Syphilis Transmission: Sexual Contact and Vertical Transmission
Syphilis is a sexually transmitted infection caused by Treponema pallidum. It is not spread by casual contact (handshakes, hugs, sharing utensils, toilet seats).
Transmission Routes
- Sexual Contact: Direct contact with a chancre (primary stage) or mucous membrane lesions (secondary stage) during vaginal, anal, or oral sex.
- Vertical (Congenital): Transplacental transmission from infected mother to fetus (any trimester); also during delivery through contact with lesions.
- Blood Transfusion: Rare in screened blood supplies.
Prevention
- Consistent condom use.
- Regular STI screening for sexually active individuals.
- Prenatal screening and treatment (penicillin) to prevent congenital syphilis.
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