By vgreene, 1 April, 2016 If congenital syphilis1 proven highly probable perform CSF other eval treat x10 days careful f u
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 negative4-6
By vgreene, 1 April, 2016 CSF eval incl VDRL cell count protein 2 CBC w diff platelet count long bone radiographs other tests as clinically indicated3
By vgreene, 1 April, 2016 If mother has reactive treponemal nontreponemal test Check neonate serology exam other tests f u
By vgreene, 1 April, 2016 Neonates w nontreponemal test birth whose mothers were seroreactive delivery should have repeat nontreponemal test 3mo
By vgreene, 1 April, 2016 Examine for signs of congenital syphilis (eg, nonimmune hydrops, jaundice, hepatosplenomegaly, jaundice, rhinitis, rash, pseudoparalysis)3
By vgreene, 1 April, 2016 Perform nontreponemal test (RPR or VDRL)1 in neonate & compare to mother’s2
By vgreene, 1 April, 2016 Congenital syphilis unlikely Normal exam and quant nontreponemal titer equal to or less than 4 fold the maternal titer mother adequately treated before preg and maternal titer remained low stable before during preg and at delivery VDRL