Evaluation of the management of pregnancies and infants at risk for congenital syphilis: La Réunion, 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 félix guyon hospital, saint-denis, la réunion 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 disease 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 infants, adequate complementary evaluation and appropriate treatment were noted in 42% (n=13) and 55% (n=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.