Benzathine Penicillin Treatment for Maternal Syphilis
*Except in case of patient being allergic to penicillin*
Assessment of Patient Eligibility for Treatment of syphilis
(1) Assess Test Results:
Identify the stage of syphilis in client
EARLY STAGE: Mouth Sores/Rash or asymptomatic:infected for <2years or[RPR Titre <1:8]
LATENT STAGE: Asymptomatic infected for=>2years or an unknown period[RPR Titre>=1:8]
Ensure the client is not allergic to penicillin or cephalosporin,and has no history of anaphylaxis
Pregnant women found reactive on ANYONE {or More}of PoC/Dual RDT/RPR/VDRL/TPHA(in any titre)Tests,should be treated with Benzathine penicillin G (BPG).
(2) Determine BPG Dose:
RPR Titre Value(Stage of Infection)
Recommended Regimen: 2.4M Units of benzathine penicillin G(BPG)intramuscular injection Single Dose.
Alternative Regimen: Erythromycin 500mg/doses orally, 4doses/day for 15 days OR Azythromycin 2g orally in 1 dose.
(3) Administer intramuscular (BPG) injection
(4) Observe patient for Signs of Anaphylactic Shock
In extremely rare cases (0.01% chances)BPG may cause Anaphylaxis
observe a patient for a minimum of 10 minutes for any of the following symptoms
Discomfort in Breathing
Shock
Itchy Rashes of Hives
In case of Anaphylactic Shock
NOTE:
All this steps should be followed by a professional Medical health practitioner or the injection should be taken under professional Medical health practitioner only and Benzathine Penicillin should be taken under the supervision of Professional Doctors.