Sífilis congénita: actualización del manejo clínico y tratamiento

Abstract

Introduction: Congenital syphilis is a pathology that is currently a cause of significant morbidity and mortality in newborns. This disease is the result of fetal transmission of Treponema pallidum. At present, it continues to affect millions of newborns worldwide. Although several medical guides have been implemented to treat this pathology, it has not yet been eradicated completely, especially in our country. For this reason we must use an opportune and effective diagnosis, in addition to a correct treatment to avoid consequences of congenital syphilis that can even be lethal. Objective: To establish the correct clinical management and treatment of congenital syphilis. Material and Methods: For the elaboration of the following bibliographic review work, scientific articles were obtained from data platforms such as Elsevier, Scielo, PubMed, Science Direct, etc. From 2013 to 2018, clinical practice guides and systematic reviews. Result: From articles of indexed journals, medical guides, 13 articles of indexed journals, 3 medical guides and 1 protocol that fulfilled the established objectives were chosen. The clinical characteristics were determined, especially the adequate management and treatment of congenital syphilis. Conclusion: Start immediate treatment to the newborn diagnosed clinically or with maternal risk factors and confirmed by laboratory to avoid the sequels of congenital syphilis. Health campaigns and strict control of pregnant women should be implemented for timely detection and, above all, to raise awareness among the population in general about this pathology.