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The Resurgence of Syphilis

Rates are soaring—here’s what EMS providers need to know.

Objectives

  • Describe the pathophysiology, stages, and incidence of syphilis
  • Define treatment interventions applicable to EMS providers
  • Present a case for precautions and screening procedures for disease prevention

Resources

Avert. Syphilis Symptoms & Treatment, https://www.avert.org/sex-stis/sexually-transmitted-infections/syphilis. 

Bowen V, Su J, Torrone E, Kidd S, Weinstock H. Increase in Incidence of Congenital Syphilis—United States, 2012–2014. MMWR, 2015 Nov 13; 64(44): 1,241–5. 

Centers for Disease Control and Prevention. 2015 Sexually Transmitted Diseases Treatment Guidelines, https://www.cdc.gov/std/tg2015/default.htm. 

Centers for Disease Control and Prevention. 2015 Sexually Transmitted Diseases Treatment Guidelines: Congenital Syphilis, https://www.cdc.gov/std/tg2015/congenital.htm. 

Centers for Disease Control and Prevention. 2015 Sexually Transmitted Diseases Treatment Guidelines: Management of Persons Who Have a History of Penicillin Allergy, https://www.cdc.gov/std/tg2015/pen-allergy.htm. 

Centers for Disease Control and Prevention. 2016 Sexually Transmitted Diseases Surveillance, https://www.cdc.gov/std/stats16/default.htm. 

Centers for Disease Control and Prevention. CDC Call to Action: Let’s Work Together to Stem the Tide of Rising Syphilis in the United States, https://www.cdc.gov/std/syphilis/syphiliscalltoactionapril2017.pdf. 

Centers for Disease Control and Prevention. National Plan to Eliminate Syphilis From the United States, https://www.cdc.gov/stopsyphilis/plan.htm. 

Hess KL, Fisher DG, Reynolds GL. Sensitivity and specificity of point-of-care rapid combination syphilis-HIV-HCV tests. PLoS One, 2014 Nov 6; 9(11): e112190. 

Lab Tests Online/AACC. Rapid Screening Test for Syphilis Gets Waiver for Wider Use, https://labtestsonline.org/news/150130syphilis. 

MedlinePlus. Congenital syphilis, https://medlineplus.gov/ency/article/001344.htm. 

National Institute of Neurological Disorders and Stroke. Tabes Dorsalis Information Page, https://www.ninds.nih.gov/Disorders/All-Disorders/Tabes-Dorsalis-Information-Page. 

Peterman TA, Fakile YF. What is the use of rapid syphilis tests in the United States? Sex Transm Dis, 2016 Mar; 43(3): 201–3. 

Tinajeros F, Grossman D, Richmond K, et al. Diagnostic accuracy of a point-of-care syphilis test when used among pregnant women in Bolivia. Sex Transm Infect, 2006 Dec; 82 Suppl 5: v17–21. 

Zetola NM, Klausner JD. Syphilis and HIV infection: An update. Clin Infect Dis, 2007 May 1; 44(9): 1,222–8. 

  • Format
    Article
  • Duration
    1 hour
  • Credits
    1 CE
  • Cost
    $
    7.50