Dilemmas in the Management of Syphilis: A Survey of Infectious Diseases Experts

被引:31
作者
Dowell, Deborah [1 ,2 ]
Polgreen, Philip M. [4 ]
Beekmann, Susan E. [4 ]
Workowski, Kimberly A. [1 ,3 ]
Berman, Stuart M. [1 ]
Peterman, Thomas A. [1 ]
机构
[1] Emory Univ, Ctr Dis Control & Prevent, Epidemiol & Surveillance Branch, Atlanta, GA 30329 USA
[2] Emory Univ, Off Workforce & Career Dev, Epidem Intelligence Serv, Atlanta, GA 30329 USA
[3] Emory Univ, Dept Infect Dis, Atlanta, GA 30329 USA
[4] Univ Iowa, Dept Internal Med, Carver Coll Med, Iowa City, IA 52242 USA
关键词
GENITAL ULCER DISEASE; CLINICAL-DIAGNOSIS; NEUROSYPHILIS; THERAPY; MEN;
D O I
10.1086/644737
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
We surveyed infectious diseases consultants to determine how they manage syphilis when there are insufficient data to guide management or when guidelines cannot be followed because of a lack of available definitive diagnostic tests. Most providers did not have access to dark-field microscopy. We found variation in management of syphilis, especially for patients with human immunodeficiency virus infection.
引用
收藏
页码:1526 / 1529
页数:4
相关论文
共 14 条
[1]  
Busch DF, 1997, CLIN INFECT DIS, V25, P34, DOI 10.1086/514511
[2]   HOW RELIABLE IS MORPHOLOGICAL DIAGNOSIS OF PENILE ULCERATIONS [J].
CHAPEL, TA ;
BROWN, WJ ;
JEFFRIES, C ;
STEWART, JA .
SEXUALLY TRANSMITTED DISEASES, 1977, 4 (04) :150-152
[3]   The clinical diagnosis of genital ulcer disease in men [J].
DiCarlo, RP ;
Martin, DH .
CLINICAL INFECTIOUS DISEASES, 1997, 25 (02) :292-298
[4]   Primary syphilis [J].
Eccleston, Kathryn ;
Collins, Lisa ;
Higgins, Stephen P. .
INTERNATIONAL JOURNAL OF STD & AIDS, 2008, 19 (03) :145-151
[5]   Serological response to syphilis treatment in HIV-positive and HIV-negative patients attending sexually transmitted diseases clinics [J].
Ghanem, K. G. ;
Erbelding, E. J. ;
Wiener, Z. S. ;
Rompalo, A. M. .
SEXUALLY TRANSMITTED INFECTIONS, 2007, 83 (02) :97-101
[6]   Antiretroviral therapy is associated with reduced serologic failure rates for syphilis among HIV-infected patients [J].
Ghanem, Khalil G. ;
Moore, Richard D. ;
Rompalo, Anne M. ;
Erbelding, Emily J. ;
Zenilman, Jonathan M. ;
Gebo, Kelly A. .
CLINICAL INFECTIOUS DISEASES, 2008, 47 (02) :258-265
[7]   SYPHILIS TESTS IN DIAGNOSTIC AND THERAPEUTIC DECISION-MAKING [J].
HART, G .
ANNALS OF INTERNAL MEDICINE, 1986, 104 (03) :368-376
[8]   Normalization of serum rapid plasma reagin titer predicts normalization of cerebrospinal fluid and clinical abnormalities after treatment of neurosyphilis [J].
Marra, Christina M. ;
Maxwell, Clare L. ;
Tantalo, Lauren C. ;
Sahi, Sharon K. ;
Lukehart, Sheila A. .
CLINICAL INFECTIOUS DISEASES, 2008, 47 (07) :893-899
[9]   NEUROSYPHILIS IN HIV-INFECTED PERSONS [J].
MUSHER, DM ;
BAUGHN, RE .
NEW ENGLAND JOURNAL OF MEDICINE, 1994, 331 (22) :1516-1517
[10]  
OFARRELL N, 1994, GENITOURIN MED, V70, P7