are we required to report to the cdc if a patient has syphilis

by Dr. Tillman Breitenberg Sr. 10 min read

Reporting and Confidentiality - Centers for Disease Control and …

33 hours ago  · Reporting and Confidentiality. Accurate and timely reporting of STIs is integral to public health efforts in assessing morbidity trends, allocating limited resources, and assisting local health authorities with partner notification and treatment. STI and HIV/AIDS cases should be reported in accordance with state and local statutory requirements. Syphilis (including … >> Go To The Portal


STI and HIV/AIDS cases should be reported in accordance with state and local statutory requirements. Syphilis (including congenital syphilis), gonorrhea, chlamydia, chancroid, and HIV are reportable diseases in every state.Jul 22, 2021

Symptoms

Causes

Prevention

Complications

Does syphilis need to be reported?

As a provider, you need to be aware that all 50 states require that syphilis cases be reported to the state or local public health agency so that it can take action to find and treat exposed persons.

What STDs must be reported to CDC?

The Department of Public Health mandates reporting of 5 STDs; syphilis, gonorrhea, chlamydia, neonatal herpes, and chancroid. Surveillance activities are conducted on the 3 most common STDs; syphilis, gonorrhea, and chlamydia, all of which can be cured with proper treatment.

What does the CDC say about syphilis?

Syphilis can have very serious complications when left untreated. You should get tested regularly if you are pregnant, are a man who has sex with men, have HIV infection, and/or have partner(s) who have tested positive for syphilis.

Is syphilis still considered a public health threat?

“However, there are a significant number of communities where syphilis remains a public health threat. Prevention and treatment efforts must be accelerated in these areas if the disease is going to be eliminated from the United States.”

Do STDs need to be reported?

In California, health care providers who have diagnosed, or suspect the presence of, a sexually transmitted disease (STD) in their patient are legally required to report that information to the local health department.

Which STDs do you have to disclose?

STI and HIV/AIDS cases should be reported in accordance with state and local statutory requirements. Syphilis (including congenital syphilis), gonorrhea, chlamydia, chancroid, and HIV are reportable diseases in every state.

What happens if you test positive for syphilis?

If your screening test results are positive, it means you have antibodies that may be from a syphilis infection. You'll need another test to confirm whether or not you have syphilis. If your follow-up test confirms you have syphilis, you will probably be treated with penicillin, a type of antibiotic.

Why is syphilis a public health issue?

Syphilis has disproportionate effects on vulnerable or disadvantaged populations and on people involved in high risk activities such as illicit drug use, sex work, unprotected intercourse, and sex with multiple partners.

What should I do if I have been exposed to syphilis?

Get Tested:If you think you have been exposed, or might have syphilis, go to a health care provider. Do not have sex until you get your test results. Testing is easy, and just uses a small sample of blood from your veins. Your sex partner(s) will also need to be tested.

Is syphilis an epidemic?

After a nadir in the mid-1990s, many jurisdictions have observed increasing syphilis rates since the late 1990s or early 2000s. Although the current syphilis epidemic is concentrated in MSM, reported cases in women have been increasing in recent years, as have rates of congenital syphilis.

Is STD a public health issue?

The current rise of STIs is a serious public health concern that requires immediate attention. If left untreated, STIs can lead to severe health complications, including pelvic inflammatory disease (PID), increased risk of getting HIV, certain cancers, and even infertility.

Is syphilis a viral STI?

Overview. Syphilis is a bacterial infection usually spread by sexual contact. The disease starts as a painless sore — typically on the genitals, rectum or mouth.

How Do People Get Syphilis?

Syphilis is transmitted from person to person by direct contact with a syphilitic sore, known as a chancre. Chancres can occur on or around the ext...

How Quickly Do Symptoms Appear After Infection?

The average time between acquisition of syphilis and the start of the first symptom is 21 days, but can range from 10 to 90 days.

What Are The Signs and Symptoms in Adults?

Syphilis has been called “The Great Pretender”, as its symptoms can look like many other diseases. However, syphilis typically follows a progressio...

How Does Syphilis Affect A Pregnant Woman and Her Baby?

When a pregnant woman has syphilis, the infection can be transmitted to her unborn baby. All pregnant women should be tested for syphilis at the fi...

How Is Syphilis Diagnosed?

The definitive method for diagnosing syphilis is visualizing the Treponema pallidum bacterium via darkfield microscopy. This technique is rarely pe...

What Is The Link Between Syphilis and HIV?

In the United States, approximately half of men who have sex with men (MSM) with primary and secondary (P&S) syphilis were also living with HIV(htt...

What Is The Treatment For Syphilis?

For detailed treatment recommendations, please refer to the 2015 CDC STD Treatment Guidelines(https://www.cdc.gov/std/tg2015/syphilis.htm). The rec...

Who Should Be Tested For Syphilis?

Any person with signs or symptoms suggestive of syphilis should be tested for syphilis. Also, anyone with an oral, anal, or vaginal sex partner who...

How Can Syphilis Be Prevented?

Correct and consistent use of latex condoms can reduce the risk of syphilis when the infected area or site of potential exposure is protected. Howe...

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Treponemal Tests and Reverse Sequence Algorithm

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Symptoms
If you or someone you know is exhibiting symptoms of Syphilis, seek medical attention immediately.

Symptoms vary as the disease progresses.

Primary stage

  • Enlarged lymph nodes near the groin
  • Small, painless sores on the skin anywhere on the body, including inside the rectum and vagina

Secondary stage

  • Small, reddish-brown sores on the skin
  • sores in the mouth, vagina, or anus
  • Fever
  • Swollen lymph glands
  • Weight loss
  • Hair loss
  • Headache and muscle aches
  • Extreme tiredness

Latent stage: No symptoms are noted for many years. But the person is highly contagious and progressing to the next stage

Tertiary stage

  • Permanent organ damage
  • Death

Causes

  • Syphilis is caused by the bacteria Treponema pallidum. Infection can be due to:
  • Direct contact with an infected person’s sores during sexual activity
  • Direct contact with the sores by kissing
  • Cuts, abrasions, or wounds exposed to infected sores
  • Infected mother to unborn child during pregnancy or childbirth
  • The risk factors include:
  • Unprotected sex
  • Multiple sex partners
  • HIV infection
  • Man who has sex with men

Prevention

  • Avoid sexual contact with infected persons
  • Use a dental dam or condom in every sexual encounter
  • Avoid multiple sexual partners
  • Avoid sharing needles

Complications

Complications are noted in the tertiary stage and include:

  • Brain or neurological problems
  • Stroke
  • Infection and inflammation of membranes covering the brain and spinal cord
  • Numbness
  • Deafness
  • Visual problems or blindness
  • Changes in personality
  • Dementia
  • Diseases of the valves of heart
  • Aneurysm
  • Inflammation of blood vessels
  • Paralysis
  • Increased risk of HIV infection
  • Still birth or death of infant a few days after birth in case of congenital syphilis

Cerebrospinal Fluid Evaluation