By vgreene, 1 April, 2016 If reactive serology in infant child review maternal records perform CSF other eval treat careful f u
By vgreene, 1 April, 2016 F/U: Perform careful exam and nontreponemal serology q3mo in all children/infants beyond neonatal period treated for congenital syphilis, until nonreactive, or ↓ 4-fold2-4
By vgreene, 1 April, 2016 CSF eval incl VDRL, cell count, protein; CBC w/ diff + platelet count; other tests as clinically indicated1
By vgreene, 1 April, 2016 Perform exam and thoroughly review maternal serology/records to assess if case is congenital or acquired; postnatally acquired syphilis indicative of sexual abuse; investigation warranted by clinician w/ experience/training in eval of child abuse/neglect/
By vgreene, 1 April, 2016 F/U: All neonates w/ reactive nontreponemal tests should receive careful f/u exam and nontreponemal serology q2-3mo until tests negative2,3
By vgreene, 1 April, 2016 If test (+) at birth and f/u uncertain, may consider benzathine penicillin G 50,000 units/kg IM x11