2017
DOI: 10.15585/mmwr.mm6629e1
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Update: Interim Guidance for Health Care Providers Caring for Pregnant Women with Possible Zika Virus Exposure — United States (Including U.S. Territories), July 2017

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Cited by 114 publications
(115 citation statements)
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References 30 publications
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“…According to the United States Centers for Disease Control and Prevention (CDC) guidelines, ZIKV testing is currently recommended for every symptomatic pregnant women with possible ZIKV exposure, for asymptomatic pregnant women with ongoing possible ZIKV exposure and for ZIKV‐exposed pregnant women whose fetus presents with prenatal US findings consistent with congenital ZIKV infection. ZIKV testing may also be considered for asymptomatic pregnant women with recent possible but not ongoing exposure to ZIKV (ie, travelers) (https://www.cdc.gov/pregnancy/zika/testing-follow-up/documents/testing-algorithm-asymptomatic.pdf). However, since birth defects were described in asymptomatic ZIKV‐infected pregnant women returning from endemic areas, ZIKV testing should be offered to all pregnant women possibly exposed to ZIKV.…”
Section: Maternal Infectionmentioning
confidence: 99%
“…According to the United States Centers for Disease Control and Prevention (CDC) guidelines, ZIKV testing is currently recommended for every symptomatic pregnant women with possible ZIKV exposure, for asymptomatic pregnant women with ongoing possible ZIKV exposure and for ZIKV‐exposed pregnant women whose fetus presents with prenatal US findings consistent with congenital ZIKV infection. ZIKV testing may also be considered for asymptomatic pregnant women with recent possible but not ongoing exposure to ZIKV (ie, travelers) (https://www.cdc.gov/pregnancy/zika/testing-follow-up/documents/testing-algorithm-asymptomatic.pdf). However, since birth defects were described in asymptomatic ZIKV‐infected pregnant women returning from endemic areas, ZIKV testing should be offered to all pregnant women possibly exposed to ZIKV.…”
Section: Maternal Infectionmentioning
confidence: 99%
“…As infection rates continue to decline, there is a very low pre-test probability when testing asymptomatic individuals, which limits the value of testing. As a result, testing guidelines do not routinely recommend testing of asymptomatic pregnant women with no ongoing risk (i.e., travellers) (31). Several testing procedures for case identification are available; however, antibody cross reactivity between ZIKV and related viruses such as dengue can complicate diagnosis when using serological platforms.…”
Section: Discussionmentioning
confidence: 99%
“…CHIKV is a mosquito-borne alphavirus first isolated in Tanzania in 1952. 14 29 Testing may also be considered in asymptomatic potentially exposed pregnant women after considering risk of infection, patient preferences, and clinical judgment. 29 Nonpregnant individuals and couples traveling to Zika-affected areas should also be counseled on measures to prevent sexual transmission and congenital infection.…”
Section: Chikungunyamentioning
confidence: 99%