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Continuing Education in Anaesthesia, Critical Care & Pain 2008 8(6):224-227; doi:10.1093/bjaceaccp/mkn042
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© The Board of Management and Trustees of the British Journal of Anaesthesia [2008]. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

Syphilis in pregnancy

Smita Oswal, MD DA (UK) MRCA
Staff Grade Anaesthetist
Department of Anaesthesia
Bradford Royal Infirmary
Bradford BD9 6RJ
UK

Gordon Lyons, MD FRCA
Consultant Anaesthetist
Department of Obstetric Anaesthesia
St James’s University Hospital
Leeds LS9 7FT
UK
Tel: +44 (0113) 206 5371 Fax: +44 (0113) 244 4538 E-mail: glyons@blocked.org.uk

The first 150 words of the full text of this article appear below.


Key points

There has been a worldwide resurgence of syphilis in recent years, and it is likely to remain a common disease worldwide.
More than 80% of women with syphilis are of reproductive age; therefore, there is a serious risk of vertical transmission to the fetus.
There are no specific contraindications to general anaesthesia or regional blockade. However, HIV and syphilis affect the similar group of patients and co-infection is common. Universal precautions are mandatory before anaesthetizing these patients.

 

For several decades, syphilis has been out of sight, mind, and memory, but the incidence in the Western world is now on the rise again and it could once more become a major health concern. This change has followed the rapidly rising number of human immunodeficiency virus (HIV) positive individuals worldwide, together with the advent of health tourists, economic migrants, asylum seekers, and the easy availability of low-cost travel.

Just as . . . [Full Text of this Article]


   Aetiology1
 

   Classification
 
Primary syphilis

Secondary syphilis

Latent syphilis

Late syphilis (tertiary syphilis)


   Syphilis in pregnancy
 

   Congenital syphilis
 

   Incidence of syphilis
 

   Laboratory diagnosis of syphilis
 
Microscopy

Serological tests

Non-treponemal tests

Treponemal tests


   Treatment of syphilis during pregnancy
 
Penicillin reactions


   Syphilis and HIV
 

   Anaesthetic considerations
 

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