Treatment For Syphilis Sufferers?
I was diagnosed with syphilis and I was given the antibiotic azithromycin 2g. So I take 4 tablets a day. But I was given the medicine only for one drink and told to control after 2 weeks. Is it correct? Or should I take azithromycin 2g for 2 weeks every day? Explanation please. Thank you
Good afternoon, thanks for the question
Syphilis is a chronic sexually transmitted infection that is caused by the organism Treponema pallidum. Symptoms of syphilis based on the stage of the disease itself, namely:
1. Primary syphilis: a single, painless wound in the genitals or around the mouth, the lesion will heal even without treatment and enter the next stage. At this stage, an infected person is very easily transmitted to others through sexual contact.
2. Secondary syphilis: red rashes all over the body, especially on the palms. This phase lasts for 1-3 months.
3. Latent syphilis: without symptoms
4. Tertiary syphilis: causes paralysis, blindness, dementia, hearing loss, impotence, and death.
Based on the CDC all stages of syphilis disease first-line treatment with the injection of antibiotics penicillin G with a dose of 2.4 million units given as much as 1 dose. In individuals who are allergic to penicillin or in pregnant women, alternative therapies other than penicillin G can be recommended. An alternative treatment is using antibiotic doxycycline or tetracycline. Other treatment options that are known to be quite effective are ceftriaxone by injection or oral azithromycin. Azithromycin can be used at a dose of 2 grams given as much as 1 dose only for cases of primary syphilis. So, it is true in your case that the above dosage is given if penicillin G is not available or cannot be given to patients.
After 6 to 12 months the patient is advised to do a physical examination and re-laboratory. Treatment failure is defined as symptoms that are persistent or recurrent or increase in nontroponemal test titers by 4x the normal value after treatment. Patients who experience therapy failure will be advised to undergo HIV testing and evaluation for possible neurosyphilis.
That's all, hope you can help