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Update: Interim Guidance for Preconception Counseling and Prevention of Sexual Transmission of Zika Virus for Persons with Possible Zika Virus Exposure - United States, September 2016.

Abstract

CDC has updated its interim guidance for persons with possible Zika virus exposure who are planning to conceive (1) and interim guidance to prevent transmission of Zika virus through sexual contact (2), now combined into a single document. Guidance for care for pregnant women with possible Zika virus exposure was previously published (3). Possible Zika virus exposure is defined as travel to or residence in an area of active Zika virus transmission (http://www.cdc.gov/zika/geo/index.html), or sex* without a condom with a partner who traveled to or lived in an area of active transmission. Based on new though limited data, CDC now recommends that all men with possible Zika virus exposure who are considering attempting conception with their partner, regardless of symptom status,§ wait to conceive until at least 6 months after symptom onset (if symptomatic) or last possible Zika virus exposure (if asymptomatic). Recommendations for women planning to conceive remain unchanged: women with possible Zika virus exposure are recommended to wait to conceive until at least 8 weeks after symptom onset (if symptomatic) or last possible Zika virus exposure (if asymptomatic). Couples with possible Zika virus exposure, who are not pregnant and do not plan to become pregnant, who want to minimize their risk for sexual transmission of Zika virus should use a condom or abstain from sex for the same periods for men and women described above. Women of reproductive age who have had or anticipate future Zika virus exposure who do not want to become pregnant should use the most effective contraceptive method that can be used correctly and consistently. These recommendations will be further updated when additional data become available.

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    Zika Response, CDC.

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    Zika Response, CDC.

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    Zika Response, CDC.

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    Zika Response, CDC.

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    Zika Response, CDC.

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    Zika Response, CDC.

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    Zika Response, CDC.

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    Zika Response, CDC.

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    Zika Response, CDC.

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    Zika Response, CDC.

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    Zika Response, CDC.

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    Zika Response, CDC.

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    Zika Response, CDC.

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    Zika Response, CDC.

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    Zika Response, CDC.

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    Zika Response, CDC.

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    Zika Response, CDC.

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    Zika Response, CDC.

    Zika Response, CDC.

    Source

    MMWR. Morbidity and mortality weekly report 65:39 2016 Oct 07 pg 1077-1081

    MeSH

    Centers for Disease Control and Prevention (U.S.)
    Condoms
    Counseling
    Female
    Guidelines as Topic
    Humans
    Male
    Mass Screening
    Pregnancy
    Pregnancy Complications, Infectious
    Residence Characteristics
    Sexual Abstinence
    Sexually Transmitted Diseases, Viral
    Travel
    United States
    Zika Virus Infection

    Pub Type(s)

    Journal Article

    Language

    eng

    PubMed ID

    27711033

    Citation

    Petersen, Emily E., et al. "Update: Interim Guidance for Preconception Counseling and Prevention of Sexual Transmission of Zika Virus for Persons With Possible Zika Virus Exposure - United States, September 2016." MMWR. Morbidity and Mortality Weekly Report, vol. 65, no. 39, 2016, pp. 1077-1081.
    Petersen EE, Meaney-Delman D, Neblett-Fanfair R, et al. Update: Interim Guidance for Preconception Counseling and Prevention of Sexual Transmission of Zika Virus for Persons with Possible Zika Virus Exposure - United States, September 2016. MMWR Morb Mortal Wkly Rep. 2016;65(39):1077-1081.
    Petersen, E. E., Meaney-Delman, D., Neblett-Fanfair, R., Havers, F., Oduyebo, T., Hills, S. L., ... Brooks, J. T. (2016). Update: Interim Guidance for Preconception Counseling and Prevention of Sexual Transmission of Zika Virus for Persons with Possible Zika Virus Exposure - United States, September 2016. MMWR. Morbidity and Mortality Weekly Report, 65(39), pp. 1077-1081. doi:10.15585/mmwr.mm6539e1.
    Petersen EE, et al. Update: Interim Guidance for Preconception Counseling and Prevention of Sexual Transmission of Zika Virus for Persons With Possible Zika Virus Exposure - United States, September 2016. MMWR Morb Mortal Wkly Rep. 2016 Oct 7;65(39):1077-1081. PubMed PMID: 27711033.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Update: Interim Guidance for Preconception Counseling and Prevention of Sexual Transmission of Zika Virus for Persons with Possible Zika Virus Exposure - United States, September 2016. AU - Petersen,Emily E, AU - Meaney-Delman,Dana, AU - Neblett-Fanfair,Robyn, AU - Havers,Fiona, AU - Oduyebo,Titilope, AU - Hills,Susan L, AU - Rabe,Ingrid B, AU - Lambert,Amy, AU - Abercrombie,Julia, AU - Martin,Stacey W, AU - Gould,Carolyn V, AU - Oussayef,Nadia, AU - Polen,Kara N D, AU - Kuehnert,Matthew J, AU - Pillai,Satish K, AU - Petersen,Lyle R, AU - Honein,Margaret A, AU - Jamieson,Denise J, AU - Brooks,John T, Y1 - 2016/10/07/ PY - 2016/10/7/entrez PY - 2016/10/7/pubmed PY - 2017/1/12/medline SP - 1077 EP - 1081 JF - MMWR. Morbidity and mortality weekly report JO - MMWR Morb. Mortal. Wkly. Rep. VL - 65 IS - 39 N2 - CDC has updated its interim guidance for persons with possible Zika virus exposure who are planning to conceive (1) and interim guidance to prevent transmission of Zika virus through sexual contact (2), now combined into a single document. Guidance for care for pregnant women with possible Zika virus exposure was previously published (3). Possible Zika virus exposure is defined as travel to or residence in an area of active Zika virus transmission (http://www.cdc.gov/zika/geo/index.html), or sex* without a condom† with a partner who traveled to or lived in an area of active transmission. Based on new though limited data, CDC now recommends that all men with possible Zika virus exposure who are considering attempting conception with their partner, regardless of symptom status,§ wait to conceive until at least 6 months after symptom onset (if symptomatic) or last possible Zika virus exposure (if asymptomatic). Recommendations for women planning to conceive remain unchanged: women with possible Zika virus exposure are recommended to wait to conceive until at least 8 weeks after symptom onset (if symptomatic) or last possible Zika virus exposure (if asymptomatic). Couples with possible Zika virus exposure, who are not pregnant and do not plan to become pregnant, who want to minimize their risk for sexual transmission of Zika virus should use a condom or abstain from sex for the same periods for men and women described above. Women of reproductive age who have had or anticipate future Zika virus exposure who do not want to become pregnant should use the most effective contraceptive method that can be used correctly and consistently. These recommendations will be further updated when additional data become available. SN - 1545-861X UR - https://www.unboundmedicine.com/medline/citation/27711033/Update:_Interim_Guidance_for_Preconception_Counseling_and_Prevention_of_Sexual_Transmission_of_Zika_Virus_for_Persons_with_Possible_Zika_Virus_Exposure___United_States_September_2016_ L2 - https://dx.doi.org/10.15585/mmwr.mm6539e1 DB - PRIME DP - Unbound Medicine ER -