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Syphilis During Pregnancy On The Rise - Rogue River Press
On May 13, 2025, a leading panel on preventive health upheld its 2018 guideline advocating for early and universal syphilis screening during pregnancy across the United States.
This reaffirmation followed a rise in congenital syphilis cases, with nearly 3,882 reported in 2023—the highest in over 30 years—and evidence that timely screening and treatment could prevent about 90% of these cases.
The USPSTF found no new evidence challenging established benefits, noting that earlier treatment reduces adverse outcomes like stillbirth, low birth weight, and prematurity more effectively than later treatment.
Rates of syphilis infections have risen over three decades, especially among women whose incidence increased two to four times more than men between 2017 and 2021, prompting strong screening recommendations with "high certainty" and "substantial net benefit."
The USPSTF’s reaffirmation underscores the importance of early screening to reduce congenital syphilis and its complications and supports ongoing efforts to expand access and address disparities in affected populations.
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