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  • Syphilis EMTCT

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    Dominic Soh
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    This document outlines guidelines for screening and treating syphilis during pregnancy and postpartum. It recommends screening high-risk mothers monthly and at delivery to prevent congenital syphilis. For mothers with positive syphilis, it advises monthly RPR testing until titers fall by 4-fold or become non-reactive, then every 2 months. It also provides guidance on treatment dosing and follow-up testing for mothers and babies exposed to syphilis.

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    This document outlines guidelines for screening and treating syphilis during pregnancy and postpartum. It recommends screening high-risk mothers monthly and at delivery to prevent congenital syphilis. For mothers with positive syphilis, it advises monthly RPR testing until titers fall by 4-fold or become non-reactive, then every 2 months. It also provides guidance on treatment dosing and follow-up testing for mothers and babies exposed to syphilis.

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    4 views4 pages

    Syphilis EMTCT

    Uploaded by

    Dominic Soh
    This document outlines guidelines for screening and treating syphilis during pregnancy and postpartum. It recommends screening high-risk mothers monthly and at delivery to prevent congenital syphilis. For mothers with positive syphilis, it advises monthly RPR testing until titers fall by 4-fold or become non-reactive, then every 2 months. It also provides guidance on treatment dosing and follow-up testing for mothers and babies exposed to syphilis.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    Syphilis EMTCT

    -antenatal: repeat vdrl/rpr monthly for positive mother


    -repeat at 1, 2, 3, 6, 12m post treatment, then 6 monthly until titer <1:8
    -if checklist fulfilled probable congenital syphilis refer
    -high risk mother with booking screening negative
    -rescreening at 28-32w, aim for treatment 1m before deliver
    -high risk mother with screening remain negative or unbooked unscreened mother
    -test during delivery
    -mother with positive syphilis
    -monthly RPR until 4-fold reduction or nonreactive then 2 monthly (consider monthly in
    high-risk mother)
    -test during delivery for comparison with baby titer

    -for such situation with rapid test +ve, give first dose on same day while waiting confirmation
    -2nd and 3rd dose if RPR +ve on late latent phase/ last treatment >2y/ no previous
    treatment/ no proper documentation of previous treatment
    -TPHA positive refer O+G/ dermatology/ ID (combined clinic)
    -baby with syphilis mother need to follow up for 2y under pediatric clinic

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