Lesson Plan ON Congenital Syphilis
Lesson Plan ON Congenital Syphilis
Lesson Plan ON Congenital Syphilis
ON
CONGENITAL
SYPHILIS
LESSSON PLAN ON CONGENITAL SYPHILIS
Language : English.
Av-aids : LCD.
At the end of the class the student will be able to gain knowledge on congenital syphilis and able to apply their knowledge in their clinical
practice.
INTRODUCTION
Parenteral penicillin
The students explain the
8 mts Pregnant women:
will be able to L L therapeutic
explain the Pregnant women in the early stages of syphilis receive E I management of
therapeutic benzathine penicillin G (2.4 million units IM in a single dose). C S congenital
management of For later stages of syphilis or neurosyphilis, the appropriate T T syphilis?
congenital regimen for nonpregnant patients should be followed (see Late U E
syphilis or tertiary syphilis). Occasionally, a severe Jarisch-Herxheimer E N
reaction occurs after such therapy, leading to spontaneous R I
abortion. Patients allergic to penicillin may be desensitized and N
then treated with penicillin. After adequate treatment, RPR and C G
VDRL test results decrease 4-fold by 6 to 12 mo in most U
patients and revert to negative by 2 yr in nearly all patients. M A
Erythromycin therapy is inadequate for both the mother and N
fetus and is not recommended. Tetracycline is contraindicated D D LCD
. I
S A
Early congenital syphilis: C N
U S
In confirmed or highly probable cases, 2010 Centers for S W
Disease Control and Prevention (CDC) guidelines recommend S E
aqueous crystalline penicillin G 50,000 units/kg IV q 12 h for I R
the first 7 days of life and q 8 h thereafter for a total of 10 days O I
or procaine penicillin G 50,000 units/kg IM once/day for 10 N N
days. If ≥ 1 day of therapy is missed, the entire course must be G
repeated. This regimen is also recommended for infants with
possible syphilis if the mother fits any of the following criteria:
Untreated
Treatment status is unknown
Treated ≤ 4 wk before delivery
TIME OBJECTIVES CONTENT TEACHERS LEARNERS AV AIDS EVALUATION
ACTIVITY ACTIVITY
Inadequately treated (a nonpenicillin regimen)
Maternal evidence of relapse or reinfection (≥ 4-fold
increase in maternal titer)
Other Considerations:
L L
The interrelationship of syphilis and human immunodeficiency E I
virus (HIV) infection should be explored in areas with a high C S
incidence of syphilis. HIV infection may influence the T T
manifestation of syphilis or its response to therapy. The role, if U E
any, of the genital ulcers of syphilis in increasing the risk of E N
HIV transmission also needs study in U.S. population groups. R I
State and local STD programs need to coordinate control N
resources for both syphilis and HIV, offer STS to all women C G
requesting HIV tests, and perform periodic syphilis tests on all U
persons known to be HIV-antibody positive. M A LCD
N
Prenatal Care : D D
I
Comprehensive prenatal care started early in pregnancy is S A
essential in preventing congenital syphilis. Unfortunately, C N
many obstacles make it difficult for women, particularly some U S
poor and some minority women, to obtain needed care. These S W
obstacles include financial barriers, the limited availability of S E
health care providers who are willing to serve these I R
populations, provider difficulty in communicating with O I
patients who are poor or from different ethnic backgrounds, N N
organizational arrangements that minimize accessibility and G
acceptability of treatment, poor coordination of services, and
patients' inadequate understanding of the need for care.
TIME OBJECTIVES CONTENT TEACHERS LEARNERS AV AIDS EVALUATION
ACTIVITY ACTIVITY
4.2 Drug Addiction Programs:
CONCLUSION:
o http://www.who.int/reproductivehealth/publications/rhr_01_10_mngt_stis/guidelines_mngt_stis.pdf.