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*MEDICAL: DISEASES: ZIKA VIRUS :*
*CARE PROVIDERS :*
*CHILDREN :*
*GUIDELINES:*
*Clinical Guidance for Healthcare Providers*
*Caring for Infants and Children*
*FROM The Centers for Disease Control and Prevention*
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*Clinical Guidance for Healthcare Providers*
*Caring for Infants and Children*
*FROM The Centers for Disease Control and Prevention*
*National Center for Emerging and Zoonotic Infectious Diseases (NCEZID)*
*Division of Vector-Borne Diseases (DVBD)*
*U.S. Department of Health and Human Services*
*http://www.cdc.gov/zika/hc-providers/infants-children.html*
<http://www.cdc.gov/zika/hc-providers/infants-children.html>
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CDC <http://www.cdc.gov/>Zika Virus Home
<http://www.cdc.gov/zika/index.html>For Healthcare Providers
<http://www.cdc.gov/zika/hc-providers/index.html>Clinical Guidance
<http://www.cdc.gov/zika/hc-providers/clinical-guidance.html>
Clinical Guidance for Healthcare Providers Caring for Infants & Children
Language:
English <http://www.cdc.gov/zika/hc-providers/infants-children.html#>
- Español
<http://espanol.cdc.gov/enes/zika/hc-providers/infants-children.html>
- Português
<http://portugues.cdc.gov/zika/hc-providers/infants-children.html>
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<http://www.cdc.gov/zika/hc-providers/infants-children/zika-evaluation.html>
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<http://www.cdc.gov/zika/hc-providers/infants-children/zika-microcephaly.html>
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<http://www.cdc.gov/zika/hc-providers/infants-children/zika-testing-infants.html>
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<http://www.cdc.gov/zika/hc-providers/infants-children/resources-hc-providers-caring-for-infants.html>
Summary
Key Points:
- Testing of infants with possible congenital Zika virus infection
should be guided by 1) whether the infant has abnormalities consistent with
congenital Zika syndrome (e.g., microcephaly, intracranial calcifications,
or other brain or eye abnormalities) and 2) the mother’s Zika virus testing
results.
- Acute Zika virus disease should be suspected in an infant or child
aged <18 years who 1) traveled to or resided in an affected area within the
past 2 weeks and 2) has two or more of the following manifestations: fever,
rash, conjunctivitis, or arthralgia.
- Acute Zika virus disease should also be suspected in an infant in the
first 2 weeks of life 1) whose mother traveled to or resided in an affected
area within 2 weeks of delivery and 2) who has two or more of the following
manifestations: fever, rash, conjunctivitis, or arthralgia.
- Zika virus infection can be diagnosed by reverse
transcription-polymerase chain reaction (RT-PCR) or through serologic
testing.
- No cases of Zika virus infection associated with breastfeeding have
been reported. CDC encourages mothers with Zika virus infection and living
in areas with ongoing Zika virus transmission to breastfeed their infants.
Current evidence suggests that the benefits of breastfeeding outweigh the
theoretical risks of Zika virus transmission through breast milk.
Latest Changes: CDC updated the guidance on August 19, 2016. The revised
guidance updates recommendations for the initial evaluation and testing of
infants born to mothers with laboratory evidence of Zika virus infection
during pregnancy and establishes recommendations for the outpatient
management and follow up of infants with laboratory evidence of congenital
Zika virus infection, with or without apparent abnormalities consistent
with congenital Zika syndrome (e.g., microcephaly, intracranial
calcifications, or other brain or eye abnormalities). Families and
caregivers will need ongoing psychosocial support and assistance with
coordination of care.
Guidance
- UPDATE: Interim Guidance for the Evaluation and Management of Infants
with Possible Congenital Zika Virus Infection – United States, August 2016
<http://www.cdc.gov/mmwr/volumes/65/wr/mm6533e2.htm?s_cid=mm6533e2_w> (MMWR,
August 19, 2016)
- UPDATE: Interim Guidelines for Healthcare Providers Caring for Infants
and Children with Possible Zika Virus Infection – United States, February
2016
<http://www.cdc.gov/mmwr/volumes/65/wr/mm6507e1er.htm?s_cid=mm6507e1.htm_w>
(MMWR,
Feb. 19, 2016)
- Interim Guidelines for the Evaluation and Testing of Infants with
Possible Congenital Zika Virus Infection – United States, 2016
<http://www.cdc.gov/mmwr/volumes/65/wr/mm6503e3.htm> (MMWR, Jan. 29,
2016)
Related Publications
- Resources and Guidance for Healthcare Providers Caring for Infants
Affected by Zika Virus
<http://www.cdc.gov/zika/hc-providers/infants-children/resources-hc-providers-caring-for-infants.html>
- Projecting Month of Birth for At-Risk Infants after Zika Virus Disease
Outbreaks <http://wwwnc.cdc.gov/eid/article/22/5/16-0290_article>(EID,
May 2016)
- Preventing Transmission of Zika Virus in Labor and Delivery Settings
Through Implementation of Standard Precautions — United States, 2016
<http://www.cdc.gov/mmwr/volumes/65/wr/mm6511e3.htm?s_cid=mm6511e3_w> (MMWR,
March 25, 2016)
- Zika virus and birth defects – Reviewing the evidence for causality
<http://www.nejm.org/doi/pdf/10.1056/NEJMsr1604338>
<http://www.cdc.gov/Other/disclaimer.html> (NEJM, 2016)
Health Care for Infants
Measuring Head Circumference
[image: Infographic showing the measuring circumference of a baby with a
typical size head, a baby with microcephaly, and a baby with severe
microcephlay]
- English 11" X 8.5"[PDF - 1 page]
<https://www.cdc.gov/zika/pdfs/microcephaly_measuring.pdf>
- Spanish 11" X 8.5" (Colombia)[PDF - 1 page]
<https://www.cdc.gov/zika/pdfs/microcephaly_measuring-esp.pdf>
- Spanish 11" X 8.5" (Puerto Rico)[PDF - 1 page]
<https://www.cdc.gov/zika/pdfs/microcephaly_measuring-esp-physicians_puertorico-508.pdf>
- Portuguese 11" X 8.5"[PDF - 1 page]
<https://www.cdc.gov/zika/pdfs/measuringheadcircumference.pdf>
Recommendations for Infants with Zika
[image: Recommended evaluation and long-term follow up for infants with
possible congenital Zika virus infection infographic thumbnail]
- English 11" X 8.5"[PDF - 1 page]
<http://www.cdc.gov/zika/pdfs/pediatric-evaluation-follow-up-tool.pdf>
- Spanish 11" X 8.5"[PDF - 1 page]
<http://espanol.cdc.gov/img/cdc/ES_49755.pdf>
Sincerely,
David Dillard
Temple University
(215) 204 - 4584
jwne@xxxxxxxxxx
http://workface.com/e/daviddillard
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