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. 2021 May 17;54(suppl 1):e2020597.
doi: 10.1590/0037-8682-597-2020. eCollection 2021.

Brazilian Protocol for Sexually Transmitted Infections, 2020: congenital syphilis and child exposed to syphilis

Carmen Silvia Bruniera Domingues  1 , Geraldo Duarte  2 , Mauro Romero Leal Passos  3 , Denise Cardoso das Neves Sztajnbok  4 , Maria Luiza Bezerra Menezes  5
Affiliations

Brazilian Protocol for Sexually Transmitted Infections, 2020: congenital syphilis and child exposed to syphilis

Carmen Silvia Bruniera Domingues et al. Rev Soc Bras Med Trop. .

Abstract

The topics of congenital syphilis and children exposed to syphilis compose the Clinical Protocol and Therapeutic Guidelines for Comprehensive Care for People with Sexually Transmitted Infections, published by the Brazilian Ministry of Health in 2020. Such document was elaborated based on scientific evidence and validated in discussions with specialists. This article provides guidelines for syphilis in pregnant women and congenital syphilis clinical management, emphasizing the vertical transmission of Treponema pallidum prevention. Epidemiological and clinical aspects of these infections are presented and recommendations for managers in the programmatic and operational management of syphilis. The article also includes guidelines for health professionals in screening, diagnosing, and treating people with sexually transmitted infections and their sex partners, in addition to strategies for surveillance actions, prevention, and control of the disease. Most congenital syphilis cases arise from test failures in prenatal care or inadequate or no treatment of maternal syphilis.

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Figures

FIGURE 1:
FIGURE 1:. Immunological test used for syphilis diagnosis.
FIGURE 2<i>:</i>
FIGURE 2:. Treatment and follow-up of syphilis in pregnant women.
FIGURE 3:
FIGURE 3:. Therapeutic scheme for congenital syphilis in the neonatal period, post-neonatal period, and for children with acquired syphilis.
FIGURE 4:
FIGURE 4:. Recommendations for assessment and management in maternity wards of children born from mothers with syphilis diagnosis in current pregnancy or at birth.
FIGURE 5:
FIGURE 5:. Clinical and laboratory follow-up of children exposed to syphilis and with congenital syphilis.
See this image and copyright information in PMC

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