Syphilis in London circa 2004: new challenges from an old disease

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Abstract
Given the previously low rates of congenital syphilis, clinicians may be currently relatively unfamiliar with the diagnosis and management of a potentially fatal but preventable condition in infants. Guidelines exist in both the UK and North America,5, 6 but there are concerns that these are not being uniformly followed. In view of the increasing rate of syphilis nationally we carried out a clinical audit of the completeness of investigation, treatment, and follow up of pregnant women with positive antenatal syphilis serology and their infants at a tertiary hospital in south London.

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