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Peer reviewedSyphilisCongenital syphilisSyphilis in pregnancy

Management of neonates born to mothers with reactive serologic tests for syphilis

Current Opinion in Infectious Diseases·

Abigail Z. Nishikawa, W. Christopher Golden, Alexa J. Brumfiel, Sameer B. Chand, Pablo J. Sánchez

DOI
10.1097/qco.0000000000001234
PMID
42632925
PMCID
OpenAlex
W7204046145
Study type
Guideline
Publisher
Ovid Technologies (Wolters Kluwer Health)
Article type
journal-article
Integrity
current

Why this research matters now

The review is framed around the U.S. resurgence of maternal and congenital syphilis, noting associated neonatal morbidity and mortality and calling for more practical, safe management approaches.

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Structured evidence summary

Research question

The review addresses how to optimally manage neonates born to mothers with reactive serologic tests for syphilis, given rising maternal and congenital syphilis in the United States.

Study design

The article is a narrative review that summarizes current epidemiology and proposes a neonatal management guideline for clinical use.

Population and setting

The review focuses on neonates born to mothers with reactive serologic tests for syphilis, situated within the U.S. context of resurging maternal and congenital syphilis.

Main findings

Timely coordination with local health departments and knowledge of maternal treatment history are described as central to neonatal decision-making. The review recommends nontreponemal testing of all such neonates and proposes a guideline to simplify management while advocating expanded use of single-dose benzathine penicillin G therapy.

Public-health relevance

The review is framed around the U.S. resurgence of maternal and congenital syphilis, noting associated neonatal morbidity and mortality and calling for more practical, safe management approaches.

Important limitations

This summary is limited to the supplied single-article abstract and metadata; the original paper is required for decision-grade interpretation of the proposed guideline and its evidence base.

GIDS interpretation

Discoverability context: the review is indexed under syphilis, congenital syphilis, and syphilis in pregnancy, and is tagged to U.S. health policy and treatment topics, which may aid retrieval for clinicians seeking management guidance.

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Related GIDS surveillance

Literature context does not validate, explain, or change a surveillance signal. Exact and contextual relationships are shown separately.

03

Evidence relationships

This article has 9 auditable classifier relationships to diseases, places, topics, and study design.

about diseaseabout diseaseaddresses topicaddresses topicevaluates interventioninforms policy domainstudied population settingstudies populationuses study design