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Prevention of syphilis involves the use of non-drug measures. If necessary, in order to prevent illness, the patient is prescribed antibacterial drugs.
Syphilis – infection, which is caused by Treponema pallidum and is characterized by a specific clinical picture and staged course. The main route of transmission of the pathogen is sexual contact. The high contagiousness and peculiarities of the course of the disease have necessitated the development of clear recommendations for its prevention, which is especially important for children and women during pregnancy. Prevention of syphilis is a set of public and individual measures, the main goal of which is to reduce the number of cases of infection.
All disease prevention measures can be divided into several types - individual and public, specific and nonspecific, primary and secondary. Preventive treatment of syphilis is highlighted. All groups of preventive measures complement each other. It is possible to achieve this goal only by using an integrated approach.
In general, public prevention of syphilis is those measures that are carried out by employees medical institutions and are as follows:
Individual preventive measures apply separately to each person. He himself is responsible for their implementation. It is their neglect that most often becomes the cause of the development of the disease. So.
All of the above preventive measures do not require the use of pharmaceuticals and are carried out as planned. Patients who have had contact with a patient with syphilis, including children, women during pregnancy, as well as newborn babies, whose mother had syphilis during pregnancy or had contact with an infectious patient, are prescribed drug prophylaxis.
Considering the etiology of the disease, an antibiotic is used for this purpose, most often - penicillin series. It does not lose its effectiveness against treponema. The exception is patients with penicillin intolerance.
Today, the prevention of syphilis is carried out using several methods, according to which the antibiotic can be prescribed in three forms.
If penicillin is intolerant, the patient is prescribed tetracycline drugs, in particular Doxycycline tablets. Less commonly prescribed macrolides are Erythromycin, Azithromycin. The final choice is made by a specialist, taking into account individual characteristics patient.
Drug prophylaxis using the above methods is carried out if contact occurred no more than three months ago. If 3 months to six months have passed, before taking an antibiotic, the patient must undergo two examinations with an interval of two months. If more than six months have passed, a single examination is sufficient to diagnose the disease. In case of negative test results, preventive medication is not required.
Similar tactics are carried out in relation to persons who have received blood components from patients with syphilis.
The criteria for selecting children for drug prevention of syphilis are similar to those that apply to adults - close household or sexual contact with a carrier of the infection. For children under three years of age, antibiotics are prescribed without fail. The decision on preventive treatment for older children is made in individually, taking into account the form of the disease.
Like adults, children are prescribed a penicillin antibiotic. Children under 2 years of age are administered only novocaine or sodium salt of penicillin. Older children can use bicillins. As an alternative, you can use semi-synthetic penicillins - oxacillin and ampicillin. The advantage of the latter is that tablets can be used instead of injections.
A penicillin or cephalosporin antibiotic is taken for 2-3 weeks. The dose is calculated taking into account the patient's body weight.
Prevention congenital syphilis is not carried out in the following cases:
No treatment is allowed only if all three conditions are met simultaneously. In addition, the antibiotic is not prescribed to children after 1 year of age who have not previously been examined, and the results of the current examination are negative.
If a woman has been treated for the disease in the past, drug prophylaxis is prescribed for each pregnancy. After deregistration, women with seroresistance during their first pregnancy take the antibiotic.
Syphilis is very insidious disease. During pregnancy, it poses a danger not only for the mother, but also for the child. Patients with any complaints should definitely consult a dermatovenerologist. This will help to diagnose the pathology in time and begin its treatment.
Measures to prevent syphilis are varied. However, the key ones will be various tips and recommendations, that is, non-drug methods that can protect a person from serious illness called syphilis.
If a person is surrounded by an infected person, he can be advised to:
If you follow the above recommendations, the risk of contracting syphilis at home is practically reduced to zero. There is a high risk of contracting an infection when sexual contact with a stranger without using a condom(). Of course, in some cases the condom may break or rape may occur. healthy person infected. The tactics in such cases will be completely different.
If unwanted sexual intercourse does occur, you can take some preventive measures immediately after it:
Such preventive treatment is usually carried out with antibiotics from the penicillin group (). However, treatment can be started only after examination and consultation with a venereologist, and also only if the disease is still at the incubation stage. If such treatment begins, for example, at the first stage of syphilis, this can lead to a long course of the disease due to an insufficient dose of antibiotic.
Ceftriaxone for the prevention of syphilis is also an effective remedy.
Prevention after syphilis should again consist of competent sexual behavior and conscious sexual intercourse. It is necessary to begin to be sexually active only when the patient knows that he has been completely cured of such a complex and serious disease.
The main route of infection with syphilis is sexual, less common is household. There is also vertical path infection: from mother to fetus, it is characteristic of congenital syphilis.
The highest incidence of syphilis is observed between the ages of 20 and 29 years. IN last years Syphilitic infection is more common than before in children and adolescents.
Primary syphilis is slightly more common in men than in women. At the same time, secondary and latent syphilis is more often recorded in women.
Man as a cause of syphilis infection
There are several types of treatment for syphilis:
What medications are used to treat syphilis? early stages? Treatment of primary and secondary syphilis is carried out using the same methods. Therapy involves a course of antibiotics for 2 weeks.
After it is entered high dose long-acting penicillin. 30 minutes before the injection, a suprastin or tavegil tablet is given.
There are some other treatment regimens. But they are all selected individually. The most popular treatment regimen is the prescription of penicillin drugs. long acting. Injections are given once a week. In the early stages, syphilis responds well to treatment, so 1 to 3 injections are sufficient.
Skin rashes that begin in the second stage of the disease are treated with chlorhexidine with penicillin dissolved in saline solution. Repeat the lotions until the rash disappears completely.
For faster absorption chancre, they are lubricated with heparin ointment or a special mixture of podophyllin, dimethyl sulfoxide and glycerin.
For more fast healing sores on the body are irradiated with a helium-neon laser. They cauterize each rash for 10 minutes daily. The course of treatment is 14 days.
The causative agent of syphilis is a bacterium that is difficult to see under a microscope even when staining the biological samples under study. Therefore, in medicine it received the name - treponema pallidum.
There are congenital syphilis (develops when the fetus becomes infected) during pregnancy, household syphilis (when infected from common objects), and sexual syphilis (through sexual intercourse with an infected person).
Methods for laboratory diagnosis of syphilis have great importance to establish a diagnosis, especially in the latent form.
To understand the principle and effectiveness of a particular method, it is necessary to distinguish between the concepts of its specificity and sensitivity. In medicine, sensitivity is understood as the percentage of cases in which a disease will be detected and the percentage of pathology that may remain undiagnosed.
Good sensitivity is considered to be 90% or higher. For example, with a method sensitivity of 80%, 20% of cases may remain undetected.
The specificity of the method shows the percentage of positive reactions that confirms the disease. For example, a specificity of 70% indicates that 30% of reactions are false positives. Sufficient specificity ranges from 90 to 100%.
What laboratory diagnostic methods are used for syphilis?
Indirect laboratory diagnostic methods detect the presence of antibodies in the patient’s blood:
Bacteria that infect humans are sensitive to antibiotic drugs. They are the ones prescribed to the patient. As a rule, these are penicillins. However, patients often complain of allergic sensitivity to the drugs presented.
In this case, macrolides, fluoroquinolones, and tetracyclines can be used. Also, these medications are used in case of ineffectiveness of penicillin therapy.
The list of antibiotics for syphilis is:
Along with the presented therapy, vitamins and medications that increase protective properties body. It is possible to administer immunostimulants - intramuscular injections.
Immune medications include: laferon, thymogen, methyluracil, thymalin. And stimulant drugs are plasmol and pyrogenal.
For achievement best effect When treating syphilis, physiotherapy is prescribed.
Inductothermy is a type of electrotherapy. The technique is based on the use of high-frequency magnetic field. In patients with syphilis, it is recommended to use inductothermy.
Preventive (warning) treatment is carried out for persons who have been in the lumbar region and combined with taking the centrally acting drug Etimizol. The drug Etimizol acts on the pituitary gland, which leads to an increase in glucocorticosteroids in the blood plasma.
As I said above, during the period of bearing a child, syphilis is very dangerous.
Prevention of this disease is carried out in all medical institutions and includes the following measures:
The microbe enters the child’s body through the umbilical vein, as well as through the placenta, starting from the 10th week of pregnancy. When a woman has secondary syphilis, infection will occur in 100% of cases. In rare cases, children become infected in patients with primary or late form diseases.
Treatment occurs under the supervision of a doctor, often in a hospital, and includes all the same measures that are prescribed for other patients. Antibiotics are selected with great care so as not to cause pathologies and abnormalities.
Syphilis is socially significant diseases. Treponema pallidum(causative agent of pathology) is under state control and each detected case is assigned Special attention. To avoid contracting the infection and prevent the development of syphilis, public and individual preventive measures have been developed, which we will discuss in the article.
Syphilis - dangerous disease, which is easier to prevent than to treat. Compliance with public and individual preventive measures will help avoid infection and development of syphilis.
In public preventive actions includes a set of procedures and examinations carried out by health workers:
As part of public prevention, all patients without exception are tested for treponema before any medical procedures. People undergo periodic screening for infection social professions(teachers, cooks, doctors) and patients with increased likelihood Treponema infection.
The risk group includes people leading a promiscuous sexual life, not respecting personal and intimate hygiene, as well as workers who are susceptible to occupational infection: medical workers (surgeons, obstetricians-gynecologists, pathologists, laboratory assistants, dentists), employees of beauty salons and hairdressers.
Compliance with public preventive measures cannot provide absolute protection against infection with Treponema pallidum. Following individual preventive measures will also help to avoid infection and the development of the disease.
As part of precautionary measures, men and women should avoid casual intimate relationships. It is important to use barrier contraceptives (condoms) every time you have sexual intercourse. In this case, a condom should be used not only for vaginal, but also for anal intimate relations.
There are also others additional methods protection: vaginal tablets and capsules, gels, creams that have an antimicrobial and contraceptive effect. They reduce the risk of infection, but do not guarantee 100% results.
Emergency prevention consists of douching the vagina using special solutions. It is important to douche no later than two hours after unprotected intimacy. It can be carried out at home or in 24-hour preventive centers. Emergency prevention is performed in extreme cases, only in cases of accidental unprotected sexual contact. It does not replace a condom, since it does not completely protect against infection, but only reduces its risk. Moreover, frequent douching can disrupt vaginal microflora, triggering the development bacterial vaginosis or thrush.
If a person has been in contact with a patient with primary or secondary syphilis, had unprotected sex, preventive (prophylactic) therapy for syphilis is carried out for 2 months or until the first manifestations of the disease occur. In this case, the technique is shown antibacterial drugs penicillin group (if they are intolerable or ineffective, drugs of a different series are prescribed). Antibiotics for the prevention of syphilis are used for a short course in the form of intramuscular injections.
Preventive treatment is prescribed only during the incubation period. Carrying out preventive therapy after the onset of the disease can lead to incomplete cure of the pathology, as well as the formation of a difficult to cure and long-term form of the disease.
Tablets and other drugs for the prevention of syphilis are selected and prescribed only by a doctor after preliminary consultation and examination. Attempts self-treatment can provoke the development of serious consequences.
Special attention should be paid to the prevention of syphilis in the family. When one of the family members (wife, husband) is sick with syphilis, it is necessary to protect children and other family members from this disease. During the treatment period, the sick person must be provided with separate dishes, personal hygiene products, and a towel. Children are not recommended to sleep and play in their parents' bed, or to use other people's washcloths, brushes, cups and other household items. Since the pale spirochete can be transmitted through saliva, it is important to avoid kissing and any contact of the mucous membrane with things (toys, spoons, pacifiers) and the child’s body. Spouses should abstain from sexual intercourse and kissing during treatment.
As a rule, whenever syphilis is detected, the infected patient is isolated and family members are prescribed comprehensive examination. In the absence of signs of pathology, preventive treatment is carried out.
A child develops congenital syphilis if the mother becomes pregnant due to the disease or becomes infected during pregnancy. Infection of the fetus occurs through the placenta at 4-5 months of gestation. Earlier deadline The baby does not show signs of syphilis.
During pregnancy, each woman undergoes a serological examination for the presence of treponemas three times: at the first visit to the doctor, at registration and at 24-30 weeks of gestation. If an infection is detected, appropriate treatment is prescribed to help prevent infection of the fetus. Special treatment regimens have been developed for pregnant women. Choosing the most optimal tactics therapeutic effects is carried out by the attending physician, taking into account the form and stage of the disease, the timing of pregnancy and the condition of the patient.
Preventive treatment of syphilis is prescribed to every pregnant woman who has suffered from the disease before conception and has not been removed from the register. If the main therapy was carried out on early stages pregnancy, then preventive treatment is prescribed at 6-7 months. If the main course was conducted on later, preventive therapy is prescribed after 2 weeks.
It also screens, treats, and prevents syphilis in newborns whose mothers were not adequately treated during pregnancy or before conception. Children are prescribed penicillin antibiotics. The dose of the drug is selected taking into account the age and weight of the child.
Infection with Treponema pallidum can lead to damage to the cardiovascular, central nervous, digestive, respiratory, musculoskeletal systems, hearing, vision and other disorders. Despite the effectiveness of the developed treatment regimens, the first signs of syphilis may go unnoticed and treatment will begin late. Preventing infection with the virus and avoiding the development of severe complications will be achieved by following individual and public preventive measures.
Syphilis is one of the most common venereal diseases. The disease has a specific course and symptoms, is considered very contagious, therefore, it has long been developedmeasures to prevent syphilis, this is especially important for children and pregnant women.
Activities include a set of actions in the individual and public spheres aimed at preventing Arazheni e. Existing recommendations can be divided into types: individual and public prevention, then nonspecific and specific, and there are also primary and secondary preventive measures. All types complement each other, and only A complex approach solves the initially posed problem.
Specified prevention of syphiliscarried out by employees of medical institutions, consists of the following actions:
Such measures are based on warning infection with syphilis, a successful outcome depends on each individual person. There are a number of recommendations for the implementation of which a person is responsible to himself and society. Often, it is failure to follow recommendations that leads to infection.
The following measures will help prevent infection:
For such an insidious disease assyphilis prevention using the above measures is not the only thing that can protect a person. In particular, for persons who have been in contact with a sick person (including children, pregnant women), as well as newborns whose mother was sick, medication is providedpreventive treatment.
The same applies to persons who received blood transfusions from patients with syphilis. For this purpose, antibiotics are prescribed, more often from the penicillin group. Patients who are intolerant to this substance are prescribed antibacterial drugs from other groups.
Treatment of syphilisin adults, for the purpose of prevention, it involves prescribing an antibiotic in different forms:
If the patient is intolerant to penicillin, he is prescribed drugs from the group of tetracyclines (Doxycycline), macrolides (Azithromycin, Erythromycin). The doctor prescribes a specific drug based on data about the patient’s health, age and course of the disease.
This treatment is prescribed if no more than 3 months have passed since the date of contact. If the period is 3-6 months, before taking the medication, the patient is prescribed 2 examinations with a break of 2 months. If more than 6 months have already passed since the potentially dangerous contact, one examination is sufficient. If received negative result, there is no need to undergo treatment.
Preventive treatment in children is carried out for the same reasons - if there has been sexual / household contact with sick people. Potentially infected children under 3 years of age are prescribed antibiotics. For children over 3 years of age, the doctor decides on the need for preventive treatment on an individual basis. Children, like adults, are prescribed drugs from the penicillin group. For those who have not yet reached 2 years of age, sodium / novocaine salt of penicillin is administered. Those who are older are allowed to administer bicillins. An alternative is synthetic penicillins - Ampicillin and Oxacillin. The convenience of Ampicillin is that it can be taken in tablets.
Considering that Treponema pallidum, which causes syphilis, penetrates the placental barrier, the fetus may well become infected from a sick mother. If a pregnant woman has been in contact with an infected person/suffered from syphilis, after birth the baby should be examined by specialists: a dermatovenerologist, pediatrician, otolaryngologist, ophthalmologist and neurologist. X-rays of the extremities and blood tests are required. If necessary, they can take fluid from the spinal cord for analysis.
Cephalosporins and penicillins are prescribed as needed in a course of 2-3 weeks, the dosage is calculated individually, taking into account the body weight of the infant.
In some situationsprevention of congenital syphilisnot needed, these are the following cases:
Only if all three of the above conditions are met, drug prophylaxis congenital syphilis is not required.
If an adult knowshow to avoid getting infected with syphilis, and is able to do everything for this necessary measures, then the fetus in the mother’s belly is absolutely not protected. Intrauterine infection can end in disaster - from fetal death to developmental abnormalities. Therefore, preventive measures have been developed:
Preventive treatment in pregnant women can prevent infection of the fetus, but not always. If the result does not show effectiveness, the doctor suggests that the woman terminate the pregnancy; the final decision rests with the pregnant woman.
To avoid this choice, when planning a pregnancy, it is worth being screened for sexually transmitted diseases, including syphilis. For those who have recently undergone treatment, it is better not to become pregnant for a while until several tests confirm recovery.
In case of unprotected sexual intercourse, if there are suspicions that the partner is sick, in the next two days you can resort to emergency measures prevention of STDs. To do this, you need to go to a dermatovenerological dispensary or a venereologist at a clinic so that the doctor prescribes a course of antibacterial drugs. It is forbidden to take pills on your own! If the dose is chosen incorrectly or the group of antibiotics is not effective in a particular case, then the symptoms and test results will be blurred, while the disease will rapidly develop.
After the treatment prescribed by the doctor, they take tests, and then again for peace of mind. If no signs of syphilis appear within 2 months, then infection has not occurred.
Preventive measures are varied and effective, but much depends on the behavior of those people who carry the infection. To avoid becoming a source of health problems for other people, infected people must responsibly implement the following recommendations and follow certain restrictions:
To summarize, it is worth recalling that syphilis is dangerous and very contagious disease, which during pregnancy is dangerous for both mother and child. For all patients, the disease is fraught with complications, as it causes serious aesthetic and physiological disturbances.
Timely preventive diagnostics, intelligibility in sexual relations and serious attitude to your health will allow you not to encounter such a disease.