Incubating Syphilis / Epidemiological treatment

Warning


If a patient is asymptomatic and reports exposure to infectious syphilis, discuss the option of:

  • Immediate epidemiological treatment before any results have been received,
    or
  • Waiting for a positive result, repeating the serology at monthly intervals for three months

In an outbreak situation epidemiologic treatment should be given especially if there is a chance the patient will not return.

Epidemiologically treated patients still require serological follow-up.

*Benzathine penicillin G 2.4MU intramuscular
(as*Extencilline 8ml) (NB unlicensed medication, named patient form may be needed)
For administration, see Preparation Instructions for Extencilline 2.4MU

PENICILLIN ALLERGY: Doxycycline 100mg twice daily orally for 14 days

 

Editorial Information

Last reviewed: 30/09/2022

Next review date: 30/09/2024

Author(s): West of Scotland Managed Clinical Network in Sexual Health Clinical Guidelines Group .

Version: 7.1

Approved By: West of Scotland Managed Clinical Network in Sexual Health