Download Syphilis Clinical Recommendations Primary Syphilis Secondary

Syphilis Clinical Recommendations
Primary Syphilis
1. Clinicians should routinely assess all patients with the following signs or
symptoms of syphilis:
 genital, oral or rectal ulcers or chancres
 rash
 Alopecia
2. Sexually active patients with any risk factors for syphilis infection should
be tested for syphilis. Individuals at risk for syphilis infection include those
who:
 engage in unprotected sex
 have multiple or anonymous partners
 are infected with HIV
Penile Chancre
Syphilitic Mouth Ulcer
3. Patients diagnosed with syphilis (and their partners) should receive
immediate treatment per the CDC treatment guidelines for syphilis. (See
Reverse Side) http://www.cdc.gov/std/treatment/2010/genital-ulcers.htm
STD Treatment Pocket Guide
http://www.cdc.gov/std/treatment/2010/pdf/2011-Booklet-Whole-Press.pdf
4. All patients with suspected or confirmed syphilis should receive an HIV test
if not already known to be HIV positive.
Anorectal Syphilitic Chancre
Labia Chancre
Secondary Syphilis
5. Suspected cases syphilis should be reported within 24 hours of diagnosis
to the local county health department.
Information for Medical Providers
http://www.wakegov.com/humanservices/publichealth/providers/Pages/defaul
t.aspx
919-250-4462
Palmar Syphilis Rash
Syphilis Rash on the Torso
Syphilis Alopecia
Source: NC DHHS Communicable Disease Branch, March 2015
Centers for Disease Control &
Prevention Syphilis Treatment
Guidelines

Primary, Secondary, & Early Latent
Syphilis
- Benzathine Penicillin G 2.4mu IM x1
- Doxycycline 100mg BID x 14 days
(PCN allergy)
• Late Latent Syphilis
- Benzathine Penicillin G 2.4 mu IM q
weekly x 3
- Doxycycline 100 mg BID x 28 days
(PCN allergy)
• Tertiary Syphilis, Neurosyphilis &
Congenital Syphilis
Infectious Disease Consult Recommended!
Wake County Communicable Disease
919-250-4462
CDC Fact Sheet
http://www.cdc.gov/std/syphilis/stdfactsyphilis-detailed.htm
Syphilis Case Management
Wake County Human Services
Disease Intervention Specialists
919-250-4422
North Carolina Communicable Disease
Branch Disease Intervention Specialists
919-715-4283
Wake County Human Services
Resources
Health Education & Outreach
Wake County HIV/STD Education
919-250-3883
[email protected]
SYPHILIS
“The Great Imitator”
Community Counseling & Testing
Non-Traditional Testing Site Infoline
919-250-3950
Non-Traditional Testing Site Locations
http://www.wakegov.com/humanservices/publich
ealth/information/hiv/Pages/default.aspx
Clinical Testing and Treatment
Wake County Public Health Center
Clinic A
919-250-4410
First come, first served.
Monday, Wednesday, Thursday and Friday:
Sign-in: 8:30 a.m. and 12:30 p.m.
Tuesday:
Sign-in: 9:30 a.m. and 12:30 p.m.
Wednesday Evening Clinic:
Sign-in: 4:30 p.m.
Syphilis Management
Recommendations