{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T07:14:53Z","timestamp":1778829293724,"version":"3.51.4"},"reference-count":18,"publisher":"Wiley","license":[{"start":{"date-parts":[[2019,2,13]],"date-time":"2019-02-13T00:00:00Z","timestamp":1550016000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Infectious Diseases in Obstetrics and Gynecology"],"published-print":{"date-parts":[[2019,2,13]]},"abstract":"<jats:p><jats:italic>Objective<\/jats:italic>. The aim of this retrospective review is to evaluate trends in the management of maternal and congenital syphilis (CS) in a tertiary care center in New Orleans, LA.<jats:italic> Study Design<\/jats:italic>. All cases of maternal and neonatal syphilis over a five year period at Touro Infirmary, New Orleans, LA, were identified using ICD-9\/10 codes. Charts were reviewed for demographic and obstetrical variables, stage of syphilis at diagnosis, lab values, and treatment regimen. Newborn treatment and other outcomes were recorded.<jats:italic> Results<\/jats:italic>. During the study period 106 infected mother-baby pairs were identified. Of these, 73 charts are available for review. 41% (n = 30) of women received inadequate therapy according to their stage of disease. 9% of newborns (n = 6) were found to be symptomatic for CS; however, only 83.3% of these were admitted to the neonatal intensive care unit. Only 20% (n = 6) of infants were adequately treated with an extended penicillin regimen if the mother was not adequately treated. Furthermore, only 63.0% of newborns had a nontreponemal titer performed.<jats:italic> Conclusion<\/jats:italic>. With rising rates of CS, strict adherence to the 2015 CDC guidelines for treatment of syphilis must be maintained.<\/jats:p>","DOI":"10.1155\/2019\/2613962","type":"journal-article","created":{"date-parts":[[2019,2,13]],"date-time":"2019-02-13T18:33:51Z","timestamp":1550082831000},"page":"1-7","source":"Crossref","is-referenced-by-count":22,"title":["Challenges in the Contemporary Management of Syphilis among Pregnant Women in New Orleans, LA"],"prefix":"10.1155","volume":"2019","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2803-7329","authenticated-orcid":true,"given":"Irene A.","family":"Stafford","sequence":"first","affiliation":[{"name":"Baylor College of Medicine\/Texas Children\u2019s Hospital, Department of Obstetrics and Gynecology, Houston, TX, USA"},{"name":"Louisiana State University Health Sciences Center, Department of Obstetrics and Gynecology, New Orleans, LA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexandra","family":"Berra","sequence":"additional","affiliation":[{"name":"Baylor College of Medicine\/Texas Children\u2019s Hospital, Department of Obstetrics and Gynecology, Houston, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Charles G.","family":"Minard","sequence":"additional","affiliation":[{"name":"Baylor College of Medicine\/Texas Children\u2019s Hospital, Institute for Clinical and Translational Research, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Virginia","family":"Fontenot","sequence":"additional","affiliation":[{"name":"Louisiana State University Health Sciences Center, Department of Obstetrics and Gynecology, New Orleans, LA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rachel H.","family":"Kopkin","sequence":"additional","affiliation":[{"name":"Louisiana State University Health Sciences Center, Department of Obstetrics and Gynecology, New Orleans, LA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eliza","family":"Rodrigue","sequence":"additional","affiliation":[{"name":"Louisiana State University Health Sciences Center, Department of Obstetrics and Gynecology, New Orleans, LA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Charles M.","family":"Roitsch","sequence":"additional","affiliation":[{"name":"Baylor College of Medicine\/Texas Children\u2019s Hospital, Section of Neonatology, Houston, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martha W.","family":"Rac","sequence":"additional","affiliation":[{"name":"Baylor College of Medicine\/Texas Children\u2019s Hospital, Department of Obstetrics and Gynecology, Houston, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James B.","family":"Hill","sequence":"additional","affiliation":[{"name":"Baylor College of Medicine\/Texas Children\u2019s Hospital, Department of 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