Management for Pregnant Women with Syphilis at Siriraj Hospital
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Abstract
As a global concern, the number of patients with syphilis is increasing in many parts of the world, including Thailand. The incidence is remarkable in young people who are likely to be in the early stage of syphilis. According to the fact that teenage pregnancy is another national health problem, the increasing trend of congenital syphilis (CS) has been observed. The barriers to eliminate CS include delayed diagnosis, no/delayed treatment, lack of awareness regarding re-infection , no/inadequate partner treatment, loss to follow-up after treatment and little collaboration between obstetricians and pediatricians. As a result, the Unit of Infectious Diseases, Department of Obstetrics and Gynecology has developed the clinical pathway for caring pregnant women infected with syphilis with great support and contribution from the Department of Nursing, the Department of Pediatrics and the Department of Internal Medicine. This brings about the higher standard of care. Pregnant women with syphilis from other hospitals are also welcome. Apart from the service of penicillin desensitization and antenatal care, the Unit has prepared education materials, consultation and clinical visits. Many on-going projects and further collaboration as well as introduction to our innovations have been working on.
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