Congenital rubella syndrome medical therapy: Difference between revisions
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==Medical Therapy== | ==Medical Therapy== | ||
There is no medical treatment for infants diagnosed with congenital rubella syndrome, neither for [[pregnant]] women infected with [[rubella]]. Most complications arising as a result are managed surgically. However, [[prenatal]] management of mothers infected with [[rubella]] depends on the [[gestational age]] at the onset of [[infection]]:<ref name="pmid25066688">{{cite journal |vauthors=Bouthry E, Picone O, Hamdi G, Grangeot-Keros L, Ayoubi JM, Vauloup-Fellous C |title=Rubella and pregnancy: diagnosis, management and outcomes |journal=Prenat. Diagn. |volume=34 |issue=13 |pages=1246–53 |year=2014 |pmid=25066688 |doi=10.1002/pd.4467 |url=}}</ref> | There is no medical treatment for infants diagnosed with congenital rubella syndrome, neither for [[pregnant]] women infected with [[rubella]].<ref name="pmid27314998">{{cite journal |vauthors=Cofre F, Delpiano L, Labraña Y, Reyes A, Sandoval A, Izquierdo G |title=[TORCH syndrome: Rational approach of pre and post natal diagnosis and treatment. Recommendations of the Advisory Committee on Neonatal Infections Sociedad Chilena de Infectología, 2016] |language=Spanish; Castilian |journal=Rev Chilena Infectol |volume=33 |issue=2 |pages=191–216 |year=2016 |pmid=27314998 |doi=10.4067/S0716-10182016000200010 |url=}}</ref> Most complications arising as a result are managed surgically. However, [[prenatal]] management of mothers infected with [[rubella]] depends on the [[gestational age]] at the onset of [[infection]]:<ref name="pmid25066688">{{cite journal |vauthors=Bouthry E, Picone O, Hamdi G, Grangeot-Keros L, Ayoubi JM, Vauloup-Fellous C |title=Rubella and pregnancy: diagnosis, management and outcomes |journal=Prenat. Diagn. |volume=34 |issue=13 |pages=1246–53 |year=2014 |pmid=25066688 |doi=10.1002/pd.4467 |url=}}</ref> | ||
*Before 18 weeks of [[gestation]]: termination of the [[pregnancy]] should be discussed, as chances of [[fetal]] complications are high | *Before 18 weeks of [[gestation]]: termination of the [[pregnancy]] should be discussed, as chances of [[fetal]] complications are high | ||
*After 18 weeks of [[gestation]]: [[pregnancy]] can be continued and closely monitored through serial [[ultrasound]] | *After 18 weeks of [[gestation]]: [[pregnancy]] can be continued and closely monitored through serial [[ultrasound]] | ||
Revision as of 20:54, 17 January 2017
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Dima Nimri, M.D. [2]
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Overview
Medical Therapy
There is no medical treatment for infants diagnosed with congenital rubella syndrome, neither for pregnant women infected with rubella.[1] Most complications arising as a result are managed surgically. However, prenatal management of mothers infected with rubella depends on the gestational age at the onset of infection:[2]
- Before 18 weeks of gestation: termination of the pregnancy should be discussed, as chances of fetal complications are high
- After 18 weeks of gestation: pregnancy can be continued and closely monitored through serial ultrasound
References
- ↑ Cofre F, Delpiano L, Labraña Y, Reyes A, Sandoval A, Izquierdo G (2016). "[TORCH syndrome: Rational approach of pre and post natal diagnosis and treatment. Recommendations of the Advisory Committee on Neonatal Infections Sociedad Chilena de Infectología, 2016]". Rev Chilena Infectol (in Spanish; Castilian). 33 (2): 191–216. doi:10.4067/S0716-10182016000200010. PMID 27314998.
- ↑ Bouthry E, Picone O, Hamdi G, Grangeot-Keros L, Ayoubi JM, Vauloup-Fellous C (2014). "Rubella and pregnancy: diagnosis, management and outcomes". Prenat. Diagn. 34 (13): 1246–53. doi:10.1002/pd.4467. PMID 25066688.