Syphilis management of sexual partners: Difference between revisions

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==Management of Sexual Partners==
*Sexual transmission of ''Treponema pallidum'' is thought to occur only when mucocutaneous syphilitic lesions are present.


==Overview==
*Although such manifestations are uncommon after the first year of infection, persons exposed sexually to a patient who has syphilis in any stage should be evaluated [[Syphilis physical examination|clinically]] and [[Syphilis laboratory findings#Serology|serologically]] and treated with a recommended regimen, according to the following recommendations:<ref name=CDCSSP>http://www.cdc.gov/std/tg2015/syphilis.htm#syph-man Accessed on September 27, 2016</ref>
*Sexual transmission of trponema pallidum is thought to occur only when mucocutaneous syphilitic lesions are present.  


*Although such manifestations are uncommon after the first year of infection, persons exposed sexually to a patient who has syphilis in any stage should be evaluated [[Syphilis physical examination|clinically]] and [[Syphilis laboratory tests#Serology|serologically]] and treated with a recommended regimen, according to the following recommendations:
:*Persons who were exposed within the 90 days preceding the diagnosis of [[Syphilis pathophysiology#Primary syphilis|primary]], [[Syphilis pathophysiology#Secondary syphilis|secondary]], or [[Syphilis pathophysiology#Latent syphilis|early latent syphilis]] in a sex partner might be infected even if [[Syphilis laboratory findings#Serology|seronegative]]; therefore, such persons should be [[Syphilis medical therapy#Pharmacotherapy|treated presumptively]].


:*Persons who were exposed '''''within the 90 days''''' preceding the diagnosis of [[Syphilis pathophysiology#Primary syphilis|primary]], [[Syphilis pathophysiology#Secondary syphilis|secondary]], or [[Syphilis pathophysiology#Latent syphilis|early latent syphilis]] in a sex partner might be infected even if [[Syphilis laboratory tests#Serology|seronegative]]; therefore, such persons should be [[Syphilis medical therapy#Pharmacotherapy|treated presumptively]].
:*Persons who were exposed more than 90 days before the diagnosis of [[Syphilis pathophysiology#Primary syphilis|primary]], [[Syphilis pathophysiology#Secondary syphilis|secondary]], or [[Syphilis pathophysiology#Latent syphilis|early latent syphilis]] in a sex partner should be [[Syphilis medical therapy#Pharmacotherapy|treated presumptively]] if [[Syphilis laboratory tests#Serology|serologic test]] results are not available immediately and the opportunity for follow-up is uncertain.


:*Persons who were exposed '''''more than 90 days''''' before the diagnosis of [[Syphilis pathophysiology#Primary syphilis|primary]], [[Syphilis pathophysiology#Secondary syphilis|secondary]], or [[Syphilis pathophysiology#Latent syphilis|early latent syphilis]] in a sex partner should be [[Syphilis medical therapy#Pharmacotherapy|treated presumptively]] if [[Syphilis laboratory tests#Serology|serologic test]] results are not available immediately and the opportunity for follow-up is uncertain.
:*For purposes of partner notification and [[Syphilis medical therapy#Pharmacotherapy|presumptive treatment]] of exposed sex partners, patients with syphilis of unknown duration who have [[Syphilis laboratory findings#Nontreponemal test|high nontreponemal serologic test titers]] (i.e., greater than 1:32) can be assumed to have [[Syphilis pathophysiology#Primary syphilis|early syphilis]]. For the purpose of determining a treatment regimen, however, [[Syphilis laboratory findings#Serology|serologic titers]] should not be used to differentiate early from [[Syphilis pathophysiology#Latent syphilis|late latent syphilis]].


:*For purposes of '''''partner notification''''' and [[Syphilis medical therapy#Pharmacotherapy|presumptive treatment]] of exposed sex partners, patients with syphilis of unknown duration who have [[Syphilis laboratory tests#Nontreponemal test|high nontreponemal serologic test titers]] (i.e., greater than 1:32) can be assumed to have [[Syphilis pathophysiology#Primary syphilis|early syphilis]]. For the purpose of determining a treatment regimen, however, [[Syphilis laboratory tests#Serology|serologic titers]] should not be used to differentiate early from [[Syphilis pathophysiology#Latent syphilis|late latent syphilis]].
:*Long-term sex partners of patients who have [[Syphilis pathophysiology#Latent syphilis|latent syphilis]] should be evaluated [[Syphilis physical examination|clinically]] and [[Syphilis laboratory findings#Serology|serologically]] for syphilis and treated on the basis of the evaluation findings.


:*'''''Long-term sex partners of patients''''' who have [[Syphilis pathophysiology#Latent syphilis|latent syphilis]] should be evaluated [[Syphilis physical examination|clinically]] and [[Syphilis laboratory tests#Serology|serologically]] for syphilis and treated on the basis of the evaluation findings.
*Sexual partners of infected patients should be considered at risk and provided [[Syphilis medical therapy#Pharmacotherapy|treatment]] if they have had sexual contact with the patient within:
 
*Sexual partners of infected patients should be considered '''''at risk''''' and provided [[Syphilis medical therapy#Pharmacotherapy|treatment]] if they have had sexual contact with the patient within:
:*3 months plus the duration of [[Syphilis history and symptoms#Primary syphilis|symptoms]] for patients diagnosed with [[Syphilis pathophysiology#Primary syphilis|primary syphilis]],  
:*3 months plus the duration of [[Syphilis history and symptoms#Primary syphilis|symptoms]] for patients diagnosed with [[Syphilis pathophysiology#Primary syphilis|primary syphilis]],  
:*6 months plus duration of [[Syphilis history and symptoms#Secondary syphilis|symptoms]] for those with [[Syphilis pathophysiology#Secondary syphilis|secondary syphilis]], and  
:*6 months plus duration of [[Syphilis history and symptoms#Secondary syphilis|symptoms]] for those with [[Syphilis pathophysiology#Secondary syphilis|secondary syphilis]], and  
:*1 year for patients with [[Syphilis pathophysiology#Latent syphilis|early latent syphilis]].
:*1 year for patients with [[Syphilis pathophysiology#Latent syphilis|early latent syphilis]].<ref name="urlSexually Transmitted Diseases Treatment Guidelines, 2010">{{cite web|url=http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5912a1.htm |title=Sexually Transmitted Diseases Treatment Guidelines, 2010 |format= |work= |accessdate=2012-12-19}}</ref>


==References==
==References==
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Latest revision as of 00:23, 30 July 2020

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Aysha Anwar, M.B.B.S[2]

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Management of Sexual Partners

  • Sexual transmission of Treponema pallidum is thought to occur only when mucocutaneous syphilitic lesions are present.
  • Although such manifestations are uncommon after the first year of infection, persons exposed sexually to a patient who has syphilis in any stage should be evaluated clinically and serologically and treated with a recommended regimen, according to the following recommendations:[1]
  • Sexual partners of infected patients should be considered at risk and provided treatment if they have had sexual contact with the patient within:

References

  1. http://www.cdc.gov/std/tg2015/syphilis.htm#syph-man Accessed on September 27, 2016
  2. "Sexually Transmitted Diseases Treatment Guidelines, 2010". Retrieved 2012-12-19.


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