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Morbidity and Mortality Weekly Report: Supplement, January 15, 1988 / Vol. 37 / No. S-1

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File Language:
English


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Details

  • Alternative Title:
    Guidelines for the Prevention and Control of Congenital Syphilis
  • Journal Article:
    Morbidity and Mortality Weekly Report (MMWR): Supplement
  • Corporate Authors:
  • Description:
    Congenital syphilis causes fetal or perinatal death in 40% of the infants affected. The condition was well described in the 15th century and has long been recognized as a distinct syndrome in which the sources an infected adult. Several theories have been advanced to explain how the infection is transmitted, including transmission from a father infected with syphilis and transmission from an infant's nursing an infected wet nurse. Transplacental transmission from an asymptomatic infected mother was first described in 1906.

    The availability of penicillin treatment for syphilis in pregnancy has not eradicated congenital syphilis. Since 1970, the incidence of congenital syphilis has closely reflected the incidence of primary and secondary syphilis in women. In 1986, more cases of congenital syphilis (365) were reported to the Division of Sexually Transmitted Diseases, Center for Prevention Services, CDC, than for any of the previous 15 years. That year almost one of every 10,000 live-born infants in the United States had congenital syphilis. The proportion of stillbirths caused by syphilis is unknown.

    In July 1987, CDC invited 10 consultants to discuss the problem of congenital syphilis and to determine possible ways to solve the problem. This supplement to the Morbidity and Mortality Weekly Report (MMWR) presents guidelines that were developed from discussions with these consultants. Efforts were made to balance the ideal with the feasible, promoting a focused and coordinated source of guidance for health care providers. Although some aspects of the guidelines are based on limited data, the information provided here represents the best judgment of experts.

  • Subjects:
  • Source:
    Morbidity and Mortality Weekly Report (MMWR): Supplement, 1988; v.37, no. 1
  • Series:
  • ISSN:
    2380-8950 (print)
  • Pubmed ID:
    3123914
  • Document Type:
  • Place as Subject:
  • Pages in Document:
    16 pdf pages
  • Volume:
    37
  • Issue:
    1
  • Collection(s):
  • Main Document Checksum:
    urn:sha-512:e06dbebf00a58fc2087df293c37f51b371ae62cde9ac2af29c0aa1be3d2ab67d54154854e31e5a5c879afa23f8d762922d595bc0009aee471c45826b4b21554f
  • Download URL:
  • File Type:
    Filetype[PDF - 11.76 MB ]
File Language:
English
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