Patient's question:
A pregnant woman who is 20 weeks pregnant had a test for syphilis-specific antibodies at a local hospital. The result showed a titer of 15.20, and the rapid plasma reagin test (RPR) was positive (1:1).Doctor's answer:
During pregnancy, if syphilis is detected, antisyphilis treatment should be administered in both the early and late stages of pregnancy. Regular follow-up tests should also be conducted during pregnancy. The baby should also be tested at birth, and medication may be necessary if required. The specific treatment for syphilis is long-acting penicillin, administered once a week, with two injections per session, for a total of six injections over three weeks. It does not necessarily transmit to the child, but attention should be paid to the choice of delivery method.