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The Diagnosis, management and prevention of syphilis : an update and review
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March 2019
[PDF-2.19 MB]
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Description:Effective diagnosis, management, and prevention of syphilis requires a combination of clinical and public health activities. Prompt recognition of signs and symptoms of the disease, screening patients at risk to detect asymptomatic infection, accurate staging of infected patients, adequate treatment and follow-up, and fruitful risk-reduction counseling are all critical clinical components in the management of the individual patient. Public health considerations aimed at preventing ongoing transmission and controlling the burden of disease in the community include: identification of contacts of an infectious case so as to provide screening and post-exposure prophylaxis; optimization of existing disease surveillance systems (which rely, in part, on prompt reporting by healthcare providers of all newly-diagnosed infections) to track trends and distribution of disease; and the interview of persons diagnosed with infectious syphilis to identify emerging risk factors associated with syphilis acquisition in the community. These clinical and public health activities can be broken down into ten steps (See Figure 1). This monograph provides details about how to successfully perform each step of the process.
This publication was supported by the Grant/Cooperative Agreement Number, U62PS004576-02, funded by the Centers for Disease Control and Prevention. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of the Centers for Disease Control and Prevention or the Department of Health and Human Services.
Suggested citation: New York City Department of Health and Mental Hygiene, and the New York City STD Prevention Training Center. The Diagnosis and Management of Syphilis: An Update and Review. March 2019.
Syphilis_Monograph_2019_NYC_PTC_NYC_DOHMH.pdf
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