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ホームIMICライブラリMMWR抄訳2016年(Vol.65)最新情報:ジカウイルス曝露の可能性のある人を対象と・・・

MMWR抄訳

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2016/10/07Vol. 65 / No. 39

MMWR65(39):1077-1081
Update: Interim Guidance for Preconception Counseling and Prevention of Sexual Transmission of Zika Virus for Persons with Possible Zika Virus Exposure — United States, September 2016

最新情報:ジカウイルス曝露の可能性のある人を対象とした受胎前カウンセリングおよびジカウイスルの性感染予防のための暫定ガイダンス ― アメリカ、2016年9月

CDCは、妊娠を計画しているジカウイルス曝露の可能性のある人のための暫定ガイダンス、および性的接触を介したジカウイルス感染予防のための暫定ガイダンスを更新し、ひとつの文書に統合した。ジカウイルス曝露の可能性のある妊婦に対するケアに関するガイダンスは、既に発表してある。ジカウイルス曝露の可能性は、ジカウイルス伝染の活発な地域への旅行または居住、あるいは伝染の活発な地域への旅行または居住しているパートナーとのコンドームなしの性交と定義される。限定されてはいるが新規のデータに基づいて、現在CDCはパートナーとの妊娠の計画を考慮しているジカウイルス曝露の可能性のある全ての男性に対し、症状の状態にかかわらず、症状発現後(症状がある場合)または最後のジカウイルス曝露の可能性後(無症状の場合)、少なくても6カ月までは妊娠の待機を推奨している。妊娠を計画している女性に対する勧告に変更はなく、ジカウイルス曝露の可能性のある女性では、症状発現後(症状がある場合)または最後のジカウイルス曝露の可能性後(無症状の場合)、少なくても8週までは妊娠の待機が推奨されている。妊娠していないか妊娠を計画しないジカウイルス曝露の可能性のあるカップルで、ジカウイルスの性感染リスクを最小にしたい場合は、コンドームを使用するか、あるいは上記に記載した男性および女性の感染防止の同じ期間について禁欲するべきである。ジカウイルス曝露のある、または今後のジカウイルス曝露が見込まれる再生産年齢の女性で妊娠を希望しない場合は、最も効果的な避妊法を正確および持続的に使用する必要がある。これらの勧告は、追加データが利用可能となった場合にさらに更新される。

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