전파 매독 편집하기

*일차적인전파경로는질, 항문, 구강을통한성접촉이다.<ref name="Syphilis: review with emphasis on clinical, epidemiologic, and some biologic features ">Singh AE, Romanowski B. Syphilis: review with emphasis on clinical, epidemiologic, and some biologic features. Clin Microbiol Rev 1999;12:187-209</ref>

*키스, 바늘과주사기구를공유하는행위, 수혈, 접종사고로인한전염은드물다.

*1기, 2기그리고조기잠복매독은전염성이있는것으로간주되며, 전염의위험성은감염된성 파트너와성관계를가졌을때 60%13정도로추정된다. 

*조기잠복매독은 25%가 2기매독으로재발할수있기때문에전염성이있다고간주된다.<ref name=” The Oslo study of untreated syphilis: an epidemiologic investigation of the natural course of syphilis infection based upon a study of the Boeck-Bruusgaard material.”>Gjestland T. The Oslo study of untreated syphilis: an epidemiologic investigation of the natural course of syphilis infection based upon a study of the Boeck-Bruusgaard material. Acta Derm Venereol 1955;35(suppl 34):1-368</ref>

*선천매독을가진대부분의영아는자궁내에서감염되나분만도중활성화된성기의병변과접촉하여감염될수있다. 

*감염의위험성은임신시산모가후기잠복매독을앓고있을때보다치료받지않은 1기, 2기또는조기잠복매독을앓고있을경우에훨씬높다.<ref name=” Syphilis in newborn children. “>Fiumara NJ. Syphilis in newborn children. Clin Obstet Gynecol 1975;18:183-9</ref>

*임신부의매독반응검사결과와산모의치료병력은태어난영아를관리하는의료진에게제공하여야한다.

*다른성전파성질환과같이매독은 HIV의감염과전파위험성을증가시킨다.