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Sexually transmitted disease (11, syphilis Bacterium (Transmission (1,…

- - - - NAAT
        DFA
        EIA
        testing foŕ other STDs
        Culture for chlamydia
- - - - Serologic and cytologic tests
        
        HPV dna test if women have abnormal PAP test
    - - Chemical
        
        Trichloroacetic acid (TCA) 25 % 50% 100 %
        Bichloroacetic acid BCA 30 %
        Podophyllun resin 25 %
        Patient managed
        Podofilox ( Condylox gel 0.5 %)
        Imiquimod (Aldara) 5 % cream
        If still not regress
        1, cryotherapy with liquid nitrogen
        2, electrocautery
        3, laser theraphy
        4, use of alpha - interferon
        5, surgical excision
- - - - Chemoprophylaxis : one dose of 2.4 million units of long acting I.M penicillin I.M
        Early latent syphilis
        
        Benzathine penicillin G 2.4 million units I.M in a single dose
        
        Late latent syphilis
        Benzathine penicillin G 7.2 million unit total , administered as 3 doses of 2.4 million units IM each at 1 week intervals.
        Recommended regimens for infants and children
        Early latent syphilis
        Benzathine penicillin G 50 000 units/kg IM up to adults dose 2.4 millions unit in a single dose
        Late Latent Syphilis
        Benzathine penicillin G 50 000 units/kg IM ,up to 2.4 millions units administered at 3 doses at 1 week intervals .Total 150 000 units/kg up to 7.2 million units.