Ebook the Diagnosis and Management of Syphilis
The control and prevention of syphilis requires both clinical and public health preventive considerations. The prompt recognition of signs and symptoms of primary, secondary, and tertiary syphilis, effective screening strategies to detect asymptomatic cases, accurate staging, adequate treatment and follow-up, and risk reduction counseling all represent critical clinical activities in the ,a href="http://www.acrobatplanet.com/non-fictions-ebook/ebook-diagnosis-and-management-syphilis.html">management and prevention of syphilis.
In addition to these, public health activities play an equally important role when faced with a communicable disease such as syphilis; such activities include the identification and empiric treatment of sexual partners of an infectious case; population-based screening efforts; maximization of the effectiveness of existing surveillance systems (including prompt reporting of all newly diagnosed infections) to track trends and distribution of disease; and the interview of every person diagnosed with early syphilis, in order to identify emerging risk factors associated with ongoing syphilis transmission.
CONTENTS
I. Introduction
II. Natural History of Syphilis
III. Key Steps in the Diagnosis and Management of Syphilis
- 1. Maximize Case Detection by Screening for Syphilis when Indicated
2. Maintain a High Index of Suspicion for Syphilis when Evaluating Any Anogenital Lesions or Unexplained, Generalized Skin Eruption
3. Carefully Interpret Available Serologic Results
4. Accurately Stage the Disease in Patients with a Confirmed Reactive Serology
5. Provide the Appropriate Pharmacotherapy
6. Rule Out Any Other Co-Existing Sexual Infections
7. Ensure Partner Referral and Treatment of Any Contacts to Infectious Syphilis
8. Promptly Notify State or Local Health Department of Any Newly Diagnosed Cases of Syphilis
9. Monitor Treated Patients Serologically to Ensure Adequate Response to Therapy
10. Encourage Behaviors which Prevent Re-infection
IV. Appendices
APPENDIX A A Comparison of Screening and Diagnostic Tests for Syphilis
APPENDIX B Interpretation and Management of Treponema pallidum IgG Results
APPENDIX C Syphilis in HIV-Infected Persons
APPENDIX D Diagnosis and Management of Neurosyphilis
APPENDIX E Syphilis in Pregnancy
APPENDIX F Prevention, Diagnosis and Management of Congenital Syphilis
APPENDIX G Evaluation and Management of Syphilis in Children
APPENDIX H Contact Information and Additional Resources
APPENDIX I Sample Patient Education Handout
V. References
VI. CME Registration and Quiz
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