Contact with things used by syphilis patients will also be infected with syphilis common 4 ways of transmission

Syphilis is a chronic contagious disease. The pathogen of syphilis is Treponema pallidum (Treponemapallidum), a spirochete that is seriously pathogenic to humans and can invade any organ and produce a variety of symptoms. Treponema pallidum only infects humans, so syphilis is the only source of infection. Its route of transmission, acquired syphilis is mainly transmitted through sexual intercourse love egg , a few can be transmitted through kissing, but also through the placenta to the fetus and cause disease. Untreatable syphilis patients, within a year after infection, its infectivity is the biggest, the longer the disease period, the less infectious. Four years after infection, it is generally not contagious through sexual contact, but it can still be transmitted by fetus.
How many ways of transmission are there for syphilis?
Syphilis is highly contagious, and the routes of transmission can be divided into direct contact and non-sexual contact. Many people do not go to some informal places and feel inconceivable that they have syphilis. The main ways of transmission of syphilis are as follows.
1. Sexual contact transmission
Clinically, more than 90% of syphilis is transmitted through sexual contact with syphilis patients. The ways of sexual contact include sexual intercourse, warm kissing and hugging of skin contact. Because the skin and mucous membrane of the human genitals are thin, the blood vessels are rich, and they are in a state of extreme congestion during sexual intercourse, sexual friction can cause minor damage, creating conditions for the invasion of Treponema pallidum.
2. Indirect contact transmission
Contact with things used by syphilis patients, such as the patient's clothes, quilts, articles, supplies, tools, toilets, bath towels, etc. best male masturbator , may be contaminated by the patient's secretions and infected with pallid Treponema pallidum. Healthy people who live closely with syphilis patients are prone to syphilis when they come into contact with pathogenic bacteria in a slight wound.
3. Blood-borne transmission
The course of syphilis is long, and Treponema pallidum can be latent in the patient's blood for a period of time. In particular, patients with latent syphilis are infected with pathogens, but there are no clinical manifestations. Blood and blood products provided by healthy people and patients with other diseases can infect blood patients with syphilis.
4. Placental transmission
When pregnant women are infected with syphilis, syphilis can be infected through the placenta during pregnancy. Pregnant women suffering from syphilis, not timely detection and treatment, or treatment is not complete finger vibrator , Treponema pallidum can be transmitted to the fetus through placental blood circulation, so that the fetus is infected with syphilis. Placental infection mainly occurs during early syphilis in pregnant women. When the fetus passes through the birth canal infected with syphilis, the pallid Treponema pallidum in the birth canal can be infected to the fetus, causing the newborn to infect syphilis.
There are several principles for treating syphilis.
Syphilis is a chronic women vibrator , systemic disease caused by Treponema pallidum. Mainly through sexual channels, clinical manifestations of primary syphilis, secondary syphilis, tertiary syphilis, latent syphilis, congenital syphilis and so on. In the Law of the people's Republic of China on the Prevention of Infectious Diseases, it is listed as a category of diseases for category B prevention and management.
Syphilis can be divided into the following treatments according to the disease.
1. Principles of treatment
It emphasizes early diagnosis, early treatment, regular course of treatment and adequate dose. Regular clinical and laboratory follow-up were carried out after treatment. Sexual partners must investigate Tongzhi together. Early syphilis can be cured clinically and eliminate infectivity after thorough treatment. Treatment for advanced syphilis can eliminate inflammation in the tissue, but damaged tissue is difficult to repair.
Penicillin, such as water agent penicillin, procaine penicillin, bromoxacillin, etc., are priority drugs for staged syphilis. People who are allergic to penicillin can choose tetracycline, erythromycin and so on. Some patients may have Jihai reaction at the beginning of the treatment of penicillin, which can be prevented by starting with a small dose or by using other drugs. The serum was reexamined every 3 months in the first year after syphilis treatment, and then every 6 months for 3 years. Neurosyphilis and cardiovascular syphilis should be followed up for a lifetime.
2. Early syphilis (including primary and secondary syphilis and early latent syphilis)
(1) penicillin therapy bromoxol (long-term cicillin) is divided into bilateral gluteal intramuscular injection, once a week, a total of 2-3 times. Procaine penicillin g was injected intramuscularly for 10 to 15 days, with a total amount of 8 million u ~ 12 million u.
(2) tetracycline hydrochloride was taken orally for 15 days in patients with penicillin allergy. Doxycycline was taken continuously for 15 days.
3. Advanced syphilis (including tertiary skin, mucous membrane, bone syphilis, late latent syphilis) and secondary syphilis recurrence
(1) penicillin bromoxol, once a week, intramuscularly injected three times. Procaine penicillin G was injected intramuscularly for 20 days. The treatment can be repeated once after an interval of 2 weeks.
(2) tetracycline hydrochloride was taken orally for 30 days in patients with penicillin allergy. Doxycycline, for 30 days.
4. Neurosyphilis
Should be hospitalized, in order to avoid Gehertz reaction in the treatment, oral prednisone one day before injection of penicillin, once a day for 3 consecutive days.
The main results were as follows: (1) penicillin g was given intravenously for 14 days.
(2) Procaine penicillin g was injected intramuscularly and oral propanesulfonic acid was taken orally for 10 to 14 days.
After the above-mentioned treatment, they were given bromoxobenzene once a week, intramuscular injection for 3 weeks.
5. Syphilis during pregnancy
According to the treatment plan of syphilis in the corresponding period, one course of treatment was used within three months before pregnancy and one course of treatment was used in three months after pregnancy. Patients with penicillin allergy were treated with erythromycin, early syphilis for 15 days, secondary recurrence and late syphilis for 30 days. The babies were treated with penicillin.
6. Fetal syphilis (congenital syphilis)
Early congenital syphilis (less than 2 years old) cerebrospinal fluid abnormality: water penicillin g or procaine penicillin g treatment, the specific dose as directed by the doctor. Patients with normal cerebrospinal fluid: benzylpenicillin g, injected once (divided into bilateral gluteal muscles). Those who check cerebrospinal fluid unconditionally can be treated as those with abnormal cerebrospinal fluid.
7. Treatment of syphilis in pregnant women
(1) married women with a history of syphilis must undergo a comprehensive syphilis test before becoming pregnant. Women who have had unclean sex or infected with syphilis had better go to a regular hospital for a comprehensive syphilis test before pregnancy. At the end of syphilis treatment, married women with mild symptoms of syphilis must also become pregnant after confirming that syphilis is cured.
(2) examination and treatment of syphilis during pregnancy: serological examination of syphilis should be carried out in the first 3 months and the end of pregnancy. Syphilis should be treated regularly to reduce the chance of syphilis infection in fetuses.
8. Jihai reaction in the treatment of syphilis
Within a few hours after the first treatment, fever, headache, arthralgia, nausea, vomiting and syphilis rash may worsen, which belongs to Jihai reaction, and the symptoms are mostly relieved within 24 hours. In order to prevent Jihai reaction, penicillin can be increased from a small amount to a normal dose. Neurosyphilis and cardiovascular syphilis were given a short course of prednisone before treatment, and stopped gradually 2-4 days after anti-syphilis treatment. Corticosteroids can reduce the fever of Jihai reaction, but the effect of corticosteroids on local inflammation is uncertain.