Screening for rubella

The major reduction in the incidence of congenital rubella syndrome since the introduction of measles, mumps, and rubella vaccination is well documented, but cases still occur. Mehta and Thomas (p 90) describe two cases in infants born to mothers who had recently arrived from abroad. Both mothers had a rash in early pregnancy in their country of origin, which had not been elicited when they booked for antenatal care in the United Kingdom. Clinicians, the authors say, should actively seek a history of rash in early gestation, particularly in recent immigrants, so that appropriate tests for primary rubella infection can be undertaken.


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Relevant Article

Lesson of the week: Antenatal screening for rubella---infection or immunity?
Nilesh M Mehta and Roslyn M Thomas
BMJ 2002 325: 90-91. [Extract] [Full Text] [PDF]




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