*Yellow = routinely tested, Bold = could be added
| Serology* | Prevention (Maternal) | |
|---|---|---|
| ‣ | IgM | CATS! - don’t handle the cat litter box if pregnant |
| Others (‣ , ‣, ‣, ‣, ‣, ‣) | HIV: should also do a viral load (worried about vertical transmission) | |
| ‣ | IgM | Prenatal screening, no ‣ IF ALREADY PREGNANT. |
| After 18 weeks gestation: Risk of CRS drops significantly. |
Offer MMR post-partum | | ‣ | for baby: urine PCR | | | ‣ | for baby: swabs of orifices (skin, eye), LP for CSF, blood -> HSV PCR | If lesion before ROM: ‣ If lesion after ROM: empiric IV ‣ |
*Except the aforementioned, test with IgM in the baby (blood or aminonic fluid)
Common symptoms that might be hidden: Hearing loss, rashes, jaundice, fetal growth restriction