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Page: Prevention
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While abstinence from any sexual activity is very effective at helping prevent Syphilis, it should be noted that T. pallidum readily crosses intact mucosas and cut skin (Harrison?s Internal Medicine, 15th Ed.).
Test all patients with syphilis for HIV. Presumptively treat individuals sexually exposed to a person with primary, secondary, or early latent syphilis within 90 days preceding the diagnosis even if seronegative. If the exposure was more than 90 days before the diagnosis, treat presumptively if serologic testing is not immediately available or if follow-up is uncertain. Patients with syphilis of unknown duration and nontreponemal serologic titers ?1:32 may be considered as having early syphilis for purposes of partner notification and presumptive treatment of sex partners. Evaluate long-term sex partners of patients with late syphilis clinically and serologically and treat appropriately. Educate patients as previously described.
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