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- Title
Challenges in the Contemporary Management of Syphilis among Pregnant Women in New Orleans, LA.
- Authors
Stafford, Irene A.; Berra, Alexandra; Minard, Charles G.; Fontenot, Virginia; Kopkin, Rachel H.; Rodrigue, Eliza; Roitsch, Charles M.; Rac, Martha W.; Hill, James B.
- Abstract
<bold>Objective: </bold>The aim of this retrospective review is to evaluate trends in the management of maternal and congenital syphilis (CS) in a tertiary care center in New Orleans, LA.<bold>Study Design: </bold>All cases of maternal and neonatal syphilis over a five year period at Touro Infirmary, New Orleans, LA, were identified using ICD-9/10 codes. Charts were reviewed for demographic and obstetrical variables, stage of syphilis at diagnosis, lab values, and treatment regimen. Newborn treatment and other outcomes were recorded.<bold>Results: </bold>During the study period 106 infected mother-baby pairs were identified. Of these, 73 charts are available for review. 41% (n = 30) of women received inadequate therapy according to their stage of disease. 9% of newborns (n = 6) were found to be symptomatic for CS; however, only 83.3% of these were admitted to the neonatal intensive care unit. Only 20% (n = 6) of infants were adequately treated with an extended penicillin regimen if the mother was not adequately treated. Furthermore, only 63.0% of newborns had a nontreponemal titer performed.<bold>Conclusion: </bold>With rising rates of CS, strict adherence to the 2015 CDC guidelines for treatment of syphilis must be maintained.
- Subjects
LOUISIANA; SYPHILIS; TITERS; NEONATAL intensive care; MOTHERS; PREGNANT women; NEWBORN infants; SYPHILIS treatment
- Publication
Infectious Diseases in Obstetrics & Gynecology, 2019, p1
- ISSN
1064-7449
- Publication type
journal article
- DOI
10.1155/2019/2613962