Is it easy to treat a child with sexually transmitted diseases? What are the treatment principles for syphilis

Is it easy to treat a child with sexually transmitted diseases? What a sin! A child's life is ruined by their mother's unfaithful behavior! If it weren't for the fact that the baby's mother had an affair at 6 months of pregnancy, the baby wouldn't have had such a tragic fate. Now, how is the condition of this baby with syphilis? What is the father's attitude after knowing that the woman is pregnant and has an affair with her first love?

The day before yesterday, the newly full moon baby girl Xiaoke finally finished her two-week treatment for syphilis and can be discharged from the hospital. However, the doctor told Ms. Fan (pseudonym), Xiaoke's mother, that although the baby's syphilis has been cured, her TPPA index in her blood may be positive for life. Upon hearing this, Ms. Fan felt ashamed.

Ms. Fan and her husband are from Yingshan and have been working outside. After she became pregnant with Xiaoke, Ms. Fan went back to her hometown to have a baby. More than a month ago, she suddenly had an acute attack and gave birth to Xiaoke by caesarean section. But just over half a month later, Xiao Ke suddenly became feverish and vomited. The doctor found that the child's hands, feet and buttocks were peeling to varying degrees when he went to see the doctor, so he asked the dermatologist for consultation. After Blood test, the child was initially diagnosed with syphilis, so he was transferred to Wuhan Dermatology Prevention and Treatment Center (Wuhan STD Monitoring Center). It was confirmed that the infection was caused by mother to child transmission.

Syphilis is a chronic, systemic transmission disease caused by pallidum spirochetes. Mainly transmitted through sexual means, clinically it can manifest as primary syphilis, secondary syphilis, tertiary syphilis, latent syphilis, and congenital syphilis (fetal syphilis). It is a disease listed as Class B prevention and control management in the Law of the China on the Prevention and Control of Infectious Diseases. Here are the treatment methods.

1. Treatment principles

Emphasize early diagnosis, early treatment, regular course of treatment, and sufficient dosage. Regular clinical and laboratory follow-up should be conducted after treatment. Casual sexual relationship should be treated together. Early syphilis can be clinically cured and eliminated through thorough treatment. Advanced syphilis treatment can eliminate inflammation within tissues, but damaged tissues are difficult to repair.

Penicillin, such as aqueous penicillin, Procaine penicillin, and benzathine penicillin, is the first choice for syphilis in different stages. Those allergic to penicillin can choose tetracycline, Erythromycin, etc. Some patients may experience Jihai reaction at the beginning of penicillin treatment, which can be prevented by starting with small doses or using other drugs. After syphilis treatment, serum should be rechecked every 3 months for the first year, and every 6 months thereafter for a total of 3 years. Neurosyphilis and cardiovascular syphilis should be followed up for life.