Syphilis management of sexual partners: Difference between revisions
Jump to navigation
Jump to search
Aysha Aslam (talk | contribs) No edit summary |
No edit summary |
||
| Line 3: | Line 3: | ||
{{Syphilis}} | {{Syphilis}} | ||
==Management of Sexual Partners== | ==Management of Sexual Partners== | ||
*Sexual transmission of | *Sexual transmission of ''Treponema pallidum'' is thought to occur only when mucocutaneous syphilitic lesions are present. | ||
*Although such manifestations are uncommon after the first year of infection, persons exposed sexually to a patient who has syphilis in any stage should be evaluated [[Syphilis physical examination|clinically]] and [[Syphilis laboratory findings#Serology|serologically]] and treated with a recommended regimen, according to the following recommendations:<ref name=CDCSSP>http://www.cdc.gov/std/tg2015/syphilis.htm#syph-man Accessed on September 27, 2016</ref> | *Although such manifestations are uncommon after the first year of infection, persons exposed sexually to a patient who has syphilis in any stage should be evaluated [[Syphilis physical examination|clinically]] and [[Syphilis laboratory findings#Serology|serologically]] and treated with a recommended regimen, according to the following recommendations:<ref name=CDCSSP>http://www.cdc.gov/std/tg2015/syphilis.htm#syph-man Accessed on September 27, 2016</ref> | ||
| Line 18: | Line 18: | ||
:*3 months plus the duration of [[Syphilis history and symptoms#Primary syphilis|symptoms]] for patients diagnosed with [[Syphilis pathophysiology#Primary syphilis|primary syphilis]], | :*3 months plus the duration of [[Syphilis history and symptoms#Primary syphilis|symptoms]] for patients diagnosed with [[Syphilis pathophysiology#Primary syphilis|primary syphilis]], | ||
:*6 months plus duration of [[Syphilis history and symptoms#Secondary syphilis|symptoms]] for those with [[Syphilis pathophysiology#Secondary syphilis|secondary syphilis]], and | :*6 months plus duration of [[Syphilis history and symptoms#Secondary syphilis|symptoms]] for those with [[Syphilis pathophysiology#Secondary syphilis|secondary syphilis]], and | ||
:*1 year for patients with [[Syphilis pathophysiology#Latent syphilis|early latent syphilis]]. <ref name="urlSexually Transmitted Diseases Treatment Guidelines, 2010">{{cite web|url=http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5912a1.htm |title=Sexually Transmitted Diseases Treatment Guidelines, 2010 |format= |work= |accessdate=2012-12-19}}</ref> | :*1 year for patients with [[Syphilis pathophysiology#Latent syphilis|early latent syphilis]].<ref name="urlSexually Transmitted Diseases Treatment Guidelines, 2010">{{cite web|url=http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5912a1.htm |title=Sexually Transmitted Diseases Treatment Guidelines, 2010 |format= |work= |accessdate=2012-12-19}}</ref> | ||
==References== | ==References== | ||
Revision as of 14:10, 9 March 2017
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Aysha Anwar, M.B.B.S[2]
|
Syphilis Microchapters | |
|
Diagnosis | |
|
Treatment | |
|
Case Studies | |
|
Syphilis management of sexual partners On the Web | |
|
American Roentgen Ray Society Images of Syphilis management of sexual partners | |
|
Risk calculators and risk factors for Syphilis management of sexual partners | |
Management of Sexual Partners
- Sexual transmission of Treponema pallidum is thought to occur only when mucocutaneous syphilitic lesions are present.
- Although such manifestations are uncommon after the first year of infection, persons exposed sexually to a patient who has syphilis in any stage should be evaluated clinically and serologically and treated with a recommended regimen, according to the following recommendations:[1]
- Persons who were exposed within the 90 days preceding the diagnosis of primary, secondary, or early latent syphilis in a sex partner might be infected even if seronegative; therefore, such persons should be treated presumptively.
- Persons who were exposed more than 90 days before the diagnosis of primary, secondary, or early latent syphilis in a sex partner should be treated presumptively if serologic test results are not available immediately and the opportunity for follow-up is uncertain.
- For purposes of partner notification and presumptive treatment of exposed sex partners, patients with syphilis of unknown duration who have high nontreponemal serologic test titers (i.e., greater than 1:32) can be assumed to have early syphilis. For the purpose of determining a treatment regimen, however, serologic titers should not be used to differentiate early from late latent syphilis.
- Long-term sex partners of patients who have latent syphilis should be evaluated clinically and serologically for syphilis and treated on the basis of the evaluation findings.
- Sexual partners of infected patients should be considered at risk and provided treatment if they have had sexual contact with the patient within:
- 3 months plus the duration of symptoms for patients diagnosed with primary syphilis,
- 6 months plus duration of symptoms for those with secondary syphilis, and
- 1 year for patients with early latent syphilis.[2]
References
- ↑ http://www.cdc.gov/std/tg2015/syphilis.htm#syph-man Accessed on September 27, 2016
- ↑ "Sexually Transmitted Diseases Treatment Guidelines, 2010". Retrieved 2012-12-19.