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[水痘-带状疱疹病毒母婴传播的预防]

[Prevention of fetal and neonatal transmission of the varicella-zoster virus].

作者信息

Haddad J, Gut J P, Lokiec F

机构信息

Hôpitaux Universitaires de Strasbourg, Service de Néonatalogie, Hôpital de Hautepierre, Strasbourg, France.

出版信息

Pathol Biol (Paris). 1992 Sep;40(7):724-8.

PMID:1480409
Abstract

Varicella occurs in 0.7 to 0.13% of pregnant women. The risk of transmission of the varicella-zoster virus to the fetus is small. The virus causes malformations (cutaneous scars and above all central nervous system anomalies). Mother-to-offspring transmission is more common during the perinatal period (20%), when mild or severe (fatal in 20% of cases) congenital varicella may occur. Prevention of transmission of the varicella-zoster virus from the mother to her fetus or neonate rests on detection of fetal varicella (antenatal ultrasonography, fetal IgM assays) and on administration of both specific anti-VZ virus immune globulins and acyclovir to the mother and neonate during the perinatal period.

摘要

0.7%至0.13%的孕妇会感染水痘。水痘-带状疱疹病毒传播给胎儿的风险较小。该病毒会导致畸形(皮肤瘢痕,尤其是中枢神经系统异常)。母婴传播在围产期更为常见(20%),此时可能会发生轻度或重度先天性水痘(20%的病例会致命)。预防水痘-带状疱疹病毒从母亲传播给胎儿或新生儿,在于检测胎儿水痘(产前超声检查、胎儿IgM检测),以及在围产期给母亲和新生儿注射特异性抗VZ病毒免疫球蛋白和阿昔洛韦。

相似文献

1
[Prevention of fetal and neonatal transmission of the varicella-zoster virus].[水痘-带状疱疹病毒母婴传播的预防]
Pathol Biol (Paris). 1992 Sep;40(7):724-8.
2
[Chickenpox and pregnancy. Perinatal aspects and prevention].[水痘与妊娠。围产期情况及预防]
Arch Fr Pediatr. 1987 May;44(5):339-42.
3
Varicella-zoster virus infections in the immunocompromised host. Natural history and treatment.免疫功能低下宿主的水痘-带状疱疹病毒感染。自然病程与治疗
Scand J Infect Dis Suppl. 1991;80:69-74.
4
Neonatal varicella.新生儿水痘
J Perinatol. 2001 Dec;21(8):545-9. doi: 10.1038/sj.jp.7210599.
5
[Neonatal varicella: indications for the use of varicella-zoster specific immunoglobulin].
An Esp Pediatr. 1989 Sep;31(3):201-4.
6
Effect of maternal varicella-zoster virus infection on the outcome of pregnancy and the analysis of transplacental virus transmission.
Acta Virol. 1986 May;30(3):249-55.
7
Herpes simplex and varicella-zoster virus infections during pregnancy: current concepts of prevention, diagnosis and therapy. Part 2: Varicella-zoster virus infections.孕期单纯疱疹病毒和水痘-带状疱疹病毒感染:预防、诊断及治疗的当前理念。第2部分:水痘-带状疱疹病毒感染
Med Microbiol Immunol. 2007 Jun;196(2):95-102. doi: 10.1007/s00430-006-0032-z. Epub 2006 Dec 16.
8
Varicella-zoster virus: Prevention through vaccination.水痘带状疱疹病毒:通过接种疫苗预防。
Clin Obstet Gynecol. 2012 Jun;55(2):560-70. doi: 10.1097/GRF.0b013e3182510b67.
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Varicella-zoster virus-specific cellular immunity in subjects given acyclovir after household chickenpox exposure.在家中接触水痘后接受阿昔洛韦治疗的受试者的水痘带状疱疹病毒特异性细胞免疫
J Infect Dis. 1999 Sep;180(3):834-7. doi: 10.1086/314950.
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Varicella in the fetus and newborn.胎儿及新生儿水痘
Semin Fetal Neonatal Med. 2009 Aug;14(4):209-17. doi: 10.1016/j.siny.2008.11.008. Epub 2008 Dec 19.

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Eur J Epidemiol. 2007;22(6):405-9. doi: 10.1007/s10654-007-9136-z. Epub 2007 May 30.