Interim Guidelines for the Evaluation and Testing of Infants with Possible Congenital Zika Virus Infection

The CDC, in consultation with the American Academy of Pediatrics, has developed interim guidelines for the evaluation, testing, and management of infants born to mothers who traveled to or resided in an area with Zika virus transmission during pregnancy. The document provides guidance to healthcare providers caring for 1) infants with microcephaly or intracranial calcifications detected prenatally or at birth or 2) infants without these findings whose risk is based on maternal exposure and testing for Zika virus infection.

Pediatric healthcare providers should ask mothers of newborns with microcephaly or intracranial calcifications about their residence and travel while pregnant and about any symptoms of illness compatible with Zika virus disease (acute onset of fever, rash, joint pain, and red eyes). Healthcare professionals should also obtain the results of any Zika virus testing performed before the mother gave birth.

The Interim guidelines recommend that doctors and their teams consider possible clinical issues when caring for infants who might have been infected with Zika virus infection. For example, cranial ultrasound is recommended for all infants with possible Zika virus infection unless prenatal ultrasound results in the third trimester demonstrated no brain abnormalities.  Also recommended for all infants with possible Zika virus infection, regardless of symptoms, are repeat hearing screening and developmental monitoring.

Treatment of Zika virus infection in babies is supportive and should address the infant’s specific needs. Investigations are ongoing to better understand what services will be most appropriate for affected children as they grow.

These interim guidelines will be updated as more information becomes available.

The guidelines can be found here:  http://dx.doi.org/10.15585/mmwr.mm6503e3er

Please forward to other colleagues as appropriate. If you have additional questions related to Zika virus, please contact CDC-Info at 1-800-CDC-Info or http://www.cdc.gov/cdc-info/.

Thank you

Zika Virus Response Team


Click the following link for more information: http://emergency.cdc.gov/coca/calls/2016/callinfo_012616.asp

Alerta sobre el virus del Zika

Estimado colega Obstetra Ginecólogo:

El virus del Zika presenta un potencial riesgo serio para nuestras pacientes embarazadas y sus hijos por nacer.  Hasta el momento las siguientes autoridades y organizaciones han emitido boletines de alerta y vigilancia ante la posible asociación de este virus con microcefalia fetal y otros desordenes neurológicos:

World Health Organization/Pan-American Health Organization (WHO/PAHO), Center for Disease Control (CDC), American College of Obstetricians and Gynecologists (ACOG) y el Department de Salud de Puerto Rico.

En estos momentos, estamos en activa colaboración entre todos estos grupos con dos objetivos:

  1. Preparar un protocolo uniforme para manejo de embarazadas a riesgo de infección viral con Zika.
  2. Investigar y corroborar la asociación sugerida entre el Zika y la microcefalia a partir del aumento desproporcionado de estos casos en el noreste de Brasil.

Tan pronto tengamos protocolos para ejecución los divulgaremos. Por lo pronto, la recomendación más importante es educar la embarazada en la prevención de la picadura de mosquito y evaluar prontamente la paciente embarazada con cuadro viral y enviar la prueba de laboratorio “Triopex” que permite discernir entre dengue, chinkungunya y zika.

Finalmente, por favor promueve la vacunación de la paciente embarazada contra la influenza de temporada. De esta forma podremos manejar más eficientemente cualquier cuadro viral de nuestras embarazadas.

Les incluyo material educativo del CDC para las oficinas y las pacientes y dos artículos importantes del tema.

 

NEJM_Zika_Virus_in_the_Americas Zika virus intrauterine infection causes fetal brain abnormality

Virus del Zika: Lo que usted necesita saber

Mosquitoes spread chikungunya, dengue, and Zika viruses.

Mosquitoes spread chikungunya, dengue, and Zika viruses.

 

Nabal Jose Bracero, M.D., F.A.C.O.G.

Chairman
American College of Obstetricians and Gynecologists
Puerto Rico Section

President & Founder
PROGyn Foundation
www.progyn.org

Assistant Professor
Department of Obstetrics and Gynecology
University of Puerto Rico School of Medicine

Reproductive Endocrinology and Infertility

Medical Director
GENES fertility institute
San Juan, Puerto Rico
www.genesfertility.com

 

 

 

 

ACOG Officers Orientation

ACOGOfficersOrientation_2012

Dr. Eduardo Muniz, FACOG, FACS and Dr. Nabal Bracero, FACOG at ACOG Headquarters in Washington D.C. during the ACOG Officers Orientation on June 2012.