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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