CDC Guidelines for Healthcare Providers Caring for Patients with Possible Zika Virus Exposure
Updated February 5, 2016
CDC Interim Zika Guidelines:
- Includes new information about confirmed sexual transmission of Zika virus and testing recommendations for asymptomatic pregnant women
- Asymptomatic women who have traveled to an area with local Zika transmission should be tested within 2 to 12 weeks of return.
- Caveat is that these serum test results may be difficult to interpret because they often co-react to a previous dengue or yellow fever infection.
- A negative serum result would indicate that intensive monitoring of the fetus is unnecessary.
- Expanded to include pregnant women residing in areas with local Zika virus transmission
- If pregnant and symptomatic, test within 1 week of symptoms.
- If pregnant and no symptoms, testing is recommended at the initiation of prenatal care and mid-second trimester.
- To prevent continued exposure to Zika throughout the pregnancy, healthcare providers should discuss use of condom or sexual abstinence with pregnant women
- The CDC states that there is “currently no evidence” to suggest that pre-conception Zika infection will have an effect on the fetus.
Interim Guidelines for Prevention of Sexual Transmission of Zika Virus
United States 2016:
- Men who have traveled to area with Zika should use a condom or abstain from sex with a pregnant sexual partner for the duration of the pregnancy.
- Men with nonpregnant sexual partners—suggested that they “consider” abstinence or condom use but also consider the fact that most infections are asymptomatic or mild if symptomatic.
- Not recommending testing of men for the purpose of assessing risk of sexual transmission.