MBBS (Hons), FRACGP, General Practitioner, Syphilis Response Team, Metropolitan Communicable Disease Control, North Metropolitan Health Service, Perth, WA.
MBBS, FRACGP, FAFPHM, Public Health Physician, Syphilis Response Team, Metropolitan Communicable Disease Control, North Metropolitan Health Service, Perth, WA; Public Health Medical Officer, Aboriginal Health Council of Western Australia, Highgate, WA.
Aust J Gen Pract. 2024 Mar;53(3):133-137. doi: 10.31128/AJGP-08-23-6943.
Syphilis infections have been increasing in Australia over the past decade. This phenomenon has been associated with a re-emergence of congenital syphilis.
The aim of this article is to describe recent epidemiological trends of syphilis infection in Australia, including demographics in which infection rates are rising, such as women of reproductive age. This article also provides an overview of the clinical course and the principles of management for syphilis.
Considered by some as a disease of bygone eras, the resurgence of syphilis in Australia requires clinicians to be alert to this infection once again. Increased testing, prompt management and thorough contact tracing are all required to reverse this trend. Congenital syphilis is a potentially devastating yet preventable consequence of rising infections among women of reproductive age. Universal syphilis screening is recommended for all pregnant women at the initial antenatal visit and is now also recommended in the third trimester in several Australian jurisdictions.
在过去的十年中，澳大利亚的梅毒感染病例一直在增加。这种现象与先天性梅毒的再次出现有关。
本文旨在描述澳大利亚梅毒感染的最新流行病学趋势，包括感染率上升的人群，如育龄妇女。本文还概述了梅毒的临床病程和治疗原则。
梅毒在一些人看来是过去时代的疾病，但在澳大利亚，梅毒的再次出现需要临床医生再次警惕这种感染。增加检测、及时治疗和彻底的接触者追踪都是扭转这一趋势所必需的。先天性梅毒是育龄妇女感染率上升的一个潜在破坏性但可预防的后果。目前建议所有孕妇在初次产前检查时进行普遍的梅毒筛查，在澳大利亚的几个司法管辖区，现在也建议在妊娠晚期进行筛查。
