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Treatment of patients with syphilis. Cure criterion. Clinical examination of patients with syphilis

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Treatment of patients with syphilis. Cure criterion. Clinical examination of patients with syphilis

  1. The basic principles of treatment of patients with syphilis
    Prior to treatment, it is necessary to clarify the patient's tolerability of penicillin or other antibiotics in the past. There are many treatments for syphilis. Students and doctors should remember that it is not syphilis that should be treated, but this patient with syphilitic infection, and the basic principles must be observed: 1. Treatment should be prescribed as soon as possible, immediately after
  2. The basic principles of treatment of patients with syphilis
    Specific treatment is prescribed for syphilis patients after diagnosis. The diagnosis is established on the basis of the corresponding clinical manifestations, detection of the causative agent of the disease and the results of the serological examination: CSC, MRI (or analogues - VDRL, RPR), RPHA, ELISA, RIF, RIBT. Preventive treatment is carried out in order to prevent syphilis to persons in
  3. CONGENITAL SYPHILIS. TREATMENT AND PREVENTION OF SYPHILIS
    The fact of transmission of syphilis to offspring was established in the late 15th - early 16th centuries. For several centuries, the question of the mechanism of transmission of syphilitic infection remained unclear. For centuries, the germinative hypothesis was dominant, according to which syphilis is transmitted to the fetus only by the father through a sperm that directly infects the egg cell. According to this view, a child with syphilis
  4. Medical rehabilitation of syphilis patients
    A. Medical rehabilitation of patients with early forms of syphilis with delayed negative CSF. Patients with delayed negative RSK with treponoma and cardiolipin antigens and MRI with and cardiolipin antigen in case of positive reactions of pale treponem immobilization and immunofluorescence 6-12 months after the end of etiotropic treatment, a course is recommended
  5. HIV INFECTION AND SYPHILIS - A GENERALITY OF EPIDEMIOLOGY AND FEATURES OF CLINICAL COURSE IN PATIENTS WITH MIXED INFECTION
    Analysis of the HIV epidemic gives reason to fully consider it as a sexually transmitted disease, the epidemiological and clinical features of which are very similar to syphilis. HIV infection has a number of characteristic STI pathogens, in particular pale treponema, biological properties, and in the spread of HIV infection, as well as other STIs, a decisive role is played
  6. Clinical examination of surgical patients
    Clinical examination of surgical patients is carried out by the FAP paramedic under the guidance of his curator surgeon. Types of medical examination There are two types of medical examination: 1) medical examination of patients suffering from certain chronic diseases; 2) medical examination of individual healthy contingents. An example of the latter method is the medical examination of children, pregnant women or groups combined
  7. Syphilis treatment
    In the last century, only mercury and iodine preparations were used to treat patients with syphilis. In 1909, arsenic, salvarsan, was introduced into the treatment of syphilis, 1912, neosalvarsan, bismuth preparations from 1920, and penicillin and its derivatives from the beginning of 1950. To reduce the incidence of syphilis, it is necessary to diagnose the disease in a timely manner, identify sources of infection and genital
  8. Treatment and prevention of syphilis
    The basic principles of treatment L. KSK after treatment. Criteria for cure and deregistration for people who have completed syphilis treatment. In the last century, only mercury and iodine preparations were used to treat L. patients. Introduction to the arsenal of antisyphilitic drugs arsenic drug - salvarsan (1909). Neosalvarsan (1912), and then bismuth (1920), was a new era in the treatment of syphilis.
  9. Congenital syphilis. Fetal syphilis
    Under the influence of treponem, changes that occur in the placenta make it functionally inferior, as a result of which its intrauterine death occurs at the 6-7th month of pregnancy. The dead fruit is pushed out on the 3-4th day, usually in a macerated state. The macerated fruit, compared with a normally developing fruit of the same age, has significantly smaller sizes and weights. Leather
  10. SYPHILIS. PRIMARY PERIOD OF SYPHILIS
    Currently, there is a large group of sexually transmitted infections (STIs). Classification of STIs (WHO, 1982) Bacterial nature 1. Syphilis and other treponematoses (pint, frambesia, bezhel) 2. Gonorrhea 3. Chancroid 4. Venereal lymphogranulomatosis 5. Donovanosis 6. Urogenital chlamydia and Reiter’s disease 7. Urogenital mycoplasmosis (in t .h.
  11. The course of the secondary and tertiary periods of syphilis. Malignant course of syphilis
    Secondary period. This period begins with the onset of the first generalized rashes (on average 2.5 months after infection) and lasts in most cases for 2–4 years. The duration of the secondary period is individual and is determined by the characteristics of the patient's immune system. In the secondary period, the most pronounced wave-like course of syphilis, i.e., alternation
  12. Serological diagnosis of syphilis. Treatment.
    Diagnosis: 1. Under a microscope (in a dark field) 2. Serological Order 11.61 of September 2, 1985 Test sensitivity = number of persons with this disease / with positive results, Test specificity = without this disease / with negative reactions group. Qualifying reactions do not give the right to make a diagnosis. Microprecipitation Reactions Ovchinikov
  13. Treatment and prevention of syphilis in children
    Early congenital manifest syphilis is diagnosed on the basis of positive serological reactions (CSF, RIFabs, RIT, ELISA), the presence of skin manifestations, bone changes (osteochondritis, periostitis), initial changes in the mucous membrane of the eye (chorioretinitis), phenomena of specific rhinitis, enlarged liver and spleen, pathology of cerebrospinal fluid. Of the listed symptoms may not be detected
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