Presenter: Rosalyn Plotzker, MD, MPH & Elizabeth Kessler, MPH
Online CME Credit
Fee: Free
Provides 1.00 hours of CE/CME credit (Presented: July 20, 2023; Reviewed August 24, 2023; Expires August 24, 2024)
Congenital Syphilis
Overview
This training is in collaboration with the California Prevention Training Center and the Pacific AIDS Education and Training Center-Nevada. Prevention of congenital syphilis (CS) is critical, given that untreated syphilis during pregnancy may lead to miscarriage, stillbirth, blindness, deafness, and/or bone deformities in infants. While CS can be fully prevented through timely syphilis screening and adequate treatment during prenatal care, the number of CS cases in Nevada and the United States continues to rise. This webinar will discuss the epidemiology of syphilis in Nevada, and review the screening updates, pathophysiology, and treatment.
Learning Objectives
Following participation in this course, participants should be able to:
- Describe congenital syphilis epidemiology
- Discuss screening updates and POT screening
- Explain the pathophysiology, manifestations, and treatment for congenital syphilis
The Pacific AETC-NV offers engaging and interactive online learning opportunities to increase healthcare providers' knowledge and awareness of HIV and STI-related health topics. To view all session topics available, please click on Pacific AETC Nevada’s E-Learning page for more online and on-demand learning opportunities.
Presenter
Rosalyn Plotzker, MD, MPH
Assistant Professor | UCSF Dept. of Epidemiology and Biostatistics | Clinical Faculty| California Prevention Training Center | Provider | UCSF Anal Neoplasia, Clinic, Research and Education (ANCRE) Center | Public Health Medical Officer| CDPH STD Control Branch
Elizabeth Kessler, MPH
OPHIE Surveillance Manager | Office of Public Health Investigations and Epidemiology | Division of Public and Behavioral Health | Nevada Department of Health and Human Services
The Pacific AETC is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) as part of an award $3,887,700.00. The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by HRSA, HHS, or the U.S. Government. For more information, please visit HRSA.gov.
Step One - Pacific AETC Nevada’s E-Learning Registration:
Please follow the link to register with the Pacific AETC Nevada’s E-Learning program. In order to continue funding and provide educational programming for health professionals around HIV/AIDS, we need all participants to register through PAETC-NV.
Step Two - UNR Med CME Login for receiving CME/CE credit:
This webinar requires you to login into the University of Nevada, Reno School of Medicine, Office of Continuing Medical Education’s (UNR Med CME) website to complete your registration. If you do not have a UNR Med CME account, you will need to make one.
Once you have signed into the UNR Med CME websites, follow the instructions below to watch the webinar and collect your CME, CE, and pharmacy credit.
Instructions for receiving CME/CE credit:
- Click on the registration button above
- Click on the course to register
- After registration, you will click “begin the activity”
- YouTube will be embedded into the website
- Watch the YouTube video
- Click to claim credit
- Enter the activity code that was provided to you in the email confirmation
- Claim credit and generate the certificate
If you have any questions, please email us at paetcnv@med.unr.edu.
Evaluation and Claim Credit
- Once you begin the video, you must watch it in its entirety to claim credit. Fast-forwarding has been disabled. You may pause the video briefly if needed. Do not close the browser window as doing so will require you to start over.
- Once you have reached the end of the video, a button to continue will appear that will take to evaluation and start the process for receiving a certificate.
- Failure to complete the process will result in the credit not being awarded to you.
- Should you need to restart the process, or download a copy of a certificate at a later time, please see the instructions for accessing the online portal here: Evaluation and Claim Credit
For questions concerning the online evaluation or your certificate, please contact our office at (775) 784-4791 or email us at cme@med.unr.edu.
Accreditation Designation Statements
The University of Nevada, Reno School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
The University of Nevada, Reno School of Medicine designates this enduring material for a maximum of 1.00 AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Continuing Education Credit
The University of Nevada, Reno School of Medicine approves this program for 1.00 hours of nursing continuing education credit.
As an accredited provider of continuing medical education through the Accreditation Council for Continuing Medical Education (ACCME) the University of Nevada, Reno School of Medicine must ensure balance, independence, objectivity, and scientific rigor in all its educational activities. In order to assure that information is presented in a scientific and objective manner, The University of Nevada, Reno School of Medicine requires that anyone in a position to control or influence the content of an accredited activity disclose all financial relationships within the prior 24 months with any commercial or proprietary entity producing health care goods or services relevant to the content being planned or presented. All relevant financial relationships have been mitigated. Following are those disclosures.
All other presenters, planners or anyone in a position to control the content of this continuing medical education activity have indicated that they do not have financial relationships with ineligible companies related to the content of this activity.
2016-2017 CPA surveillance data
Rac, Martha WF, et al. "Maternal titers after adequate syphilotherapy during pregnancy." Clinical Infectious Diseases. 60.5 (2014): 686-690.
Alexander JM, Sheffield JS, Sanchez PJ, et al.. Efficacy of treatment for syphilis in pregnancy. Obstet Gynecol 1999;93:5–8.
Gust DA, Levine WC, St. Louis, M, et al. Mortality associated with congenital syphilis in the United States, 1992-1998. Pediatrics, 2002; 109(5):E79-9.
Blencowe, Hannah, et al. "Lives Saved Tool supplement detection and treatment of syphilis in pregnancy to reduce syphilis related stillbirths and neonatal mortality." BMC public health 11.3 (2011): S9.
Slide 25, Courtesy of Pablo Sanchez, MD
Slide 32, courtesy of Dr. Juliet Stoltey, CDPH
Slide 38, courtesy of Jessica Kim, MD UCSF
Slide 45-47 courtesy of Dr. Christine Johnston and the National Network for Prevention Training Centers
Slide 51 courtesy of Dr. Eric Tang and the California Department of Public Health
- Pessoa and V. Galvao, “Unusual presentation of more common disease/injury: clinical aspects of congenital syphilis with Hutchinson’s triad,” BMJ Case Reports, vol. 2011, pp. 1–3, 2011.
Wendel et al. Obstet Gynecol. 1991;78:890
Nathan et al. J Ultrasound Med 1993;2:97
Hollier et al. Obstet Gynecol. 2001;97:947
Victoria Wicher, Konrad Wicher; Pathogenesis of Maternal-Fetal Syphilis Revisited, Clinical Infectious Diseases, Volume 33, Issue 3, 1 August 2001, Pages 354–363.
Kim, Chong Jai, et al. "Chronic inflammation of the placenta: definition, classification, pathogenesis, and clinical significance." American Journal of Obstetrics & Gynecology213.4 (2015): S53-S69.
Salyers, A. A., and D. D. Whitt. "Virulence factors that promote colonization." Bacterial pathogenesis a molecular approach, ASM Press, Washington DC (1994): 16-29.
U.S. Census Bureau, Small Area Income and Poverty Estimates, 2017.
Bowen VB, McDonald R, Grey JA, Kimball A, Torrone EA. High congenital syphilis case counts among US infants born in 2020. New England Journal of Medicine. 2021 Sep 16;385(12):1144-5.
Workowski KA, Bachmann L, Chan P, Johnston C, Muzny C, Park I, Reno H, Zenilman J, Bolan G. Sexually Transmitted Infections, 2021. MMWR Recomm Rep 2021:70(No. RR-04):1-187
Kirsten Bibbins-Domingo. USPSTF Recommendation Statement, Screening for Syphilis Infection in Nonpregnant Adults and Adolescents U.S. Preventive Services Task Force Recommendation Statement. JAMA June 7, 2016 Volume 315, Number 21: 2321-2327
Thompson MA, Horberg MA, Agwu AL, et al. Primary Care Guidelines for Persons With HIV: 2020 Update by the HIV Medicine Association of the Infectious Diseases Society of America. CID. Nov 6 2020.