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. 2019 Dec 30;27(1):69–82. doi: 10.1080/26410397.2019.1691897

Table 5. Treatment for syphilis-exposed infants according to maternal syphilis seroprevalence (n = 115 countries*).

  Maternal syphilis prevalence <1% (n = 73) Maternal syphilis prevalence ≥1% (n = 42) p-value
Treatment for exposed infant according to WHO guidelines (penicillin administration)
Aqueous benzyl penicillin 100,000–150,000 U/kg/day IV for 10–15 days 21 (29%) 23 (55%) 0.02
Procaine penicillin 50,000 U/kg/day single dose IM for 10–15 days 57 (78%) 26 (62) 0.06
BPG 50,000 U/kg/day as single IM dose 59 (81%) 27 (64%) 0.05
Follow-up of exposed infants described
Infant non-treponemal tests at birth 22 (30%) 24 (57%) <0.01
Infant non-treponemal tests at 6–12 week 60 (82%) 26 (62%) 0.02
Follow up exam at 6–12 weeks 20 (27%) 23 (56%) <0.01

*There were 13 countries with no available maternal syphilis seroprevalence data.

BPG = benzathine penicillin G.

World Health Organization.