• Antonia Herrera-Ortiz, Hugo López-Gatell, Santa García-Cisneros, María Alejandra Cortés-Ortiz, María Olamendi-Portugal, Jennifer Hegewisch-Taylor, and Miguel Ángel Sánchez-Alemán.
• Centro de Investigación Sobre Enfermedades Infecciosas, Instituto Nacional de Salud Pública, Cuernavaca, Morelos, Mexico.
• Gac Med Mex. 2019 Jan 1; 155 (5): 430-438.

IntroductionCongenital syphilis continues to be a public health problem in Mexico.ObjectiveTo assess the similarities and differences between national standards, guidelines and international documents related to the detection of syphilis in pregnant women and congenital syphilis.MethodTwo algorithms were developed based on the standard of female care during pregnancy and on the standard for prevention and control of sexually transmitted infections. Based on the Centers for Disease Control (CDC) guidelines, algorithms were developed for syphilis during pregnancy, syphilis in the newborn and sexual contacts.ResultsThe standard for pregnancy mentions that syphilis testing should be carried out in every pregnant woman on her first contact or at delivery, without diagnostic tests being specified. The Official Mexican Standard (NOM) on sexually transmitted infections mentions the traditional algorithm for syphilis detection, treatment follow-up, coinfection with human immunodeficiency virus and congenital syphilis criteria. The CDC recommend reverse algorithm, antibody titer, treatment and follow-up as part of diagnosis.ConclusionsThe elimination of mother-to-child transmission of syphilis requires NOMs updating and homogenizing, as well as the study of stillbirths and neonates born to mothers with syphilis.Copyright: © 2019 Permanyer.

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