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Management of chickenpox in pregnant women: an Italian perspective

Chickenpox is a highly contagious disease caused by primary infection of varicella zoster virus (VZV). The disease is spread worldwide and is usually benign but, in some groups of population like pregnant women, can have a severe outcome. Due to a not optimal vaccination coverage, a relatively high...

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Autores principales: Parente, Serena, Moriello, Nicola Schiano, Maraolo, Alberto Enrico, Tosone, Grazia
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7101639/
https://www.ncbi.nlm.nih.gov/pubmed/29802481
http://dx.doi.org/10.1007/s10096-018-3286-7
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author Parente, Serena
Moriello, Nicola Schiano
Maraolo, Alberto Enrico
Tosone, Grazia
author_facet Parente, Serena
Moriello, Nicola Schiano
Maraolo, Alberto Enrico
Tosone, Grazia
author_sort Parente, Serena
collection PubMed
description Chickenpox is a highly contagious disease caused by primary infection of varicella zoster virus (VZV). The disease is spread worldwide and is usually benign but, in some groups of population like pregnant women, can have a severe outcome. Due to a not optimal vaccination coverage, a relatively high number of childbearing-aged women in a European country such as Italy tested seronegative for VZV and so are currently at risk of acquiring chickenpox during pregnancy, especially if they live in contact with children for family or work reasons. Only few data are available about the risk of infection in this setting: the incidence of chickenpox may range from 1.5 to 4.6 cases/1000 childbearing females and from 1.21 to 6 cases/10,000 pregnant women, respectively. This review is aimed to focus on the epidemiology and the clinical management of exposure to chickenpox during pregnancy. Particular emphasis is given to the accurate screening of childbearing women at the time of the first gynecological approach — the females who tested susceptible to infection can be counseled about the risks and instructed on procedure should contact occur — and to the early prophylaxis of the at-risk exposure. Lastly, the achievement of adequate vaccination coverage of the Italian population remains a cornerstone in the prevention of chickenpox in pregnancy.
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spelling pubmed-71016392020-03-31 Management of chickenpox in pregnant women: an Italian perspective Parente, Serena Moriello, Nicola Schiano Maraolo, Alberto Enrico Tosone, Grazia Eur J Clin Microbiol Infect Dis Review Chickenpox is a highly contagious disease caused by primary infection of varicella zoster virus (VZV). The disease is spread worldwide and is usually benign but, in some groups of population like pregnant women, can have a severe outcome. Due to a not optimal vaccination coverage, a relatively high number of childbearing-aged women in a European country such as Italy tested seronegative for VZV and so are currently at risk of acquiring chickenpox during pregnancy, especially if they live in contact with children for family or work reasons. Only few data are available about the risk of infection in this setting: the incidence of chickenpox may range from 1.5 to 4.6 cases/1000 childbearing females and from 1.21 to 6 cases/10,000 pregnant women, respectively. This review is aimed to focus on the epidemiology and the clinical management of exposure to chickenpox during pregnancy. Particular emphasis is given to the accurate screening of childbearing women at the time of the first gynecological approach — the females who tested susceptible to infection can be counseled about the risks and instructed on procedure should contact occur — and to the early prophylaxis of the at-risk exposure. Lastly, the achievement of adequate vaccination coverage of the Italian population remains a cornerstone in the prevention of chickenpox in pregnancy. Springer Berlin Heidelberg 2018-05-25 2018 /pmc/articles/PMC7101639/ /pubmed/29802481 http://dx.doi.org/10.1007/s10096-018-3286-7 Text en © Springer-Verlag GmbH Germany, part of Springer Nature 2018 This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic.
spellingShingle Review
Parente, Serena
Moriello, Nicola Schiano
Maraolo, Alberto Enrico
Tosone, Grazia
Management of chickenpox in pregnant women: an Italian perspective
title Management of chickenpox in pregnant women: an Italian perspective
title_full Management of chickenpox in pregnant women: an Italian perspective
title_fullStr Management of chickenpox in pregnant women: an Italian perspective
title_full_unstemmed Management of chickenpox in pregnant women: an Italian perspective
title_short Management of chickenpox in pregnant women: an Italian perspective
title_sort management of chickenpox in pregnant women: an italian perspective
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7101639/
https://www.ncbi.nlm.nih.gov/pubmed/29802481
http://dx.doi.org/10.1007/s10096-018-3286-7
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