Socio-epidemiological characteristics of patients with late latent syphilis
The objective: to study the socio-epidemiological characteristics of patients with late latent syphilis to optimize diagnostic measures among the population of Ukraine. Materials and methods. The medical documentation of patients diagnosed with late latent syphilis for the period 2018-2019 was analysed. Results. During the study period, it was found that for patients with latent late syphilis, the following features are characteristic: the average age is 44 years, 67% of patients are married; 40% of married persons have extramarital sex; among single and divorced patients, men predominate; 54.5% of patients are working, mostly men; 18.2% of patients were identified in somatic hospitals; 27.3% of patients were identified in medical institutions with a dermatovenereological profile; 87.3% of patients were previously repeatedly visited in various hospitals, where the majority (82%) were examined for syphilis by the RMP method; 58% of patients had a history of treating syphilis with the use of duretic penicillin drugs; in 52.7% of patients, latent late syphilis occurs as a mixed infection process in combination with an STI; 87.3% of patients were previously repeatedly visited in various hospitals, where the majority (82%) were examined for syphilis by the RMP method; 58% of patients had a history of treating syphilis with the use of duretic penicillin drugs; in 52.7% of patients, latent late syphilis occurs as a mixed infection process in combination with an STI; in 63% of women, latent syphilis revealed reproductive disorders; most patients have complaints confirming the presence of vascular pathology; in a significant number of patients, disorders of the nervous system are revealed: encephalopathy of mixed origin (34.5%), asthenoneurotic syndrome (34.5%), cognitive impairment (7.3%), which does not exclude the specific nature of the damage to the nervous system. Conclusions. All patients with a suspection of late latent syphilis should be thoroughly examined by a doctor dermato-venerologist (using integrated serological survey), as well as other doctors, ophthalmologist, otolaryngologist and, neurologist and, cardiologist.