Congenital Syphilis Risk: Maternal treatment adequacy and neonatal findings guide congenital syphilis risk stratification.
Assessment Tier
Lower
Score 0
Lower congenital syphilis risk profile.
Verified
Last Review: 2026-07-17
Use during early bedside triage when infection severity or treatment escalation is uncertain.
Support clinician judgement with a structured review of the highest-yield risk factors.
Standardise communication between admitting, ID, ICU, and pharmacy teams.
Maternal treatment absent or inadequate (+3)
Maternal therapy <30 days before delivery (+2)
Maternal titers high or rising (+2)
Abnormal neonatal exam (+2)
Abnormal neonatal CBC/CSF/long bone studies (+2)
Reliable follow-up uncertain (+1)
Interpret the result together with source control, microbiology, host factors, and trajectory.
Escalate imaging, cultures, or specialist review when the tool lands in a high-risk tier.
Reassess dynamically if the patient deteriorates or new microbiology becomes available.
This tool supports structured infectious-disease decision making but does not replace clinician judgement or local guideline pathways.
This OpiCalc infectious-disease entry reflects commonly used guideline criteria and bedside risk features used in contemporary clinical practice.
Last Comprehensive Review: 2026-07-17