission of the pathogen and the route of infection change. The main symptom of syphilis is the appearance of hard ulcers (chancre). Foci of erosion are painless, especially in the initial stages, have a bright color and clear oval borders. In addition, the disease may be accompanied by:

  • persistent subfebrile condition;
  • insomnia;
  • headaches;
  • aches in the body, joints, bones;
  • malaise;
  • swelling of the genitals.

Transmission of infection through sexual contact

Most often, syphilis is contracted during vaginal, anal and oral sex. With unprotected intercourse with a carrier of pale treponema, the probability of “picking up” the disease reaches 80%. Women are especially susceptible to infection. In this case, the main measure for the prevention of syphilis will be the use of a condom or a latex napkin.

Disease prevention

  • Those who are sexually active should be tested at least once a year for sexually transmitted infections, including syphilis.
  • Both men and women need to avoid sexual intercourse with casual and little-known partners.
  • It is important to use barrier methods of contraception. Taking hormonal drugs and installing an intrauterine device prevents the onset of an unwanted pregnancy, but does not protect against pale treponema.

In addition, it should be remembered that a condom does reduce the chances of infection, but does not completely eliminate them. The likelihood of infection increases if you have sex with a partner whose body is strewn with chancre. Do not neglect the condom and oral caresses - it is the refusal to use latex products that leads to the appearance of bright red erosive ulcers in the mouth.

On the Web, you can find other recommendations for the prevention of syphilis. Women after unsafe sex are advised to immediately urinate, wash their genitals with soap and douche with a bactericidal composition. However, the effectiveness of such measures to prevent syphilis is extremely negligible. In addition, frequent vaginal douching causes disturbances in the composition of the microflora, which often become the causes of a number of gynecological problems.

Household syphilis

Infectious are syphilitic eruptions with an erosive or ulcerative surface, saliva, semen, breast milk, blood and lymphatic fluid. The household route of infection transmission is relevant in direct contact with ulcerative foci. A serous fluid is released from the syphilitic chancre, teeming with representatives of pale treponema. With close household contact with the patient and the presence of damage to the skin, the chances of infection increase.

How not to get infected from a patient with syphilis, living with him in the same house

You can protect yourself from infection, but it is important to follow a number of rules regarding personal hygiene, the use of certain items, etc. Living in the same room with an infected person poses a real threat to all household members. First of all, you need:

  • Exclude any touching and bodily contact, including hugs, handshakes and kisses.
  • A person with syphilis should have individual dishes and cutlery. It must be washed separately from the rest, after which it must be treated with disinfectant solutions.
  • In no case should you share personal hygiene items (toothbrush, washcloth, razors) and everyday items (towels, bed linen, clothes, etc.).
  • It is important to regularly disinfect the bathtub, sink, toilet bowl.

Hematological mode of infection

Syphilis is also transmitted through the blood. Treponema pallidum can be contracted by direct blood transfusion. However, this type of infection is common among single-syringe drug addicts. For people leading a normal life, the chances of infection are minimal because:

  • if transfusion is necessary, donor blood is examined in a timely manner for the detection of pale treponema;
  • the causative agent of syphilis dies during storage of blood or its conservation after 4-5 days.

intrauterine infection

As such, the prevention of congenital syphilis does not exist. If the expectant mother is infected, with a probability of up to 90%, we can talk about infection of the fetus. It most often occurs in the last trimester of pregnancy. Pale treponema first affects the placenta, and through it - the child. When infected with syphilis during the period of gestation, it is impossible to bring the pregnancy to the due date. But even if the fetus survives in the mother's womb, then such a child is born with congenital syphilis and, as a result, severe lesions of the internal organs.

Prevention during pregnancy

  • It is necessary to undergo laboratory tests for syphilis at the stage of motherhood planning.
  • All women during pregnancy should take a blood test for RV (Wasserman reaction, RW) several times.
  • If at least one of the results turned out to be positive, additional studies are assigned. When the diagnosis is confirmed, a pregnant woman will have to undergo antibiotic treatment.
  • After treatment and prevention of syphilis, women should be registered and observed by a doctor for about a year.

If preventive therapy is ineffective, the pregnant woman is offered to terminate the pregnancy for medical reasons. To avoid having to make this difficult choice, all girls planning a pregnancy should be screened for STDs beforehand. For the purpose of prevention after syphilis, you do not need to immediately abandon contraceptives. They should be used until a complete cure for the infection has been confirmed by several test results.

Urgent preventive measures

After unprotected sex with a potential carrier of pale treponema, there is still a chance to prevent infection and the development of the disease. This can be done within the first two days after intercourse.

Emergency prophylaxis consists in consultation and urgent examination by a venereologist. Since such a disease in the initial stages is characterized by a latent course, the doctor will prescribe treatment in addition to the prevention of syphilis. In clinics, venereologists prescribe strong antibiotics that help in the shortest possible time to kill an infection that has not yet spread.

But remember that you can not take such drugs on your own. An incorrectly selected dosage, regimen, or inappropriate active substance can have the opposite effect, prolonging the incubation period, and provoke a false negative result of a blood test for RV.

After some time, you should re-donate blood for syphilis to make sure there is no infection. For greater certainty, the specialist will advise you to undergo a second study in a couple of months. If during this period no symptoms appear, there is no doubt about the effectiveness of the prophylaxis.

Medical ways to prevent syphilis

By the way, today there is no optimal vaccination against this disease, so the use of drugs and emergency prevention are the only effective methods of protection.

Speaking about the specific prevention of syphilis, it is worth noting that it is carried out independently by a person who has been exposed to the risk of infection as a result of communication with an unreliable sexual partner. Such prevention is carried out with the help of pocket funds. Before using drugs, be sure to read the instructions. To prevent syphilis without prior approval from your doctor, you can use:

  • "Chlorhexidine".
  • Miramistin.
  • "Cidipol".
  • "Gibitan".

Specific prophylaxis of syphilis is carried out by both sexes. For men, they take a 2-3% aqueous solution of Protargol, Gibitan, Cidipol. Women should use a more gentle concentration (1-2%) solution of silver nitrate and other antimicrobial agents.

How to stop the spread of infection

Despite numerous measures to prevent syphilis, a lot depends on the behavior of infected people. In order to prevent further transmission of infection, infected individuals should observe a number of restrictions:

  • Upon receipt of a positive test result, treatment should begin immediately. There should be no delays or interruptions in therapy, as this is dangerous not only for the patient himself, but also for his loved ones.
  • Be sure to report the diagnosis to all sexual partners, especially those with whom there was sexual contact during the incubation period.
  • Despite the fact that the patient's condition allows for treatment at home, hospitalization in a dermatological dispensary will be of primary importance. Within the walls of a medical institution, under the supervision of specialists, the patient must take medication every 3 hours for 2-3 weeks. There are other regimens in which the patient is given a once-weekly injection of a long-acting antibacterial drug, but such therapy needs to be more closely monitored.
  • After completing the course of treatment, it is important to continue visiting the venereologist and periodically take tests.

Syphilis can recur for a long time, alternating with periods of remission. The duration of treatment of the disease is determined on an individual basis. It can last from several weeks to several years.

Prevention of the disease is largely ensured by the use of condoms - the simplest means of barrier contraception. If the infection is detected at an early stage and adequately treated, the prognosis for the patient is favorable. Meanwhile, cases of death, provoked by serious complications due to syphilis, are not uncommon today. This circumstance is associated not only with the individual capabilities of the weakened immune system of the body, but also with the neglect of medical prescriptions, unwillingness to change lifestyle.

The treatment and prevention of syphilis are absolutely necessary measures not only to restore and strengthen one's own health, but also to prevent possible serious consequences after unprotected sexual contacts. The difference between the one and the other direction is only in the methods of combating the disease.

Syphilis is one of the most dangerous sexually transmitted infections. The causative agent is Treponema pallidum, belonging to the family of pale spirochetes. Treponema is transmitted mainly through sexual contact with a carrier of the disease. The incubation period can last from two weeks to several months.

The first symptoms are superficial, reflecting the place of direct penetration of the spirochete into the epithelium. In the future, the clinical picture changes according to the stages that the disease goes through in the absence of therapy.

Treatment involves a harsh pharmacological effect on its pathogen.

Prevention of this disease emphasizes preventive, non-drug practices. In a narrow sense, it concerns individual mechanical protection from infection during sexual intercourse, avoidance of dubious sexual relationships and personal hygiene.

In a broader aspect, syphilis prevention measures extend to the social sphere, which includes regular professional and individual examinations. The latter are especially necessary for women in order to prevent syphilis during pregnancy, which threatens the developing fetus with organic complications.

For the preventive treatment of the consequences of infection in the body of treponema, an integrated approach is used. It is formed by SanPiN - sanitary rules and norms of the Ministry of Health of the Russian Federation. The generally accepted prevention against syphilis in the country is divided into complementary paired correlates. These include the following types of preventive approaches:

  • Social - individual;
  • Nonspecific - specific;
  • Primary - secondary.

The social approach enshrined in sanpin is the professional responsibility of employees of general medical institutions for the implementation of the following preventive measures:

  • Health education lectures for patients at risk, especially adolescents;
  • Annual examinations of all citizens assigned to this institution to identify any pathology;
  • Gynecological registration of pregnant women and their regular examination;
  • Identification of allergic contraindications in a patient in order to avoid hemotransfusion shock with the introduction of certain drugs;
  • Immediate isolation in the hospital of patients with an established diagnosis of acquired syphilis;
  • A complete therapy that guarantees the full restoration of the health of the victim.

An individual approach to prevention is, in fact, a personal matter for everyone. After all, each person must, first of all, be responsible for his own actions. The behavior that insures a person from infection during sexual intercourse is regulated here in great detail. The key points of the regulation are:

  • Making sex as safe as possible. The likelihood of infection is reduced by contact with only one known healthy partner, so it is preferable to avoid casual relationships. Special means give even more confidence: for men - condoms, for women - antibacterial pastes and candles;
  • If sex was not protected by a condom, you should resort to emergency prophylaxis against an infection that could be sexually transmitted. Among the most effective antiseptics for washing the genitals after sex, betadine, chlorhexidine, miramistin, gibitan can be distinguished;
  • Sexual life with a new partner should begin with a mutual medical examination. In case of any doubt, agree on measures to protect against possible infection;
  • Use for personal hygiene only of their own accessories: razors, washcloths, towels.
  • At the slightest suspicion of a sexually transmitted disease, consult a doctor and undergo a medical examination.

A non-specific approach considers disease prevention regardless of the gender and age of the patient. It is based on SanPiN, which normalizes the quality and quantity of medical services for a certain unit of time, based on the average person. Statistical data affect only the amount of funding for a particular item, including venereal diseases.

A specific approach differentiates the distribution of finances, and with them medical emphasis on specific gender and age groups of patients: adolescents of both sexes, adult men, women, pregnant women, children. For each of these groups, physiologically and psychologically different, their own methods of diagnosis, treatment and prevention of the disease are assigned.

The primary approach applies to persons at risk. They mainly include teenagers. They often change their sexual partners, neglect the rules of safe sex and thereby risk becoming infected with bacilli, trichomoniasis, and also get acquired syphilis. The focus of this type of prevention is the safety and selectivity of sexual intercourse.

The secondary approach to prevention affects the contingent that has already recovered from primary syphilis. The main efforts of doctors here are to prevent secondary infection with treponema, which is not completely destroyed during treatment, and to prevent the generalization of infection throughout the body with damage to the most important systems, including the brain.

Each of the approaches outlined above is based largely on the psychological impact and voluntary compliance by patients with a number of necessary rules that insure against primary or re-infection with syphilis. At the same time, all persons who even had household contact with the patient, especially members of his family, are shown preventive measures of a medical nature.

Preventive therapy

The main active pharmacological agents for trichomoniasis, which often accompanies it, are antibiotics from the penicillin family. They purposefully act on the causative agent of the disease - treponema - and completely remove it from the body. This has been repeatedly tested in practice. The only contraindication to the use of these drugs in preventive treatment may be an allergy to them.

There are many therapeutic regimens for the preventive treatment of syphilis. All of them are somehow oriented towards one of the groups, which has its own physiological specifics. These include:

  • adults,
  • Children,
  • Pregnant women,
  • Persons suffering from congenital syphilis.

Prophylactic treatment for adult men and women

The use of penicillin as a prophylactic is regulated by Sanpin. In the clinic, this antibiotic, depending on the susceptibility of its organism, is prescribed intramuscularly in the form of:

  • Water soluble agent;
  • sodium salt;
  • Durant form.

The average duration of a course of treatment for syphilis with any form of penicillin, as a rule, does not exceed 14 days. The difference is only in the frequency of injections.

For water-soluble penicillin, it is equal to 8 injections - one every 3 hours. The sodium salt of the antibiotic is administered 2 times a day. Penicillin in the durant form of Bicillins 1 and 3 is administered twice a week, that is, only 4 times per course.

With idiosyncrasy to penicillin, it is compensated by drugs from the tetracycline line. The most effective of them is Doxilin in tablets. Azithromycin and Erythromycin, as substances that do not have a sufficient effect on treponema, are rarely prescribed. More often they are used to treat trichomoniasis.

Prevention of syphilis with medication is carried out only if up to three months have passed since the moment of suspicious contact. With a period of up to six months or more, before each new treatment course, the patient should undergo a complete examination for the presence of a pathogen in the body or the consequences of its activities. If the tests are negative, antibiotics are not needed.

A similar practice applies to people who have received blood transfusions from people infected with syphilis.

Preventive therapy for children

The decisive criterion for the appointment of preventive treatment of a child from syphilis and trichomoniasis, according to the Sanpin method, is his constant contact with the patient. Most often, in children whose age does not exceed three years, domestic contact is meant. In this case, the use of an antibiotic is mandatory. Preventive therapy for older children is prescribed taking into account possible sexual contact with an infected partner, as well as the form and severity of the disease of the latter.

What will be the course of treatment will be determined by the specialist based on the results of the examination. Sometimes the case is limited to non-drug measures.

In the list of drugs intended for preventive treatment of children, among antibiotics, as in adults, penicillin is in the lead. If the child's age does not exceed two years, only the sodium salt of the antibiotic or its novocaine solution is used. At an older age, injections of bicillin or ampicillin with oxacillin in tablets are acceptable. The pharmacological characteristics of all these drugs are approximately the same.

The fight against uterine infection

Prevention of congenital syphilis is carried out in the postpartum period in order to find out the degree of infection of the child from the mother who had syphilis during pregnancy or was in contact with the patient.

The examination is carried out by a pediatrician, venereologist, oculist, specialists in ENT, neurological and other diseases characteristic of secondary syphilis. In addition, the blood and the condition of the musculoskeletal system are examined, which is determined using x-rays. In doubtful cases, a spinal cord puncture is allowed to analyze the lumbar fluid.

To treat the consequences of intrauterine infection, antibiotics from a number of penicillins or cephalosporins are prescribed. The dose and duration of the therapeutic course are calculated based on the weight of the baby and his well-being.

Features of prevention for pregnant women

Preventive measures against syphilis in pregnant women are determined using the history of patients. The presence in the past of even completely cured syphilis or trichomoniasis is an indication for preventive penicillin therapy. It must accompany every pregnancy without fail.

Conclusion

Syphilis is one of those complex and dangerous infections that should be avoided at any age. Local tissue damage eventually spreads to the entire body, destroys it and leads to death.

Syphilis is one of those diseases, the risk of contracting which through sexual contact is extremely high. Especially dangerous is close contact with a person with syphilis who has skin rashes, which themselves are very contagious.

If there is a person in the family with syphilis, then it is necessary to take preventive measures so that the rest of the family does not become infected.

Most often, these preventive measures are not complicated: they simply coincide with common hygiene rules:

  • use separate dishes (wash thoroughly with soap after use)
  • use personal hygiene products
  • avoid sexual intercourse, kissing with a patient with syphilis at an infectious stage.

Subject to these elementary rules, the risk of contracting syphilis during everyday communication is minimal.

A high degree of risk appears with casual relationships with unfamiliar or unfamiliar people, despite the fact that sexual contact takes place without a condom. Prevention of syphilis after such accidental contact is necessary:

  • immediately after sexual contact (within 2 hours) to carry out preventive treatment.
  • it is possible, after waiting a few weeks, to be examined by a venereologist for syphilis and other sexually transmitted diseases (it makes no sense to be examined earlier, because during the incubation period of syphilis, not only there are no symptoms of the disease, but also tests for serological reactions give a negative result)
  • do not self-medicate (this can lead to a delay in the incubation period of syphilis, and, as a result, to false test results)
  • convince your partner to get tested for sexually transmitted infections

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Public prevention of syphilis is carried out according to the general rules for the fight against sexually transmitted diseases. Important components of this prevention are: mandatory registration of all patients with syphilis by name, examination of family members and persons who were in close contact with the patient, hospitalization of patients and subsequent monitoring of them for several months, constant control dispensary monitoring of the treatment of patients with syphilis.

Community preventive measures include:

  • regular examination for sexual infections of persons at risk (prostitutes, drug addicts, etc.)
  • double or triple serological examination of pregnant women in order to prevent congenital syphilis in a child
  • additional prophylactic treatment for pregnant women who had syphilis before pregnancy and were deregistered

In addition to public prevention of syphilis, there is also personal prevention, which includes quite understandable points: refraining from casual sex and using condoms. More competent and reliable protection against syphilis has not yet been invented.

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However, there are several "folk" methods for the prevention of sexually transmitted diseases, including syphilis, in contact with a casual partner:

  • washing immediately after contact with the external genitalia with water or soap and water
  • flushing the vagina or rectum with a douche, enema, or douche
  • washing the vagina or rectum with chlorine-containing antiseptics, and some others

Unfortunately, it is officially recognized by medicine that none of these methods gives any guarantees, and some of them (for example, vaginal douching) can even harm the person using them.

Therefore, the best prevention of syphilis can be called a close relationship with a permanent healthy partner, and if an accidental relationship did take place, the earliest possible examination by a venereologist.

To get advice from a venereologist on measures to prevent syphilis, to be tested for syphilis and other sexually transmitted infections, or to undergo drug prophylaxis for syphilis, please contact our Euromedprestige medical center.

Syphilis is a socially significant disease. Treponema Pallidum (the causative agent of pathology) is under state control and special attention is given to each detected case. To avoid infection and prevent the development of syphilis, public and individual preventive measures have been developed, which we will discuss in the article.

Syphilis is a dangerous disease that is easier to prevent than to treat. Compliance with public and individual preventive measures will avoid infection and the development of syphilis.

Public prevention of syphilis

Public preventive measures include a set of procedures and examinations that are carried out by health workers:

  • Regular examinations of the population for the purpose of early diagnosis of the disease;
  • Registration and regular examination of pregnant women (at least 3 times during the gestation period);
  • Sanitary and educational activities among adolescents;
  • Treatment, clinical examination of infected patients, explanatory work.

As part of public prophylaxis, all patients, without exception, are checked for treponema before any medical manipulations. Periodic examination for infection are people of social professions (teachers, cooks, doctors) and patients with an increased likelihood of contracting treponema.

The risk group includes people who lead a promiscuous sex life, do not observe personal and intimate hygiene, as well as workers who are prone to occupational infection: medical staff (surgeons, obstetrician-gynecologists, pathologists, laboratory assistants, dentists), employees of beauty salons and hairdressers.

Individual prevention of syphilis

Compliance with public preventive measures cannot provide absolute protection against infection with pale treponema. Following individual preventive measures will also help to avoid infection and the development of the disease.

Protective prophylaxis

As part of preventive measures, men and women should avoid casual intimate relationships. It is important to use barrier contraceptives (condoms) every time you have sex. In this case, the condom should be used not only for vaginal, but also for anal intimate relationships.

There are also other additional methods of protection: vaginal tablets and capsules, gels, creams that have an antimicrobial and contraceptive effect. They reduce the risk of infection, but do not guarantee one hundred percent results.

Emergency prevention of syphilis

Emergency prophylaxis consists in douching the vagina with the help of special solutions. It is important to douche no later than two hours after unprotected intimacy. It can be carried out at home or in preventive round-the-clock centers. Emergency prophylaxis is performed in extreme cases, only with accidental unprotected sexual contact. It does not replace the condom, because it does not completely protect against infection, but only reduces its risk. Moreover, frequent douching can disturb the vaginal microflora, provoking the development of bacterial vaginosis or thrush.

Medical prevention of syphilis

If a person has been in contact with a patient with primary or secondary syphilis, had unprotected sexual intercourse, preventive (prophylactic) therapy for syphilis is carried out for 2 months or until the first manifestations of the disease appear. At the same time, the use of antibacterial drugs of the penicillin group is indicated (if they are intolerant or ineffective, other drugs are prescribed). Antibiotics for the prevention of syphilis are used in a short course in the form of intramuscular injections.

Preventive treatment is prescribed only during the incubation period. Carrying out preventive therapy after the manifestation of the disease can lead to an incomplete cure of the pathology, as well as the formation of a severely treatable and long-term form of the disease.

Tablets and other drugs for the prevention of syphilis are selected and prescribed only by a doctor after a preliminary consultation and examination. Attempts to self-treat can provoke the development of serious consequences.

Syphilis: preventive measures in the family

Special attention should be paid to the prevention of syphilis in the family. When one of the family members (wife, husband) is sick with syphilis, it is necessary to protect children and other family members from this disease. For the period of treatment, the sick person needs to allocate separate dishes, personal hygiene products, and a towel. Children are not recommended to sleep and play in the bed of their parents, use other people's washcloths, brushes, cups and other household items. Since spirochete pallidum can be transmitted through saliva, it is important to exclude kissing and any contact of the mucous membrane with things (toys, spoons, pacifiers) and the child's body. Spouses at the time of treatment should refrain from sexual intercourse and kissing.

As a rule, in each case of detection of syphilis, the infected patient is isolated, and a comprehensive examination is prescribed for family members. In the absence of signs of pathology, preventive treatment is carried out.

Prevention of congenital syphilis

In a child, congenital syphilis develops if the mother becomes pregnant against the background of the disease or becomes infected with the infection during gestation. Infection of the fetus occurs through the placenta at 4-5 months of gestation. Before the deadline, the baby does not show signs of syphilis.

During pregnancy, each woman undergoes a serological examination for the presence of treponema three times: at the first visit to the doctor, at registration and at 24-30 weeks of gestation. If an infection is detected, appropriate treatment is prescribed to help prevent infection of the fetus. For pregnant women, special treatment regimens have been developed. The choice of the most optimal tactics of therapeutic action is carried out by the attending physician, taking into account the form and stage of the disease, the duration of pregnancy and the patient's condition.

Preventive treatment of syphilis is prescribed to every pregnant woman who, before the moment of conception, suffered the disease and is not deregistered. If the main therapy was carried out in the early stages of gestation, then preventive treatment is prescribed at 6-7 months. If the main course was carried out at a later date, preventive therapy is prescribed after 2 weeks.

It also screens, treats and prevents syphilis in newborns whose mothers were undertreated during pregnancy or before conception. Children are prescribed penicillin antibiotics. The dose of the drug is selected taking into account the age and weight of the child.

Treponema pallidum infection can lead to damage to the cardiovascular, central nervous, digestive, respiratory, musculoskeletal systems, organs of hearing, vision, and other disorders. Despite the effectiveness of the developed treatment regimens, the first signs of syphilis may go unnoticed and treatment will begin late. To prevent infection with the virus and avoid the development of serious complications will allow the observance of individual and public prevention measures.

Attention! This article is posted for informational purposes only and under no circumstances is scientific material or medical advice and can not serve as a substitute for in-person consultation with a professional doctor. For diagnosis, diagnosis and treatment, please contact qualified doctors!

Number of reads: 1267 Publication date: 21.09.2017