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Zika Virus Infection Among U.S. Pregnant Travelers - August 2015-February 2016.

Abstract

After reports of microcephaly and other adverse pregnancy outcomes in infants of mothers infected with Zika virus during pregnancy, CDC issued a travel alert on January 15, 2016, advising pregnant women to consider postponing travel to areas with active transmission of Zika virus. On January 19, CDC released interim guidelines for U.S. health care providers caring for pregnant women with travel to an affected area, and an update was released on February 5. As of February 17, CDC had received reports of nine pregnant travelers with laboratory-confirmed Zika virus disease; 10 additional reports of Zika virus disease among pregnant women are currently under investigation. No Zika virus-related hospitalizations or deaths among pregnant women were reported. Pregnancy outcomes among the nine confirmed cases included two early pregnancy losses, two elective terminations, and three live births (two apparently healthy infants and one infant with severe microcephaly); two pregnancies (approximately 18 weeks' and 34 weeks' gestation) are continuing without known complications. Confirmed cases of Zika virus infection were reported among women who had traveled to one or more of the following nine areas with ongoing local transmission of Zika virus: American Samoa, Brazil, El Salvador, Guatemala, Haiti, Honduras, Mexico, Puerto Rico, and Samoa. This report summarizes findings from the nine women with confirmed Zika virus infection during pregnancy, including case reports for four women with various clinical outcomes. U.S. health care providers caring for pregnant women with possible Zika virus exposure during pregnancy should follow CDC guidelines for patient evaluation and management. Zika virus disease is a nationally notifiable condition. CDC has developed a voluntary registry to collect information about U.S. pregnant women with confirmed Zika virus infection and their infants. Information about the registry is in preparation and will be available on the CDC website.

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  • Authors

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    Source

    MeSH

    Adult
    Centers for Disease Control and Prevention (U.S.)
    Female
    Guidelines as Topic
    Humans
    Pregnancy
    Pregnancy Complications, Infectious
    Travel
    United States
    Zika Virus
    Zika Virus Infection

    Pub Type(s)

    Case Reports
    Journal Article

    Language

    eng

    PubMed ID

    26938703

    Citation

    Meaney-Delman, Dana, et al. "Zika Virus Infection Among U.S. Pregnant Travelers - August 2015-February 2016." MMWR. Morbidity and Mortality Weekly Report, vol. 65, no. 8, 2016, pp. 211-4.
    Meaney-Delman D, Hills SL, Williams C, et al. Zika Virus Infection Among U.S. Pregnant Travelers - August 2015-February 2016. MMWR Morb Mortal Wkly Rep. 2016;65(8):211-4.
    Meaney-Delman, D., Hills, S. L., Williams, C., Galang, R. R., Iyengar, P., Hennenfent, A. K., ... Jamieson, D. J. (2016). Zika Virus Infection Among U.S. Pregnant Travelers - August 2015-February 2016. MMWR. Morbidity and Mortality Weekly Report, 65(8), pp. 211-4. doi:10.15585/mmwr.mm6508e1.
    Meaney-Delman D, et al. Zika Virus Infection Among U.S. Pregnant Travelers - August 2015-February 2016. MMWR Morb Mortal Wkly Rep. 2016 Mar 4;65(8):211-4. PubMed PMID: 26938703.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Zika Virus Infection Among U.S. Pregnant Travelers - August 2015-February 2016. AU - Meaney-Delman,Dana, AU - Hills,Susan L, AU - Williams,Charnetta, AU - Galang,Romeo R, AU - Iyengar,Preetha, AU - Hennenfent,Andrew K, AU - Rabe,Ingrid B, AU - Panella,Amanda, AU - Oduyebo,Titilope, AU - Honein,Margaret A, AU - Zaki,Sherif, AU - Lindsey,Nicole, AU - Lehman,Jennifer A, AU - Kwit,Natalie, AU - Bertolli,Jeanne, AU - Ellington,Sascha, AU - Igbinosa,Irogue, AU - Minta,Anna A, AU - Petersen,Emily E, AU - Mead,Paul, AU - Rasmussen,Sonja A, AU - Jamieson,Denise J, Y1 - 2016/03/04/ PY - 2016/3/4/entrez PY - 2016/3/5/pubmed PY - 2016/7/9/medline SP - 211 EP - 4 JF - MMWR. Morbidity and mortality weekly report JO - MMWR Morb. Mortal. Wkly. Rep. VL - 65 IS - 8 N2 - After reports of microcephaly and other adverse pregnancy outcomes in infants of mothers infected with Zika virus during pregnancy, CDC issued a travel alert on January 15, 2016, advising pregnant women to consider postponing travel to areas with active transmission of Zika virus. On January 19, CDC released interim guidelines for U.S. health care providers caring for pregnant women with travel to an affected area, and an update was released on February 5. As of February 17, CDC had received reports of nine pregnant travelers with laboratory-confirmed Zika virus disease; 10 additional reports of Zika virus disease among pregnant women are currently under investigation. No Zika virus-related hospitalizations or deaths among pregnant women were reported. Pregnancy outcomes among the nine confirmed cases included two early pregnancy losses, two elective terminations, and three live births (two apparently healthy infants and one infant with severe microcephaly); two pregnancies (approximately 18 weeks' and 34 weeks' gestation) are continuing without known complications. Confirmed cases of Zika virus infection were reported among women who had traveled to one or more of the following nine areas with ongoing local transmission of Zika virus: American Samoa, Brazil, El Salvador, Guatemala, Haiti, Honduras, Mexico, Puerto Rico, and Samoa. This report summarizes findings from the nine women with confirmed Zika virus infection during pregnancy, including case reports for four women with various clinical outcomes. U.S. health care providers caring for pregnant women with possible Zika virus exposure during pregnancy should follow CDC guidelines for patient evaluation and management. Zika virus disease is a nationally notifiable condition. CDC has developed a voluntary registry to collect information about U.S. pregnant women with confirmed Zika virus infection and their infants. Information about the registry is in preparation and will be available on the CDC website. SN - 1545-861X UR - https://www.unboundmedicine.com/medline/citation/26938703/Zika_Virus_Infection_Among_U_S__Pregnant_Travelers___August_2015_February_2016_ L2 - https://dx.doi.org/10.15585/mmwr.mm6508e1 DB - PRIME DP - Unbound Medicine ER -