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DIAGNOSTIC TESTS
VIRAL NUCLEIC ACID DETECTION THROUGH POLYMERASE CHAIN REACTION
VIRUS ISOLATION
SEROLOGICAL TESTING ONCE AVAILABLE
ZIKV DIAGNOSTIC TESTS
INDICATIONS FOR ZIKV TESTING
*If pregnant is (+) for ZIKV thru PCR, serology is no longer required
** If pregnant is (-) for ZIKV thru PCR, serology is required to rule out previous ZIKV
ALGORITHM FOR PREGNANT WOMEN
*** If serology is (-) for ZIKV, test for Dengue and Chikungunya
ZIKV TESTING FOR NEWBORNS/INFANTS
INITIAL SAMPLE: CORD BLOOD OR DIRECTLY FROM THE NEWBORN WITHIN 2 DAYS OF BIRTH
TEST NEWBORN/INFANT SERUM FOR ZIKV RNA, ZIKV IGM & NEUTRALIZING ANTIBODIES, AND DENGV IGM &
NEUT AB
TEST UMBILICAL CORD BLOOD USING RT-PCR
CSF: ZIKV RNA, ZIKV IGM & NEUT AB, DENGV IGM & NEUT AB
FIXED TISSUE OF PLACENTA & UMBILICAL CORD: ZIKV IMMUNOHISTOCHEMCIAL STAIN
FIXED & FROZEN TISSUE OF PLACENTA & UMBILICAL CORD: ZIKV RT-PCR
TEST MOTHERS SERUM FOR ZIKV IGM & NEUT AB, DENGV IGM & NEUT AB
CLINICAL MANAGEMENT
ALL WOMEN SHOULD BE OFFERED CONGENITAL ANOMALY SCAN AT LEAST AT 20 WEEKS AOG
OFFER 1ST TRIMESTER ULTRASOUND TO ACCURATELY DETERMINE GESTATIONAL AGE
CARE FOR PREGNANT WOMEN WITH POSSIBLE ZIKV-RELATED
MICROCEPHALY AND/OR OTHER BRAIN ABNORMALITIES
IF (+) FETAL BRAIN ABNORMALITIES CONFIRMED BY ULTRASOUND AND (+) ZIKV TEST CONFIRMED BY
MATERNAL SERUM OR AMNIOCENTESIS
REFER FOR SPECIALIZED CARE
SHOULD RECEIVE INDIVIDUALIZED CARE AND COUNSELING ALONG WITH THE PARTNER
PROVIDE APPROPRIATE CARE TO MANAGE ANXIETY, STRESS AND THE BIRTH ENVIRONMENT
PLANS FOR CARE & MGT OF THE BABY SOON AFTER BIRTH SHOULD BE DISCUSSED WITH THE PARENTS IN
CONSULTATION WITH A PEDIA OR PEDIA-NEURO
ALL WOMEN, WHATEVER THEIR INDIVIDUAL CHOICES WITH RESPECT TO THEIR PREGNANCIES, MUST BE
TREATED WITH RESPECT AND DIGNITY
PREVENTION AND CONTROL
PROTECTION OF THE SKIN FROM EXPOSURE TO MOSQUITOES BY WEARING CLOTHES THAT COVER AS
MUCH OF THE BODY AS POSSIBLE
USE OF MOSQUITO BEDNETS, EVEN WHEN SLEEPING DURING THE DAYTIME
USE OF MOSQUITO SCREENS/MESH ON WINDOWS AND DOORS
USE OF INSECT REPELLENT APPROVED BY THE FDA TO BE SAFE TO USE DURING PREGNANCY
SAFE SEXUAL PRACTICES: CORRECT AND CONSISTENT CONDOM USE OR ABSTAIN FROM SEXUAL
ACTIVITY FOR THE DURATION OF THE PREGNANCY