Providers say restrictions are helping to preserve dwindling supply for pregnant women and those who are allergic to other forms of penicillin
Rationing is well underway in San Diego County for a long-lasting form of penicillin used to prevent babies from being born with syphilis.
County recommendations call for Bicillin L-A supplies to be prioritized for pregnant women and for those who are allergic to other forms of penicillin. So far, the county heath department has not learned of any instance where a pregnant woman with syphilis has been unable to get the drug which, if given quickly enough, can prevent the bacteria that cause the disease from colonizing a child still in the womb.
Another antibiotic called doxycycline is the recommended replacement for adults. While penicillin is the standard first-line treatment for syphilis, Tilghman said there is plenty of evidence that doxycycline is very effective, though it’s generally taken in oral form — two pills daily. Syphilis is a chronic bacterial disease that spreads through sexual contact with round firm sores appearing in areas associated with such activity. Generally the sores are painless, but a secondary phase of infection causes fever, swollen lymph nodes, skin rash and wart-like genital lesions, according to the U.S. Centers for Disease Control and Prevention. Infants often have no symptoms at birth but may have nasal “snuffles,” skin rash and a range of other signs.
“Because it’s a slow-growing organism, you really need those concentrations to be there for a prolonged period of time to make sure you get all of it.”
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