Treatment with benzathine penicillin can prevent congenital syphilis, but the drug has been in short supply since April. There are no other syphilis treatments considered safe for use in pregnant women.
and could have devastating effects on the state’s newborns. Cases of congenital syphilis, a potentially deadly condition that affects babies exposed during pregnancy or birth, have been on the rise in Alabama for a decade.
“We still prefer [benzathine penicillin] for the treatment of syphilis,” Landers said. “Because even with the oral regimens, which do work in non-pregnant women or men, we have to ensure that people take it. And trying to ensure that people take something for two weeks, twice a day or four weeks twice a day can be a concern.”
“If you have this infection, either in utero or acquired at the time of birth, the long-term manifestations can be significant,” Dionne said. “Learning disabilities and growth abnormalities. Things that will impact the child for the rest of their life. So, we try to do everything we can to prevent that from happening, which really relies on early diagnosis and early treatment during pregnancy.”
In adults, the most common symptom of early-stage syphilis is a chancre or circular lesion. Dionne said pregnant women may feel no symptoms.
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