STI Clinical Update Webinar: Congenital Syphilis Update for California Emergency Department Clinicians

December 14, 2021
Presented by Drs. Rosalyn Plotzker and Kristopher Lyon

The California Department of Public Health (CDPH) continues to see dramatic statewide increases in congenital syphilis (CS), a severe yet preventable condition when syphilis is passed from mother to fetus. In California, many infants with CS are born to parents who received care in an emergency department (ED) during pregnancy, suggesting syphilis screening in EDs may offer an important opportunity to detect syphilis in pregnancy and prevent CS.

This webinar features Dr. Rosalyn Plotzker, CDPH public health medical officer and co-author of the CDPH Expanded Syphilis Screening Recommendations for the Prevention of Congenital Syphilis. She will provide a clinical overview of CS prevention and discuss the recommendation to confirm syphilis status for pregnant patients in the ED. In addition, Dr. Kristopher Lyon, Public Health Officer and EMS medical director in Kern County, California and emergency department associate medical director, will present on syphilis screening in EDs from an on-the-ground perspective.

Learning Objectives

  1. Describe California’s congenital syphilis epidemiology
  2. Discuss the pathophysiology and management of syphilis, including among pregnant patients
  3. Explain and apply the CDPH recommendation to confirm syphilis status among pregnant patients receiving care in emergency departments

Perinatal HIV and Congenital Syphilis—Dear Colleague Letter from CDPH

November 16, 2021: CDPH is asking for assistance in responding to concerning increases in congenital syphilis and perinatal HIV in California. Perinatal HIV transmission and congenital syphilis can be prevented with timely testing and treatment. A common risk factor, however, is receiving late or no prenatal care.

CDPH requests your assistance to implement the following policies and best practices to Screen, Treat and Prevent, and Prepare for perinatal transmissions

California Department of Public Health Logo

STI Clinical Update Webinar: San Francisco Department of Public Health, San Francisco City Clinic

November 4, 2021

The San Francisco Department of Public Health continues to see concerning rises in sexually transmitted infections (STIs).

This half-day, virtual event provides important updates in the field of sexual health to help providers strengthen the delivery of STI prevention and care. Hear from local experts on STI epidemiology in San Francisco, important recommendations to prevent congenital syphilis, updates from the 2021 CDC STI Treatment Guidelines, and a lively case panel.

Learning Objectives

  1. Summarize current STI trends in San Francisco
  2. Identify and screen those most at risk for syphilis in San Francisco
  3. Describe updated treatment recommendations for chlamydia, gonorrhea, Mycoplasma genitalium, NGU, and trichomonas

STD Clinical Update Webinar: Congenital Syphilis Prevention Update for California Family Planning and Primary Care Providers

September 28, 2021

Presented by Drs. Eric Tang and Sara Kennedy

The California Department of Public Health (CDPH) continues to see dramatic statewide increases in cases of congenital syphilis (CS), a severe yet preventable condition when syphilis is passed from mother to fetus. This webinar, presented by the California Prevention Training Center, features Dr. Eric Tang, public health medical officer at CDPH, who will provide a clinical overview of CS prevention and discuss the new Expanded Syphilis Screening Recommendations from CDPH as it relates to family planning and primary care providers.  

After his presentation, Dr. Sara Kennedy, Chief Medical Officer of Planned Parenthood Northern California, will present her organization’s experience implementing expanded syphilis screening in their clinics to detect and treat syphilis cases to ultimately prevent CS cases in California. 

Learning Objectives

  1. Understand the epidemiology and recognize the risk factors for syphilis and congenital syphilis in California
  2. Screen for syphilis based on the Expanded Syphilis Screening Recommendations from the California Department of Public Health
  3. Appropriately diagnose and manage syphilis cases in your practice

2021 Implementing the CDC STI Treatment Guidelines: A Conversation for Family PACT Providers

The long-awaited 2021 CDC Sexually Transmitted Infections Treatment Guidelines were published in MMWR on July 22, 2021. This webinar will focus on significant changes from the 2015 CDC STD Treatment Guidelines, including updated guidelines for the screening, diagnosis and treatment of gonorrhea, chlamydia, syphilis, pelvic inflammatory disease, genital herpes, Mycoplasma genitalium, and vaginal trichomoniasis. To assist health care providers in obtaining a sexual history, the updated “Five P’s” approach will be reviewed. In addition, current Family PACT benefits for each type of sexually transmitted infection discussed in the program will be explained.

Learning Objectives:

  • List 3 examples of sexual history questions for each the “Five P’s” of sexual history taking
  • Explain why the treatment guidelines for both chlamydia and gonorrhea genital tract infections were updated in the 2021 Guidelines
  • List the indications for obtaining chlamydia and gonorrhea samples from the anus and the oropharynx
  • Describe the consequences of Mycoplasma genitalium genital infection in males and females
  • List 2 updates in the 2021 Guidelines regarding vaginal trichomoniasis

Presenters:

Resources:

STD Clinical Update Webinar – Congenital Syphilis Update for CA Jail Providers

July 27, 2021

This webinar features Dr. Rosalyn Plotzker and Ms. Laura Kovaleski, co-authors of the CDPH Expanded Syphilis Screening Recommendations for the Prevention of Congenital Syphilis, who will provide a clinical overview of CS prevention and discuss the recommendation to screen women in correctional facilities for syphilis. Finally, Dr. Kristin Walsh, physician with Santa Clara County’s Adult Custody Health Services and HIV specialist at Santa Clara Valley Medical Center’s PACE clinic, will present the county’s experience implementing such screening practices.

Learning Objectives:

  1. Describe California’s CS epidemiology and incorporate data into screening
  2. Discuss the importance of prenatal syphilis diagnosis, evaluation, and management
  3. Explain and apply CDPH recommendation to screen women for syphilis in adult correctional facilities

Syphilis Health Check™

Current evidence-based prevention, diagnostic and treatment recommendations that replace the 2015 STI treatment guidance. Although the guidelines emphasize treatment, prevention strategies and diagnostic recommendations also are discussed.

STD Clinical Update Webinar – Congenital Syphilis Update for CA Pediatric Providers

May 25, 2021

The California Department of Public Health (CDPH) continues to see dramatic statewide increases in cases of congenital syphilis (CS), a severe yet preventable condition when syphilis is passed from mother to fetus.

This webinar, presented by the California Prevention Training Center, features Dr. Kelly Johnson, infectious disease physician from UCSF and Dr. Nael Mhaissen, pediatric infectious diseases specialist from Valley Children’s Hospital.

They will discuss CS epidemiology, clinical presentation, and neonatal management. Finally, they will discuss ways providers can help stem the rising tide of CS.

Drs. Mhaissen and Johnson cover the following learning objectives for this webinar:

  1. Describe California’s CS epidemiology
  2. Recognize the clinical manifestations of CS
  3. Discuss CS diagnosis, evaluation, and management
  4. Report all laboratory-confirmed and clinically-suspected cases of CS to public health

STD/HIV Partner Services Interview Demonstration

This video provides an example of a mock partner services interview with a syphilis client. HIV prevention is also addressed extensively during the interview.

Learn more and register