Errors in the diagnosis of syphilitic infection

Abstract

Annotation. Syphilis remains one of the infections of particular concern worldwide, being one of the most important medical and social problems. Scientists' reports and WHO data show an increase in the incidence of sexually transmitted diseases. Syphilitic infection is still a pressing problem in Ukraine. Because syphilis facilitates the transmission of HIV and STIs, a comprehensive model for the prevention of HIV, STIs, and syphilis at the same time is needed. This requires the health authorities to strengthen treatment and prevention measures, among which an important role is to improve the skills of doctors in modern clinics and early diagnosis of luteal infection. Mistakes made by doctors are one of the reasons for the spread of infection, the development of severe, often disabling lesions of the patient’s internal organs and nervous system. The purpose of the work is to improve the diagnosis of syphilitic infection, which contributes to the effective fight against the spread of syphilis in Ukraine. 4 cases of syphilis in patients who applied to the Vinnytsia Regional Clinical Dermatological and Venereological Dispensary and were consulted by the staff of the Department of Dermatology and Venereal Diseases of National Pirogov Memorial Medical University, Vinnytsya, they were verified the diagnosis of syphilis and received specific treatment. During the examination of patients with syphilis with clinical manifestations of infection by doctors of various profiles in 14% of patients, the true disease remained undiagnosed. The analysis of diagnostic errors of syphilis in the primary period, when patients with classic manifestations of syphilitic infection visited 4–6 doctors of different profiles. The errors made by doctors were divided as follows: dermatovenereologists – 21%, surgeons – 26%, obstetricians and gynecologists – 22%, physicians – 19%, oncologists, dentists and other specialists – 12%. Thus, timely diagnosis of syphilitic infection is one of the most important points in a set of national measures to combat this infection.