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Update: Interim Guidelines for Health Care Providers Caring for Infants and Children with Possible Zika Virus Infection--United States, February 2016.

Abstract

CDC has updated its interim guidelines for U.S. health care providers caring for infants born to mothers who traveled to or resided in areas with Zika virus transmission during pregnancy and expanded guidelines to include infants and children with possible acute Zika virus disease. This update contains a new recommendation for routine care for infants born to mothers who traveled to or resided in areas with Zika virus transmission during pregnancy but did not receive Zika virus testing, when the infant has a normal head circumference, normal prenatal and postnatal ultrasounds (if performed), and normal physical examination. Acute Zika virus disease should be suspected in an infant or child aged <18 years who 1) traveled to or resided in an affected area within the past 2 weeks and 2) has ≥2 of the following manifestations: fever, rash, conjunctivitis, or arthralgia. Because maternal-infant transmission of Zika virus during delivery is possible, acute Zika virus disease should also be suspected in an infant during the first 2 weeks of life 1) whose mother traveled to or resided in an affected area within 2 weeks of delivery and 2) who has ≥2 of the following manifestations: fever, rash, conjunctivitis, or arthralgia. Evidence suggests that Zika virus illness in children is usually mild. As an arboviral disease, Zika virus disease is nationally notifiable. Health care providers should report suspected cases of Zika virus disease to their local, state, or territorial health departments to arrange testing and so that action can be taken to reduce the risk for local Zika virus transmission. As new information becomes available, these guidelines will be updated: http://www.cdc.gov/zika/.

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  • Authors

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    Source

    MeSH

    Adolescent
    Arthralgia
    Breast Feeding
    Centers for Disease Control and Prevention (U.S.)
    Child
    Child, Preschool
    Conjunctivitis
    Diagnosis, Differential
    Exanthema
    Female
    Fever
    Health Personnel
    Humans
    Infant
    Infant, Newborn
    Practice Guidelines as Topic
    Pregnancy
    Pregnancy Complications, Infectious
    Travel
    United States
    Zika Virus Infection

    Pub Type(s)

    Journal Article

    Language

    eng

    PubMed ID

    26914500

    Citation

    Fleming-Dutra, Katherine E., et al. "Update: Interim Guidelines for Health Care Providers Caring for Infants and Children With Possible Zika Virus Infection--United States, February 2016." MMWR. Morbidity and Mortality Weekly Report, vol. 65, no. 7, 2016, pp. 182-7.
    Fleming-Dutra KE, Nelson JM, Fischer M, et al. Update: Interim Guidelines for Health Care Providers Caring for Infants and Children with Possible Zika Virus Infection--United States, February 2016. MMWR Morb Mortal Wkly Rep. 2016;65(7):182-7.
    Fleming-Dutra, K. E., Nelson, J. M., Fischer, M., Staples, J. E., Karwowski, M. P., Mead, P., ... Rasmussen, S. A. (2016). Update: Interim Guidelines for Health Care Providers Caring for Infants and Children with Possible Zika Virus Infection--United States, February 2016. MMWR. Morbidity and Mortality Weekly Report, 65(7), pp. 182-7. doi:10.15585/mmwr.mm6507e1.
    Fleming-Dutra KE, et al. Update: Interim Guidelines for Health Care Providers Caring for Infants and Children With Possible Zika Virus Infection--United States, February 2016. MMWR Morb Mortal Wkly Rep. 2016 Feb 26;65(7):182-7. PubMed PMID: 26914500.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Update: Interim Guidelines for Health Care Providers Caring for Infants and Children with Possible Zika Virus Infection--United States, February 2016. AU - Fleming-Dutra,Katherine E, AU - Nelson,Jennifer M, AU - Fischer,Marc, AU - Staples,J Erin, AU - Karwowski,Mateusz P, AU - Mead,Paul, AU - Villanueva,Julie, AU - Renquist,Christina M, AU - Minta,Anna A, AU - Jamieson,Denise J, AU - Honein,Margaret A, AU - Moore,Cynthia A, AU - Rasmussen,Sonja A, Y1 - 2016/02/26/ PY - 2016/2/26/entrez PY - 2016/2/26/pubmed PY - 2016/6/30/medline SP - 182 EP - 7 JF - MMWR. Morbidity and mortality weekly report JO - MMWR Morb. Mortal. Wkly. Rep. VL - 65 IS - 7 N2 - CDC has updated its interim guidelines for U.S. health care providers caring for infants born to mothers who traveled to or resided in areas with Zika virus transmission during pregnancy and expanded guidelines to include infants and children with possible acute Zika virus disease. This update contains a new recommendation for routine care for infants born to mothers who traveled to or resided in areas with Zika virus transmission during pregnancy but did not receive Zika virus testing, when the infant has a normal head circumference, normal prenatal and postnatal ultrasounds (if performed), and normal physical examination. Acute Zika virus disease should be suspected in an infant or child aged <18 years who 1) traveled to or resided in an affected area within the past 2 weeks and 2) has ≥2 of the following manifestations: fever, rash, conjunctivitis, or arthralgia. Because maternal-infant transmission of Zika virus during delivery is possible, acute Zika virus disease should also be suspected in an infant during the first 2 weeks of life 1) whose mother traveled to or resided in an affected area within 2 weeks of delivery and 2) who has ≥2 of the following manifestations: fever, rash, conjunctivitis, or arthralgia. Evidence suggests that Zika virus illness in children is usually mild. As an arboviral disease, Zika virus disease is nationally notifiable. Health care providers should report suspected cases of Zika virus disease to their local, state, or territorial health departments to arrange testing and so that action can be taken to reduce the risk for local Zika virus transmission. As new information becomes available, these guidelines will be updated: http://www.cdc.gov/zika/. SN - 1545-861X UR - https://www.unboundmedicine.com/medline/citation/26914500/Update:_Interim_Guidelines_for_Health_Care_Providers_Caring_for_Infants_and_Children_with_Possible_Zika_Virus_Infection__United_States_February_2016_ L2 - https://dx.doi.org/10.15585/mmwr.mm6507e1 DB - PRIME DP - Unbound Medicine ER -