CommentAvoiding HIV and dying of syphilis
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Cited by (61)
Sexually transmitted infections: challenges ahead
2017, The Lancet Infectious DiseasesCelebrating the decline in syphilis in pregnancy: a sobering reminder of what's left to do
2016, The Lancet Global HealthThe need for further integration of services to prevent mother-to-child transmission of HIV and syphilis in Mwanza City, Tanzania
2015, International Journal of Gynecology and ObstetricsCitation Excerpt :Unfortunately, these have been usually provided through vertical programs, which have not been integrated with other maternal and child health activities, and have not included syphilis screening. We have previously drawn attention to the tragedy of infants in whom HIV infection was prevented through PMTCT programs in Haiti, only for them to die of congenital syphilis [23]. The present study highlights the importance of ensuring that syphilis and HIV screening are performed simultaneously on all pregnant women through an integrated program.
Syphilis testing in antenatal care: Policies and practices among laboratories in the Americas
2015, International Journal of Gynecology and ObstetricsCitation Excerpt :The most commonly used serologic screening tests for syphilis require specialized reagents and equipment and trained technicians—a laboratory capacity typically unavailable outside larger hospital or reference laboratories in most low- and middle-income countries [9]. However, globally, many pregnant women receive ANC at lower-level facilities without such laboratory capacity [6–8]. To date, little has been reported in the Americas region regarding the current state of laboratory-based syphilis testing, including the types of tests available, algorithms used, or testing quality.
Epidemiology of sexually transmitted infections: Worldwide
2014, Medicine (United Kingdom)Citation Excerpt :A single, oral dose of azithromycin 2 g has been shown to be effective in treating syphilis in Tanzania, although resistance to azithromycin has been identified in strains of Treponema pallidum from MSM in the USA and Europe, and in China.19–21 The increased resources now available for the prevention of mother-to-child transmission of HIV in many developing countries offer an important opportunity to increase the coverage of prenatal syphilis screening, but the vertical nature of many HIV programmes has often prevented this opportunity from being seized.22 A new, dual point-of-care test for HIV and syphilis, which has recently become available, should help to increase the coverage of prenatal screening for syphilis.
Syphilis and HIV-1 among parturient women in Salvador, Brazil: Low prevalence of syphilis and high rate of loss to follow-up in HIV-infected women
2013, Brazilian Journal of Infectious DiseasesCitation Excerpt :The reduction of HIV-1 MTCT and the elimination of congenital syphilis can be achieved through proper treatment of infected women during pregnancy.8,9 While the transmission risk of HIV-1 during and after delivery can be reduced to levels of less than 2%,10 congenital syphilis can be completely eliminated if the mother is diagnosed and treated during the prenatal period.9,11,12 Current recommendations for the prevention of MTCT include HIV testing during pregnancy and peripartum period and, for HIV-infected mothers, the initiation of combination antiretroviral therapy during pregnancy coupled with the use of intravenous zidovudine during labor.