Evaluation of the management of pregnancies and infants at risk for congenital syphilis: La Reunion, 2008 to 2014

OBJECTIVE: To evaluate the maternal-fetal management and follow-up of infants at risk for congenital syphilis. STUDY DESIGN: Monocentric retrospective cohort study at the Felix Guyon Hospital, Saint-Denis, La Reunion between January 2008 and December 2014. Management of 38 pregnancies (35 women, 39 fetuses) with a positive syphilis serology was evaluated according to the Centers for Diseaise Control and Prevention (CDC) guidelines. RESULTS; A total of 68% (n = 26) of pregnancies were screened before 16 weeks of gestation, and 26% (n = 10) had appropriate treatment. Adverse outcomes were noted in 45% of pregnancies. Neonatal serology Was not performed in 7 live-born neonates (19%) and 33 infants were classifiable according to the four CDC scenarios. In the- infant, adequate complementary evaluation and appropriate treatment were noted in 42% (n=13) and 55% 17) of cases, respectively: Rate of infant follow-up was 76% (n=16). No treatment failure was observed in infants. CONCLUSION: Reinforcement of public health policies and a better sensitization, training and collaboration among perinatal caregivers are warranted given the gaps revealed in our study.