Addressing late latent syphilis in pregnancy: a case study emphasizing interdisciplinary communication and public health collaboration

Suwanee, GA

Introduction: Congenital syphilis has re-emerged as a significant public health concern, despite being preventable through timely diagnosis and treatment during pregnancy. Late latent syphilis, particularly in high-risk populations, poses serious risks to both mother and fetus, with non-compliance to treatment exacerbating these dangers. Effective management requires coordinated efforts between healthcare providers and public health officials to ensure proper intervention and follow-up.

Objective: The objective of this study is to assess the impact of interdisciplinary communication and public health collaboration in the management of late latent syphilis during pregnancy, focusing on how coordinated care can address challenges such as patient non-compliance and mitigate the risk of congenital syphilis.

Methods: This case study focuses on a 32-year-old Hispanic female, G3P2, who was diagnosed with late latent syphilis at 22 weeks gestation through prenatal lab screening. The patient was referred to the public health department for treatment with benzathine penicillin G, administered as three weekly doses. Following non-compliance after the second dose, the health department intervened by notifying the referring physician and labor and delivery unit. The patient was subsequently re-engaged in care, and treatment was completed at 32 weeks gestation. Continuous communication between public health officials and healthcare providers ensured readiness for potential neonatal intervention in case of early labor.

Results: Despite initial non-compliance, the patient completed the prescribed treatment with the support of public health outreach. The newborn was delivered at 40 weeks and 3 days, with no signs of congenital syphilis. This case demonstrates the efficacy of interdisciplinary collaboration in overcoming barriers to treatment adherence and ensuring positive maternal-fetal outcomes.

Conclusion: The successful management of late latent syphilis in this case highlights the critical role of public health departments in addressing patient non-compliance and coordinating care. Interdisciplinary communication between healthcare providers and public health officials proved essential in preventing congenital syphilis and ensuring the health of both mother and child. This case underscores the importance of proactive public health interventions in high-risk pregnancies and the need for continuous engagement with vulnerable populations to mitigate the resurgence of congenital syphilis.