What are the principles for the treatment of syphilis

Is it good to treat a child with venereal disease? evil! A child's life is ruined by his mother's infidelity! If it were not for the fact that the baby's mother had an affair when she was six months pregnant, the baby would not have such a miserable fate. Now, how is the baby suffering from syphilis, and what is his attitude when his father knows that a woman is pregnant and has an affair with her first love?
The day before yesterday, Xiao Ke, a full moon girl, finally ended her two-week treatment for syphilis and was able to leave the hospital. However, the doctor told Xiao Ke's mother, Ms. Fan (a pseudonym), that although the baby's syphilis has been cured, the TPPA index in her blood may be positive for life. Hearing this, Ms. Fan was ashamed.
Ms. Fan and her husband are from Yingshan, and they have been working away from home. After conceiving Xiaoke, Ms. Fan went back to her hometown to give birth. More than a month ago, she suddenly had an acute attack and gave birth to Xiaoke by caesarean section. But only half a month later, Xiao Ke suddenly had a fever and vomited. When visiting the doctor, the doctor found that the child's hands, feet and buttocks were desquamated to varying degrees, so he asked a dermatologist for consultation. After a blood test, the child was initially diagnosed with syphilis. Then he was transferred to Wuhan Dermatology Prevention and treatment Hospital (Wuhan STD Surveillance Center), where the infection was confirmed and was caused by mother-to-child transmission.
Syphilis is a chronic, systematic sexually transmitted disease caused by Treponema pallidum. Mainly through sexual transmission, clinical manifestations of primary syphilis dog dildo , secondary syphilis, tertiary syphilis, latent syphilis and congenital syphilis (fetal syphilis) and so on. It is listed as a category B disease in the Law of the people's Republic of China on the Prevention and treatment of Infectious Diseases. Here are the treatments.
1. Treatment principle
Emphasize early diagnosis, early treatment, regular course of treatment and adequate dose. Regular clinical and laboratory follow-up were carried out after treatment. Sexual partners should be checked and treated together. Early syphilis can be cured clinically and eliminate infectivity after thorough treatment. The treatment of late syphilis can eliminate inflammation in the tissue, but the damaged tissue is difficult to repair.
Penicillin, such as water agent penicillin, procaine penicillin, benzylpenicillin, etc., are the first choice for syphilis in different stages. People who are allergic to penicillin can choose tetracycline, erythromycin and so on. Jihai reaction may occur in some patients at the beginning of penicillin treatment finger vibrator , which can be prevented by low dose or other drugs. The serum should be reexamined every 3 months in the first year after syphilis treatment, and then every 6 months for 3 years. Neurosyphilis and cardiovascular syphilis should be followed up for life.
two。 Early syphilis (including primary and secondary syphilis and early latent syphilis)
(1) penicillin therapy benzylpenicillin G (long-acting cicillin) was injected intramuscularly on both sides of the buttocks, once a week for a total of 2-3 times. Procaine penicillin G was injected intramuscularly for 10 to 15 days, with a total amount of 8 million u ~ 12 million u.
(2) tetracycline hydrochloride was taken orally for 15 days in patients with penicillin allergy. Doxycycline, for 15 days.
3. Advanced syphilis (including tertiary skin, mucous membrane, skeletal syphilis, late latent syphilis) and secondary recurrent syphilis
(1) penicillin, benzylpenicillin, penicillin, once a week, intramuscular injection, a total of 3 times. Procaine penicillin G, intramuscular injection, for 20 days. The treatment can be repeated once after an interval of 2 weeks.
(2) tetracycline hydrochloride was taken orally for 30 days in patients with penicillin allergy. Doxycycline, for 30 days.