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Conference
"HIV and Syphilis" Dr. Darren Russell (biography) English - 2007-05-26 - 41 minutes
(30 slides)
Summary : In this presentation Dr. Russell discusses the manifestations of syphilis in HIV-infected individuals, some epidemiological data and treatment concerns.
According to data from the National Centre in HIV Epidemiology and Clinical Research, the diagnosis rate of syphilis per hundred thousand is much higher in the Northern Territory than elsewhere in Australia, and this is largely due to the high rates in Indigenous populations. Since 2001 however syphilis rates in the Northern Territory have been dropping. Data from New South Wales show a sharp increase in infectious syphilis notifications in homosexually active men since 2001-2002.
A study published in 2004 concluded that syphilis facilitates the transmission of HIV, and regular syphilis screening of HIV-infected individuals is warranted (1). Dr. Russell shows the clinical manifestations of syphilis in HIV-infected individuals, and discusses HIV and neurosyphilis (2) and the diagnosis of neurosyphilis.
With regards to treatment of non-tertiary syphilis in HIV, Dr. Russell talks about the use of intramuscular benzathine penicillin G versus procaine penicillin, then what should be the serological follow-up after treatment, and finally, screening.
2. Libois A, De Wit S, Poll B, Garcia F, Florence E, Del Rio A, Sanchez P, Negredo E, Vandenbruaene M, Gatell JM, Clumeck N. HIV and Syphilis: When to Perform a Lumbar Puncture Sexually Transmitted Diseases. 34(3):141-144, March 2007.
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