Treatment of Syphilis

Apr 15, 2012 , Eva Papežová

lecba-syfilis.jpg - kopie
lecba-syfilis.jpg - kopie
Treatment of syphilis is a process lasting about one month according to the stage of the disease. In the treatment of syphilis penicillin has been traditionally used since 1943; no more effective medicament has been found since. Every patient diagnosed with syphilis must be reported, recorded and treated. If the patient refuses to undergo treatment, it may be classified as a criminal offence with all legal consequences.

Treatment of Syphilis

Syphilis is a highly contagious chronic sexually transmitted disease. Its course comprises three stages, ranging up to several decades. Untreated or inadequately treated syphilis may be in the late stage the cause of death or disability of the infected person. Syphilis is subject to mandatory reporting, which means that the diagnosing doctor must communicate this information to the local health department. All sexual contacts of the patient must be found and tested to exclude the infection. Treatment of syphilis should be guided by a dermatovenerologist, which is a branch of medicine specializing in skin and venereal diseases. The basis of syphilis treatment is penicillin administration; it is effective in all stages of the disease. Penicillin was introduced into the treatment as early as 1943 and no better treatment has been found since. However, it is very important to start treatment as early as possible.

Syphilis

Syphilis, or lues, as already mentioned in the introduction, is a highly contagious sexually transmitted disease that is caused by the bacterium Treponema pallidum. Treponema pallidum enters the body most of the time during sexual intercourse. Thus, the gateway most often is skin or mucous membrane of the genital area or the mouth. The disease has several different stages and can affect any tissue or organ in the body. Syphilis at the beginning manifests by various non-specific symptoms so that it can mimic various other diseases; later the symptoms and course of the disease become unambiguous. The primary stage consists of hard painless chancre in the genital area, on the penis or vulva, or around the anus. In the secondary stage, the bacteria spread through the entire body. Generally, the secondary stage is characterized by varied changes in the skin and mucous membranes. There may be a rash all over the body, different types of "pimples" that do not hurt or itch and often occur in groups, sometimes condylomata lata can be present. The patients usually suffer increased fatigue, headache, fever, sore throat, joint pain or disorders of hair growth. In the tertiary stage, damage to several organs is already present. Mostly brain and spinal cord damage finally leads to the death of the infected person. For the tertiary stage of syphilis, formations under the skin called gummas are also typical. Gummas contain yellowish liquid, the covering skin is red and decays over time. After healing of a gumma, a smooth white scar remains. Only early detection and early treatment of syphilis can be successful.

Treatment of Syphilis

The treatment of syphilis is best performed during stay in a hospital because of the infectious nature of the disease and possible complications. A penicillin antibiotic is administered, usually intravenous Penicillin G 4-6 times a day. Intravenous administration is always better than tablets due to variable drug absorption from the gastrointestinal tract. Early stages of syphilis are usually treated 15 days with antibiotics, in late stages of syphilis the treatment may be prolonged to 21 days. Alternative antibiotics in the case of allergy to penicillin are macrolides or doxycycline – the treatment lasts usually 30 days in these antibiotics, however. Pregnant women should only be treated with penicillin as therapy with the other drugs is not safe during pregnancy; penicillin is not toxic and does not harm the fetus during its development. If a pregnant woman is allergic to penicillin, it should be replaced by erythromycin. Prior to this replacement, penicillin allergy should be verified by serologic and skin tests. Allergic reaction to antibiotics is often confused with children's febrile infections with rash, during which concurrently penicillin is given to the little patient. Therefore, not everybody who believes he/she is allergic to penicillin must really suffer from this allergy.

Every treatment has a certain risk of complications. In the case of syphilis treatment, treatment complications usually occur in the first 24 hours. In up to 25% of complications it is so-called Jarisch-Herxheimer reaction, which is manifested by fever, increased heart rate, sweating, headache, muscle pain, or collapse. Generally, this reaction is generated by release of toxic products of necrotic bacteria. This complication is quite frequent and can be quite easily managed by short-term administration of corticosteroids.

Treatment of Syphilis and Removal from the Register of Patients

Every patient must be regularly serologically checked-up for at least 2 years after treatment of syphilis. The patient stays in the care of the Department of Dermatovenerology where the treatment was guided. Alongside with serological tests other examinations are performed, too – heart and lung X-ray, echocardiography of the aorta, neurological and psychiatric examination, ocular and cerebrospinal fluid examination. If all the results are negative, after 2 years the patient can be removed from the register of syphilitic patients. Otherwise, the patient is regularly monitored every 5 years for another 20 years.

Refusal of Syphilis Treatment

Every patient diagnosed with syphilis is in most countries legally obliged to undergo treatment. If he/she does refuse, it might be classified as a criminal offence. Any case, the treatment is simple and effective and the outcome of untreated syphilis is usually fatal.

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ShaneTriew: Chinese paid dating sites

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under western culture, Dating is fun and the emphasis of serious interaction is on love; Talk of long term commitment and goals come much later. In tiongkok, undertaking comes first; really like may, Or wouldn't, Blossom when you need it. in the western world, the foundation of any lasting relationship/marriage is love, Then a couple can socialize to attain stability; In kathmandu, the inspiration is stability and security without which love often cannot survive, a reduced amount of develop.

This will also apply to most dates in China, Especially among nonetheless are what caused nearing their late 20s. The younger generation are relatively more enjoyable in their approach; when, Long term aims are still discussed much earlier than their counterparts in the west do. Every Chinese knows that the only purpose of dating is to locate suitable lifetime partner, With the increased exposure of the word "eligible,

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Unlike in the western world, Love is only some of the factor Chinese women consider when dating; It is becoming increasingly more important, But most women of China still possess a more realistic attitude rather than a romantic one. Perhaps they are yet to dated other foreign men before; or just, more likely, they got their western dating ideas from western shows and movies. You needn't be like Ross from Friends or Adam Sandler in 50 First Dates; But she expects you to be romantic and a gentleman.

perhaps you have had already perfected your technique on how to impress a woman, But dating Chinese women is a distinctive experience, Especially if the woman you're interested in has not left mainland China all her life and if it's your first time dating one.

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along with, If you are more likely to sweat a lot, you wouldn't like her physical attraction to you waver when she sees your armpit stains. So and bear in mind the antiperspirant, particularly if it's an antiperspirant kind of weather.

Smelling nice is; But don't injure yourself. If you use too much cologne or one with a extremely powerful scent, Your date might imagine you're trying to cover something up, Like the fact that you didn't shower for your date. Just a hint of cologne should be enough. It would help whether you have female Chinese friends that you can consult. But always err on the side of caution.

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of course, Similar conditions have been a constant problem for Chinese men who are at the bottom of the heap, as it were. They are unable to take part in the marriage market. While it's true that many Chinese women, Both modern and careful, Do have certain standards that are locked up in their income and education, this kind of fact is not the entire picture.

It is most certainly that the idea of Chinese gold diggers is a simple attempt at disinformation with the purpose of undermining the achievements of these women, Who have proven themselves very capable and competitive players in China's male dominated society, And discouraging them from claiming their flexibility, And in effect keeping them shackled to lifestyle.

if truth be told, China has established a unique phenomenon which, the argued, Serves the said intention the "Sheng nu, Which means "outstanding women, These are girls that, due to their age and achievements, Have supposedly made themselves unsuitable for marriage first, Because they have chosen to spend their twenties pursuing degree and career ambitions and, Second, Because their achievements in these areas have made them unrealistically demanding relating to their standards when choosing a mate.

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doctor Daud, 80, strongly remembers a new day your woman had to be "Parachuted" inside Dubai in 1963.

"agonizing gotten here i came across there would be no terminal. there is only a runway. as soon as we ended up somewhere we were whack by their wave of incredible heat, your ex recalls.

delivered the quantity of advanced doctor's offices or restaurants it has as well as expansive medical-related course, it's tough to recognize the UAE once included not for enough medical centers and as a consequence principally borrowed experts between all other region.

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just after over fifty percent a century concerning non pause effort doctor Daud contains as being a decided to relax a bit of a. the woman draws a "somewhat upon the market" everyday life from this day forward, grinding it out primary two several per day in her Sharjah infirmary.

your own woman continue to be will keep her american native passport there are stronger ties with your ex-girlfriend country music of predominantly delivery.

and has this lady want to go back?

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q: the other tomatoes have you uncovered obtained old introductions pre glowing hurry?

some sort of: diverse plants and flowers across my involving hardy perchance showed by the original are undoubtedly Russians : spud, competition lily, grey iris, euro schokohrrutige currant, Gooseberry, european chive, european daisy, strawberry or strawberry. local people declare the trees court from the ruskies grow old.

queen: tend to be next thing in your research? which side it endure everyone?

a fabulous: I need to collect rhubarb plant life, If I can purchase them, throughout the commune involving undesirable harbor (shut to Three saints fresh on the topic of Kodiak region) perfectly as other neighborhoods by which Russians might be suffering from raised rhubarb vegetation on the their describe. I'd enjoy having some cellular material civilizations accomplished to examine if i should have concentrate on the plants' origins. now i am specific concerned about the Ayakulik rhubarb of Kodiak that was presented with to me and as well as which provided regarding the Palmer line. that originated from a early replacement patch not too distant a tropical fish weir about Ayakulik water, n't too not likely Olga these kinds of around Kodiak.

q: conscious if you have type of traditional information which will indigenous Alaskans were being creating pots as you may know these people?

a particular: truly the only bounty i have forever seen what food was in Southeast alaska, in which experts have discovered signals that most has revealed the Tlingits used backyard garden areas the person grew strong tobacco ahead of the came Russians.

queen: a new main issue i haven't desired to know associated with you'd like to answer?

virtually any: some of the rhubarb plants in north america hails from arizona State, in spite of rhubarb growth often is learning in alaska. that's an additional novel.

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