Zika Virus Diagnosis and Management During Pregnancy and In Infancy

$15.00 | CE Hours:5.00 | Intermediate

 

CE Course Description

Pregnant women living in or traveling to areas with local mosquito-borne Zika virus transmission are at risk for Zika virus infection, which can lead to severe fetal and infant brain abnormalities and microcephaly.  This CE course provides guidance for the diagnosis, evaluation, and management of infants with possible congenital Zika virus infection.

Author:  US Department of Health and Human Services; Centers for Disease Control and Prevention.  (2017, June).  Pregnancy Outcomes After Maternal Zika Virus Infection During Pregnancy - U.S.Territories, January 1, 2016 - April 25, 2017.  MMWR, June 16, 2017, Vol 66, No 23.;  US Department of Health and Human Services; Centers for Disease Control and Prevention.  (2017, June).  Evaluation of Placental and Fetal Tissue Specimens for Zika Virus Infection - 50 States and District of Columbia, January - December, 2016.  MMWR, June 23, 2017, Vol 66, No 24.;  US Department of Health and Human Services; Centers for Disease Control and Prevention.  (2017, July).  Update: Interim Guidance for Health Care Providers Caring for Pregnant Women with Possible Zika Virus Exposure - United States (Including U.S. Territories), July 2017.  MMWR, July 28, 2017, Vol 66, No 29.;  US Department of Health and Human Services; Centers for Disease Control and Prevention.  (2017, October).  Update: Interim Guidance for the Diagnosis, Evaluation, and Management of Infants with Possible Congenital Zika Virus Infection - United States, October 2017.  MMWR, October 20, 2017, Vol 66, No 41.

References:

Bingham AM, Cone M, Mock V, et al.  Comparison of test results for Zika virus RNA in urine, serum, and saliva specimens from persons with travel-associated Zika virus disease - Florida, 2016.  MMWR Morb Mortal Wkly Rep 2016; 65:475-8.

Bhatnagar J, Rabeneck DB, Martines RB, et al.  Zika virus RNA replication and persistence in brain and placental tissue.  Emerg Infect Dis 2017; 23:405-14.

Vouga M, Baud D.  Imaging of congenital Zika virus infection: the route to identification of prognostic factors.  Prenat Diagn 2016; 36:799-811.

Retrieved from:  https://www.cdc.gov/mmwr/index.html

CE Course Objectives

1.  Conclude how many times asymptomatic pregnant women with ongoing possible Zika virus exposure should be offered Zika virus NAT testing during pregnancy.

2.  Explain what the plaque reduction neutralization test can and cannot be used for.

3.  Evaluate which trimester of pregnancy the highest risk of severe central nervous system sequelae have been reported of congenital cytomegalovirus infection.

4.  Identify four signs and symptoms consistent with Zika virus disease.

5.  List three CDC recommendations for Zika virus testing.

6.  Summarize three factors that could lead to false-negative testing results.

CE Outline with Main Points

1.  Pregnancy Outcomes After Maternal Zika Virus Infection During Pregnancy

2.  Evaluation of Placental and Fetal Tissue Specimens for Zika Virus Infection

3.  Interim Guidance for Health Care Providers Caring for Pregnant Women with Possible Zika Virus Exposure

a.  Zika Virus Infection

b.  Persistence of Zika Virus Nucleic Acid and Immune Response

c.  Zika Virus Diagnostic Testing

d.  Updated Interim Guidance for Laboratory Testing of Pregnant Women with Exposure to Areas with Risk for Zika Virus Transmission

e.  Updated Interim Guidance for Prenatal Management of Pregnant Women with Laboratory Evidence of Possible Zika Virus Infection

f.  Updated Interim Guidance for the Evaluation of Placental and Fetal Tissue Specimens for Zika Virus Infection

g.  Implications of Updated Interim Guidance for Laboratory Testing of Pregnant Women with Possible Zika Virus Exposure for the Evaluation and Care of Infants with Possible Congenital Zika Virus Exposure

h.  Prevention of Zika Virus Infection

4.  Interim Guidance for the Diagnosis, Evaluation, and Management of Infants with Possible Congenital Zika Virus Infection

a.  Congenital Zika Virus Infection

b.  Zika Virus Laboratory Testing

c.  Updated Guidance for Testing of Pregnant Women with Possible Zika Virus Exposure

d.  Forum on the Diagnosis, Evaluation, and Management of Zika Virus Infection Among Infants

e.  Diagnosis of Congenital Zika Virus Infection

f.  Updated Recommendations for Diagnosis, Clinical Evaluation, and Management of Infants with Clinical Finding Consistent with Congenital Zika Syndrome Born to Mothers with Possible Zika Virus Exposure in Pregnancy

g.  Updated Recommendations for Diagnosis, Clinical Evaluation, and Management of Infants without Clinical Findings Consistent with Congenital Zika Syndrome Born to Mothers with Laboratory Evidence of Possible Zika Virus Infection During Pregnancy

h.  Updated Recommendations for Diagnosis, Clinical Evaluation, and Management of Infants with Clinical Findings Consistent with Congenital Zika Syndrome Born to Mothers with Possible Zika Virus Exposure in Pregnancy but without Laboratory Evidence of Possible Zika Virus Infection During Pregnancy

i.  Special Considerations for the Prenatal Diagnosis of Congenital Zika Virus Infection

 

 

Social Work Approval

Social Work CE Credit for this course is offered with the following approvals. Many state boards of social work will accept the approvals listed. Provider Approvals by state and license type can be found here.

  • Quantum Units Education is approved by the California Association of Marriage and Family Therapists, CAMFT Provider #89970, to sponsor continuing education for LMFTs, LCSWs, LPCCs, and/or LEP. Quantum Units Education maintains responsibility for this program/course and its content.
  • Florida board for Social Workers (Quantum 'immediately' reports CE Credits to Florida licensees)
  • Texas Board of Social Workers
  • ACE credit is not offered for this course. A list of courses offering ACE credit can be found here.

To see other approvals in your state, see our state by state provider approval listings here.

 

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Added On: 2019-05-02

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