domingo, 28 de febrero de 2016

Infeccion por Virus Zika en viajeras embarazadas USA Agosto 2015–Febrero 2016

El artículo de CDC: Zika Virus Infection Among U.S. Pregnant Travelers — August 2015–February 2016 habla de la estrategia seguida con la mujeres de USA que han viajado a la zona de la epidemia y presentan signos de infección por virus zika y de algunos resultados obtenidos.

Among nine pregnant women with confirmed Zika virus disease, no hospitalizations or deaths were reported. All nine women reported at least one of the four most commonly observed symptoms (fever, rash, conjunctivitis, or arthralgia), all women reported rash, and all but one woman had at least two symptoms. Among the six pregnant women with Zika virus disease who reported symptoms during the first trimester, outcomes included two early pregnancy losses, two elective pregnancy terminations, and delivery of a live born infant with microcephaly; one pregnancy is continuing. Among two women with Zika virus infection who had symptoms during the second trimester of pregnancy, one apparently healthy infant has been born and one pregnancy is continuing. One pregnant woman reported symptoms of Zika virus infection in the third trimester of pregnancy, and she delivered a healthy infant.

Está claro que el primer trimestre es el de mayor riesgo de grave patología neurológica, aunque el caso de microcefalia en la mujer afectada en el segundo trimestre amplía el periodo de riesgo.

Approximately half a million pregnant women are estimated to travel to the United States annually from the 32 (as of February 18, 2016) Zika-affected countries and U.S. territories with active transmission of Zika virus (personal communication, Bradley Nelson, February 23, 2016). 

Una razón más para que les preocupe la epidemia que tienen sus vecinos del sur

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