Syphilis treatment: old and new

作者: Linda Dayan , Catriona Ooi

DOI: 10.1517/14656566.6.13.2271

关键词: Resistant strainHuman immunodeficiency virus (HIV)MedicineBest practiceIntensive care medicineTreatment regimenDisease definitionSyphilisPediatrics

摘要: Syphilis has challenged scientists and clinicians since its first appearance in the late 1400s debate continues to surround best practice management. Difficulties defining goals of successful treatment have contributed problems determining recommendations for ideal Treatment regimens currently use were developed before randomised controlled trials became standard. This, combined with national differences disease definition, staging varying interpretations studies, as well emergence complicating comorbid conditions, such HIV, resulted a lack consensus treatment. This paper will discuss history current syphilis focusing on dilemmas faced by today, including resistant strain. Despite difference between guidelines, penicillin G largely remains choice. Close follow up, monitoring ensuring adequate compliance remain most important as...

参考文章(36)
D Goldmeier, P Hay, A review and update on adult syphilis, with particular reference to its treatment International Journal of Std & Aids. ,vol. 4, pp. 70- 82 ,(1993) , 10.1177/095646249300400203
Sidney Olansky, Stanley H. Schuman, Jesse J. Peters, C.A. Smith, Dorothy S. Rambo, Untreated syphilis in the male Negro Journal of Chronic Diseases. ,vol. 4, pp. 177- 185 ,(1956) , 10.1016/0021-9681(56)90019-4
Mehmet Genç, William J Ledger, Syphilis in pregnancy Sexually Transmitted Infections. ,vol. 76, pp. 73- 79 ,(2000) , 10.1136/STI.76.2.73
R Parkes, A Renton, A Meheus, U Laukamm-Josten, Review of current evidence and comparison of guidelines for effective syphilis treatment in Europe International Journal of STD & AIDS. ,vol. 15, pp. 73- 88 ,(2004) , 10.1258/095646204322764253
Syphilis and other sexually transmitted infections in the Russian Federation. International Journal of Std & Aids. ,vol. 10, pp. 665- 668 ,(1999) , 10.1258/0956462991913240
H. Schöfer, H.J. Vogt, R. Milbradt, Ceftriaxone for the treatment of primary and secondary syphilis. Chemotherapy. ,vol. 35, pp. 140- 145 ,(1989) , 10.1159/000238661
RICHARD H. KAHN, JAMES D. HEFFELFINGER, STUART M. BERMAN, Syphilis outbreaks among men who have sex with men: a public health trend of concern. Sexually Transmitted Diseases. ,vol. 29, pp. 285- 287 ,(2002) , 10.1097/00007435-200205000-00006
GAIL CROWE, CECELIA THEODORE, GRETA E. FORSTER, BENG T. GOH, Acceptability and compliance with daily injections of procaine penicillin in the outpatient treatment of syphilis-treponemal infection. Sexually Transmitted Diseases. ,vol. 24, pp. 127- 130 ,(1997) , 10.1097/00007435-199703000-00002
WA Lynn, S Lightman, Syphilis and HIV: a dangerous combination Lancet Infectious Diseases. ,vol. 4, pp. 456- 466 ,(2004) , 10.1016/S1473-3099(04)01061-8
John F. Mahoney, R. C. Arnold, Ad Harris, Penicillin Treatment of Early Syphilis—A Preliminary Report American Journal of Public Health and the Nations Health. ,vol. 33, pp. 1387- 1391 ,(1943) , 10.2105/AJPH.33.12.1387