Syphilis in der Schwangerschaft

Autor: Enders M, Hagedorn Hj
Rok vydání: 2002
Předmět:
Zdroj: Zeitschrift für Geburtshilfe und Neonatologie. 206:131-137
ISSN: 1439-1651
0948-2393
Popis: Syphilis a sexually transmitted infection has a major impact on the disease burden worldwide. Globally an estimated 12 million new cases of sexually acquired syphilis occurred in 1997. Developing countries in Africa Southeast Asia and regions of the former Soviet Union are mainly affected. With rising numbers of human immunodeficiency virus-infected pregnant women and an increase in gonorrhea in some areas the incidence of syphilis is expected to increase again. As a consequence of migration from Eastern bloc countries to Europe after the breakdown of the former Soviet Union the resurgence of syphilis will also affect Germany. Therefore we present the clinical picture of syphilis as well as review the current recommendations of the German STD Society the Centers of Disease Control (CDC) USA and the clinical effectiveness Group (CEG) England for diagnosis and treatment of syphilis with special emphasis on pregnancy. Considering the current epidemiological situation physicians should include syphilis in their differential diagnosis. Although recommended therapy regimens differ penicillin is the treatment of choice. Pregnant patients who are allergic to penicillin should be desensitized and treated with penicillin. Early recognition and timely treatment of syphilis are essential to prevent or treat potentially fatal fetal infection. (authors)
Databáze: OpenAIRE