Syphilis and pregnancy. Treatment Guidelines

Abstract

Introduction: Syphilis is a disease that presents clinical manifestations that can affect any organ causing serious health outcomes. Syphilis infection is transmitted mainly through sexual contact and vertical transmission. The probability of fetal involvement occurs in women with active syphilis infection, with inadequate or untreated infection acquired in the five years prior to pregnancy. Regarding treatment, although the effectiveness of penicillin in the treatment of syphilis in pregnant women and the prevention of congenital syphilis was established shortly after the introduction of penicillin in the 1940s, there is uncertainty about the optimal treatment regimens. Objective: To know the complications and treatment guidelines for syphilis during pregnancy. Methodology: We have carried out a bibliographic search on the treatment for the management of syphilis in pregnancy, but focusing on the doses and administration guidelines. For this, the search has been carried out in different databases: Cuiden, Pubmed, Cochrane, Scielo and Cuiden whose access has been made through the College of Nursing of Malaga. Results: the treatment of choice is penicillin administered intramuscularly. In case of allergy, erythromycin is used. Fetal complications can range from premature delivery or neonatal death. Conclusion: In today's world, health professionals must continuously raise awareness about sexually transmitted diseases, since they constitute a public health problem. In the case of pregnant women, especially professionals who work in this field to raise awareness, identify and treat syphilis to guarantee the health of women and newborns.