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*CASE ACCESSION NUMBERINVESTIGATION ADDITIONAL ACCESSION NUMBERS (COMMA SEPARATED)Health, Seniors and Active LivingCONGENITAL SYPHILIS CASE FORM *I. INFANT CASE IDENTIFICATION 1. LASTNAMECASE FORM
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To fill out the case form for congenital syphilis investigation, follow these steps:
02
Gather the necessary information about the case including the name, age, and contact details of the patient.
03
Provide the date of diagnosis and any relevant medical history of the patient.
04
Fill out the sections related to the mother, including her name, age, and contact details. Also, provide information about her medical history, particularly if she has been diagnosed with syphilis.
05
Answer the questions regarding the prenatal care received by the mother, such as the number of prenatal visits, tests conducted, and treatment provided.
06
Provide details about the newborn, including their name, date of birth, and any symptoms or signs of congenital syphilis observed.
07
Complete the remaining sections of the form, such as treatment details, outcomes, and follow-up actions.
08
Review the completed form for accuracy and make any necessary corrections before submitting it.

Who needs case formcongenital syphilis investigation?

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The case form for congenital syphilis investigation is needed by healthcare professionals, particularly those involved in the diagnosis, treatment, and monitoring of patients with congenital syphilis.
02
This form may also be required by public health agencies or organizations responsible for collecting and analyzing data related to syphilis cases.
03
In addition, researchers and policymakers working in the field of sexually transmitted infections may utilize this form to gather epidemiological information and assess the impact of congenital syphilis in a specific population.
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The case formcongenital syphilis investigation is a document used to report and investigate cases of congenital syphilis.
Healthcare providers and healthcare facilities are required to file the case formcongenital syphilis investigation when a case of congenital syphilis is identified.
The case formcongenital syphilis investigation should be filled out with relevant information about the case, including patient demographics, clinical information, and treatment provided.
The purpose of the case formcongenital syphilis investigation is to gather data on cases of congenital syphilis, monitor trends, and implement appropriate public health interventions.
Information such as patient demographics, clinical presentation, laboratory results, and treatment history must be reported on the case formcongenital syphilis investigation.
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