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.
Congenital Syphilis Risk: Maternal treatment adequacy and neonatal findings guide congenital syphilis risk stratification.
Maternal treatment absent or inadequate
+3 Points
Maternal therapy <30 days before delivery
+2 Points
Maternal titers high or rising
Abnormal neonatal exam
Abnormal neonatal CBC/CSF/long bone studies
Reliable follow-up uncertain
+1 Points
Assessment Tier
Score 0
Lower congenital syphilis risk profile.