What are the prevention methods for neurosyphilis? Since the liberation of our country, due to the government's strict prohibition of prostitution and the implementation of census and prevention in certain areas, the disease had been essentially eradicated by the end of the 1950s. In some European and American countries, the incidence of neurosyphilis has also significantly decreased due to early diagnosis and treatment as well as the use of drugs like penicillin, especially the parenchymal type of syphilis. However, in recent years, there has been an increase in new syphilis patients in our country, particularly those with meningeal and vascular syphilis, some of whom also have concomitant AIDS. This necessitates vigorous promotion of medical and health knowledge, strengthening of cultural quality education, and making people aware of the dangers of sexually transmitted diseases. Control measures may also need to be implemented from certain institutional aspects to prevent the occurrence of this disease at its source.
1. Early syphilis emphasizes timely and standard treatment, striving to use penicillin-based regimens whenever possible.
2. Adequate follow-up should be conducted for syphilis patients after treatment. If the titer of non-treponemal serum tests does not decrease or decreases by less than 2 dilutions within six months, especially in those treated with non-penicillin preparations, cerebrospinal fluid examination should be performed.
3. Patients with a history of syphilis infection who present with hearing loss, cranial nerve, meningeal, or visual impairments should be considered for a neurosyphilis diagnosis.
4. Positive treponemal serum test results accompanied by persistent unexplained mental or neurological symptoms require relevant neurosyphilis examination or appropriate treatment.
