Congenital syphilis screening: Difference between revisions
Jump to navigation
Jump to search
| Line 7: | Line 7: | ||
==Screening== | ==Screening== | ||
* Newborn serum is not used for serologic tests. Instead, the mother's serum is | * Newborn serum is not used for serologic tests. Instead, the mother's serum is preferred. <ref name="urlCDC - Diseases Characterized by Genital, Anal, or Perianal Ulcers - 2010 STD Treatment Guidelines">{{cite web |url=http://www.cdc.gov/std/treatment/2010/genital-ulcers.htm#congenital |title=CDC - Diseases Characterized by Genital, Anal, or Perianal Ulcers - 2010 STD Treatment Guidelines |format= |work= |accessdate=2012-12-20}}</ref> | ||
* The serologic tests performed on infant serum can be nonreactive if the mother’s serologic test result is of low titer or the mother was infected late in pregnancy. | * The serologic tests performed on infant serum can be nonreactive if the mother’s serologic test result is of low titer or the mother was infected late in pregnancy. | ||
* Screening can be performed using either a nontreponemal or treponemal test. If either screening test is positive, testing must be performed immediately using the other complimentary test (i.e., nontreponemal test followed by treponemal test or vice-versa). | * Screening can be performed using either a nontreponemal or treponemal test. If either screening test is positive, testing must be performed immediately using the other complimentary test (i.e., nontreponemal test followed by treponemal test or vice-versa). | ||
Revision as of 21:15, 27 December 2012
|
Congenital syphilis Microchapters |
|
Diagnosis |
|
Treatment |
|
Case Studies |
|
Congenital syphilis screening On the Web |
|
American Roentgen Ray Society Images of Congenital syphilis screening |
|
Risk calculators and risk factors for Congenital syphilis screening |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Aditya Govindavarjhulla, M.B.B.S. [2]
Overview
Routine screening of newborn serum or umbilical cord blood is not recommended. Serologic testing of the mother’s serum is preferred rather than testing the infant’s serum.
Screening
- Newborn serum is not used for serologic tests. Instead, the mother's serum is preferred. [1]
- The serologic tests performed on infant serum can be nonreactive if the mother’s serologic test result is of low titer or the mother was infected late in pregnancy.
- Screening can be performed using either a nontreponemal or treponemal test. If either screening test is positive, testing must be performed immediately using the other complimentary test (i.e., nontreponemal test followed by treponemal test or vice-versa).
- No infant or mother should leave the hospital unless maternal serologic status has been documented at least once during pregnancy; in communities and populations in which the risk for congenital syphilis is high, documentation should also occur at delivery.