Rubella infection in pregnancy and congenital rubella in United Kingdom, 2003 to 2016

Bukasa, Antoaneta; Campbell, Helen; Brown, Kevin E.; Bedford, Helen; Ramsay, Mary; Amirthalingam, Gayatri; Tookey, P

doi:10.2807/1560-7917.es.2018.23.19.17-00381

Cited by 20 publications

(23 citation statements)

References 18 publications

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“…Also, we observed an alarmingly low rate of anti-rubella seropositivity in the small specimen of serologically tested pregnant refugees: only 44% of the expecting mothers had protective anti-rubella IgG-levels. Even though seroprevalences do not necessarily reflect immunity acquired by vaccination, this observation is in line with previous reports by us and others and illustrates a significant gap in rubella immunity in young female refugees [ 16 , 17 , 33 , 34 , 35 ].…”

Section: Discussionsupporting

confidence: 91%

Pregnancy Related Health Care Needs in Refugees—A Current Three Center Experience in Europe

Dopfer

Vakilzadeh

Happle

et al. 2018

IJERPH

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Background: Immigration into Europe has reached an all-time high. Provision of coordinated healthcare, especially to refugee women that are at increased risk for adverse pregnancy outcomes, is a challenge for receiving health care systems. Methods: We assessed pregnancy rates and associated primary healthcare needs in three refugee cohorts in Northern Germany during the current crisis. Results: Out of n = 2911 refugees, 18.0% were women of reproductive age, and 9.1% of these were pregnant. Pregnancy was associated with a significant, 3.7-fold increase in primary health care utilization. Language barrier and cultural customs impeded healthcare to some refugee pregnant women. The most common complaints were demand for pregnancy checkup without specific symptoms (48.6%), followed by abdominal pain or urinary tract infections (in 11.4% of cases each). In 4.2% of pregnancies, severe complications such as syphilis or suicide attempts occurred. Discussion: We present data on pregnancy rates and pregnancy associated medical need in three current refugee cohorts upon arrival in Germany. Healthcare providers should be particularly aware of the requirements of pregnant migrants and should adapt primary caretaking strategies accordingly.

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Section: Discussionsupporting

confidence: 91%

Pregnancy Related Health Care Needs in Refugees—A Current Three Center Experience in Europe

Dopfer

Vakilzadeh

Happle

et al. 2018

IJERPH

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“…The introduction of the rubella vaccine into the routine immunization schedule is essential for reducing the burden of morbidity and mortality due to this disease. 14 The fight against CRS requires a multidisciplinary team which provides the preventive and curative components. 15 The behavior of healthcare providers is one of the factors that determine the quality of the care they provide.…”

Section: Discussionmentioning

confidence: 99%

Knowledge, attitude, and practice of care providers about congenital rubella syndrome

Ravaoarisoa¹,

Andriatahina²,

Randriananahirana³

et al. 2020

Int J Res Med Sci

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Background: Behaviour of healthcare providers when facing an illness is an important part of their struggle. The aim of this study was to assess the level of knowledge, the attitude and the practice of health care providers regarding to the Congenital Rubella Syndrome.Methods: Authors did a descriptive study on the knowledge, the attitude and the practice of healthcare providers about Congenital Rubella Syndrome with 161 healthcare providers working in 8 hospitals in Madagascar. A self-introduced survey was used to collect the data.Results: There were 87% of all healthcare providers included in the study, who said that rubella in the first trimester of pregnancy was the cause of this syndrome for child, 87% knew at least 2 of the 3 major signs of Congenital Rubella Syndrome and more than 80% had a good knowledge of the criteria for diagnosing cases (suspected, clinically confirmed, laboratory confirmed). The referral to a hospital or to a specialist was the most proposed for the management of the case of Congenital Rubella Syndrome. The prescription of an IgG avidity for rubella and advising abortion were the main propositions for mothers having a positive test at the first trimester of pregnancy.Conclusions: A fairly satisfactory level of knowledge of healthcare providers was noted.

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“…Due to the often asymptomatic course of some viral infections, ineffectiveness or inability to apply treatment and in the case of many viruses lack of vaccines, an obstacle to reducing the number of viral infections is primarily a lack of public awareness of preventive measures that can be taken to prevent them [13]. By implementing a vaccination programme against the rubella virus, the effective protection of women of childbearing age has been successfully achieved, and thus the cases of congenital rubella syndrome and the number of miscarriages and premature births as a result of RBV infection during pregnancy, have been successfully reduced [14]. Unfortunately, in the case of other viral infections, which may cause congenital infections, such as CMV, HSV, parvovirus, no effective immunization strategy is available.…”

Section: Discussionmentioning

confidence: 99%

Awareness of congenital cytomegalovirus infection among young people studying non-medical subjects

Trzcińska¹,

Cześcik²,

Siennicka³

2019

Med Og Nauk Zdr.

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Introduction.Congenital infections are still a serious public health problem. They may be related, among others, to the lack of immunization against many pathogens that would reduce the number of cases of infection among pregnant women. In this situation, educational activities are important, disseminating knowledge about available prophylaxis. Objective. Aim of the study is to assess the state of knowledge of young people studying in fields not related to medical care, about congenital infections, mainly congenital CMV infection. Materials and method. The study was conducted by a questionnaire survey. The study group consisted of 225 students aged 20-29 (99 women and 126 men). The questions concerned, among others: knowledge of diseasees/infections affecting the foetus/child; sources and activities related to the risk of CMV infection; hygiene behaviours that can help prevent CMV infection. Results. Down syndrome (88%) and autism (80.9%) belonged to the most frequently reported diseases that may affect children. Knowledge of congenital infections, in addition to congenital toxoplasmosis (28.9%), was below 10%. Knowledge of the fact that CMV infection can be transmitted from mother to foetus was confirmed by 16/225 respondents. Only 8.9% of the respondents knew at least one hygienic behaviour that could contribute to a reduction in the number of CMV infections, and over 91% did not indicate any such behaviour. Conclusion. The survey conducted among students revealed that knowledge about congenital infections possessed by potential parents is not satisfactory. The study clearly indicated the need to undertake educational activities. StreszczenieWprowadzenie. Zakażenia wrodzone nadal stanowią poważny problem zdrowia publicznego. Może to być związane m.in. z faktem, iż w przypadku wielu patogenów brakuje możliwości immunizacji, która pozwoliłaby na ograniczenie liczby przypadków zakażeń wśród kobiet ciężarnych. W takiej sytuacji duże znaczenie mają działania edukacyjne, szerzące wiedzę na temat dostępnej profilaktyki. Cel pracy. Ocena wiedzy młodzieży studiującej na kierunkach niezwiązanych z opieką medyczną na temat zakażeń wrodzonych, głównie zakażenia wrodzonego CMV. Materiały i metody. Badanie miało charakter badania ankietowego. Grupę badaną stanowiło 225 studentów w wieku od 20 do 29 lat (99 kobiet oraz 126 mężczyzn). Pytania dotyczyły m.in.: znajomości jednostek chorobowych/ zakażeń i zarażeń dotykających płód/dziecko; źródeł zakażenia i czynności związanych z ryzykiem zakażenia CMV; zachowań higienicznych, które mogą pomagać w zapobieganiu zakażeniu CMV. Wyniki. Do najczęściej wskazywanych jednostek chorobowych, które mogą dotykać płód/dziecko należały zespół Downa (88%) i autyzm (80,9%). Znajomość zakażeń wrodzonych, poza wrodzoną toksoplazmozą (28,9%), kształtowała się na poziomie poniżej 10%. Fakt, że zakażenie CMV może być przenoszone z matki do płodu był znany 16 spośród 225 ankietowanych. Tylko 8,9% ankietowanych znało przynajmniej jedno zachowanie higieniczne, które może przyczyniać się do ograniczeni...

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Rubella infection in pregnancy and congenital rubella in United Kingdom, 2003 to 2016

Cited by 20 publications

References 18 publications

Pregnancy Related Health Care Needs in Refugees—A Current Three Center Experience in Europe

Pregnancy Related Health Care Needs in Refugees—A Current Three Center Experience in Europe

Knowledge, attitude, and practice of care providers about congenital rubella syndrome

Awareness of congenital cytomegalovirus infection among young people studying non-medical subjects

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