中国实用妇科与产科杂志2023，Vol.39Issue(12)：1164-1167,4.DOI:10.19538/j.fk2023120104
妊娠期梅毒流行特征和防治对策
Epidemic characteristics and prevention strate-gies of syphilis during pregnancy
摘要
Abstract
The incidence of syphilis in pregnancy is on the rise globally.In China,with the implementation of the elimination programs,the incidence of congenital syphilis and perinatal mortality have decreased sig-nificantly.High-risk factors for syphilis infection during pregnancy include:multiple sexual partners,drug abuse,moderate educational level,and unem-ployment.It is recommended that all pregnant women be screened with a syphilis serology test at the first visit,with treponemal and non-treponemal tests mu-tually confirming the diagnosis.Three doses of peni-cillin G benzathine 2.4 million units for intramuscular injection one a week are recommended for pregnant women with positive treponema pallidum particle ag-glutination assay(TPPA).After birth,the blood of newborns born to syphilis-infected mothers is taken to screen for TPPA,toluidine red unheated serum test(TRUST)and treponema pallidum IgM antibodies,and penicillin G benzathine of 50 000 U/kg intramuscularly is administered for preventing syphilis infection.关键词
妊娠期梅毒/先天梅毒/流行特征/治疗/预防/筛查Key words
syphilis in pregnancy/congenital syphi-lis/epidemic characteristics/treatment/prevention/screen分类
医药卫生引用本文复制引用
梁轶珩,樊尚荣..妊娠期梅毒流行特征和防治对策[J].中国实用妇科与产科杂志,2023,39(12):1164-1167,4.基金项目
国家自然科学基金(82171676) （82171676）
