Syphilis treatment: antibiotics and other medications.
The mainstay of treatment is antiobiotics, as syphilis is a bacterial sexually transmitted infectious disease and penicillin, to which the bacterium has not developed resistance, is most commonly used.
Antibiotics for syphilis are injected directly into the muscle and can also be given during the last third stage, but it is ideal to start as soon as possible. Antibiotics are given for 2 weeks for the first and second stages, and for 3 weeks and a month for the third stage.
If the patient is allergic to penicillin, an alternative is erythromycin or tetracycline given for 30 days. If there is fever or heart problems, treatment with corticosteroids may also be indicated. Alternatively, pendepone for 3 weeks is also used.
It is not only the affected person who needs to be treated, but also those around him or her with whom he or she has come into contact, as there is a risk of syphilis spreading further.
In more serious cases, especially when multiple organs are affected, antibiotic treatment is given along with hospitalization of the patient. In this case, it involves placing the patient in the ward for infections with compliance with all regimen measures.
Due to the high infectiousness of syphilis, it is also necessary to report its occurrence to the local health authority.
Not all cases of syphilis are treated by hospitalization. If the doctor decides to do so, outpatient treatment, that is, the application of antibiotics in the outpatient clinic and observation of the patient's condition, is sufficient.
Even after the end of antibiotic treatment, follow-up blood tests are carried out, in the first half of the year every two months, in the second half of the year usually every three months.
The condition of other organs is also monitored.
If after two years the check for the presence of the bacterium proves negative, it is possible to verify the cure through lung and heart X-ray, echocardiography of the aorta and neurological, psychiatric and cerebrospinal fluid examinations.
If the absence of the disease is confirmed, the person is removed from the register of the sick, and the treatment was successful.
However, if left untreated, there is a risk of death due to multiple organ failure.