Baidu
map

2016 TORCH感染筛查、诊断与干预原则和工作流程专家共识

2016-06-30 妇产科相关专家组(统称) 中国实用妇科与产科杂志.2016,32(6):535-540.

近年来,国内外均发表了与TORCH 感染相关的临床实践指南,但仍有内容需要加以补充和明确。国内部分专家就TORCH 感染筛查、诊断及干预的临床路径进行了专题研讨,达成共识如下:(1)不是所有的TORCH病原体都需要孕前或孕期筛查;对围孕期妇女不需要进行单纯疱疹病毒抗体分型检测,若无临床症状,不需要等待其IgM 抗体转阴再妊娠。(2)检测TORCH-IgM、IgG 抗体时应采用定量技术,保存检测过的

中文标题:

2016 TORCH感染筛查、诊断与干预原则和工作流程专家共识

发布日期:

2016-06-30

简要介绍:

近年来,国内外均发表了与TORCH 感染相关的临床实践指南,但仍有内容需要加以补充和明确。国内部分专家就TORCH 感染筛查、诊断及干预的临床路径进行了专题研讨,达成共识如下:(1)不是所有的TORCH病原体都需要孕前或孕期筛查;对围孕期妇女不需要进行单纯疱疹病毒抗体分型检测,若无临床症状,不需要等待其IgM 抗体转阴再妊娠。(2)检测TORCH-IgM、IgG 抗体时应采用定量技术,保存检测过的剩余血清样本对可能的后续诊断有不可替代的参考价值。
(3)不能依据血清学筛查阳性结果而做出终止妊娠的决定。(4)重视对巨细胞病毒再次感染的孕期监测。(5)慎重使用介入性产前诊断技术,在确认孕期TORCH 感染的5~7 周并可见胎儿影像学异常后,孕18 周后采取羊水标本进行病原体DNA 或RNA 的检测,可以结合脐血样本的IgM 抗体检测进行产前诊断;超声及MRI 检查有助于评估宫内感染的胎儿预后。(6)注意孕妇和胎儿的弓形虫感染治疗方法不同。(7)胎儿非免疫性水肿或不明原因胎死宫内的孕妇需要检测微小病毒B19 抗体状态,对确诊贫血的存活胎儿有微小病毒B19 宫内感染时,可给予宫内输血治疗。


拓展指南:TORCH感染相关指南:

相关资料下载:
[AttachmentFileName(sort=100, fileName=2016 TORCH感染筛查、诊断与干预原则和工作流程专家共识)] GetToolGuiderByIdResponse(projectId=1, id=007a91c001235a73, title=2016 TORCH感染筛查、诊断与干预原则和工作流程专家共识, enTitle=, guiderFrom=中国实用妇科与产科杂志.2016,32(6):535-540., authorId=null, author=, summary=近年来,国内外均发表了与TORCH 感染相关的临床实践指南,但仍有内容需要加以补充和明确。国内部分专家就TORCH 感染筛查、诊断及干预的临床路径进行了专题研讨,达成共识如下:(1)不是所有的TORCH病原体都需要孕前或孕期筛查;对围孕期妇女不需要进行单纯疱疹病毒抗体分型检测,若无临床症状,不需要等待其IgM 抗体转阴再妊娠。(2)检测TORCH-IgM、IgG 抗体时应采用定量技术,保存检测过的, cover=, journalId=null, articlesId=null, associationId=922, associationName=妇产科相关专家组(统称), associationIntro=null, copyright=0, guiderPublishedTime=Thu Jun 30 00:00:00 CST 2016, originalUrl=, linkOutUrl=, content=<div><div><div>近年来,国内外均发表了与TORCH 感染相关的临床实践指南,但仍有内容需要加以补充和明确。国内部分专家就TORCH 感染筛查、诊断及干预的临床路径进行了专题研讨,达成共识如下:(1)不是所有的TORCH病原体都需要孕前或孕期筛查;对围孕期妇女不需要进行单纯疱疹病毒抗体分型检测,若无临床症状,不需要等待其IgM 抗体转阴再妊娠。(2)检测TORCH-IgM、IgG 抗体时应采用定量技术,保存检测过的剩余血清样本对可能的后续诊断有不可替代的参考价值。</div><div>(3)不能依据血清学筛查阳性结果而做出终止妊娠的决定。(4)重视对巨细胞病毒再次感染的孕期监测。(5)慎重使用介入性产前诊断技术,在确认孕期TORCH 感染的5~7 周并可见胎儿影像学异常后,孕18 周后采取羊水标本进行病原体DNA 或RNA 的检测,可以结合脐血样本的IgM 抗体检测进行产前诊断;超声及MRI 检查有助于评估宫内感染的胎儿预后。(6)注意孕妇和胎儿的弓形虫感染治疗方法不同。(7)胎儿非免疫性水肿或不明原因胎死宫内的孕妇需要检测微小病毒B19 抗体状态,对确诊贫血的存活胎儿有微小病毒B19 宫内感染时,可给予宫内输血治疗。</div></div><div><br></div> <div><br> </div> 拓展指南:<strong>与<font color="red">TORCH感染</font>相关指南:</strong><br><ul><li><a href="//m.capotfarm.com/guideline/show_article.do?id=007a91c001235a73" title="2016 TORCH感染筛查、诊断与干预原则和工作流程专家共识" target="_blank">2016 TORCH感染筛查、诊断与干预原则和工作流程专家共识</a></li> 更多信息请点击:<a href="//m.capotfarm.com/guideline/list.do?q=TORCH%E6%84%9F%E6%9F%93" target="_blank">有关TORCH感染更多指南</a></ul></div>, tagList=[TagDto(tagId=36536, tagName=TORCH感染)], categoryList=[CategoryDto(categoryId=9, categoryName=感染, tenant=100), CategoryDto(categoryId=18, categoryName=儿科, tenant=100), CategoryDto(categoryId=36, categoryName=妇产科, tenant=100), CategoryDto(categoryId=21100, categoryName=达仁堂循证e学界, tenant=100)], articleKeywordId=null, articleKeyword=null, articleKeywordNum=null, guiderKeywordId=null, guiderKeyword=null, guiderKeywordNum=null, haveAttachments=1, attachmentList=null, guiderType=0, guiderArea=共识, guiderLanguage=null, guiderRegion=0, opened=0, paymentType=null, paymentAmount=10, recommend=0, recommendEndTime=null, sticky=0, stickyEndTime=null, allHits=6408, appHits=386, showAppHits=0, pcHits=5409, showPcHits=1280, likes=169, shares=28, comments=4, approvalStatus=1, publishedTime=Fri Jul 15 13:53:55 CST 2016, publishedTimeString=2016-06-30, pcVisible=1, appVisible=1, editorId=5295957, editor=lili, waterMark=0, formatted=0, memberCards=[], isPrivilege=0, deleted=0, version=1, createdBy=null, createdName=lili, createdTime=Fri Jul 15 13:53:55 CST 2016, updatedBy=null, updatedName=null, updatedTime=Thu Jan 04 20:19:22 CST 2024, courseDetails=[], otherVersionGuiders=[], isGuiderMember=false, ipAttribution=, attachmentFileNameList=[AttachmentFileName(sort=100, fileName=2016 TORCH感染筛查、诊断与干预原则和工作流程专家共识)])
2016 TORCH感染筛查、诊断与干预原则和工作流程专家共识
下载请点击:
评论区 (4)
#插入话题
  1. [GetPortalCommentsPageByObjectIdResponse(id=2092563, encodeId=ac8c2092563ab, content=不错, beContent=null, objectType=guider, channel=null, level=null, likeNumber=55, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=8a868210624, createdName=ms1000001386043224, createdTime=Sat Oct 08 20:19:05 CST 2022, time=2022-10-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=190480, encodeId=27f9190480ff, content=太棒了,给点赞!, beContent=null, objectType=guider, channel=null, level=null, likeNumber=100, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160911/IMG57D51CE461BD24798.jpg, createdBy=91d61672802, createdName=西风染林, createdTime=Tue Apr 25 13:35:48 CST 2017, time=2017-04-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=190478, encodeId=ff591904e85b, content=关于那个“其他”我很好奇是哪些其他类型。, beContent=null, objectType=guider, channel=null, level=null, likeNumber=94, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160911/IMG57D51CE461BD24798.jpg, createdBy=91d61672802, createdName=西风染林, createdTime=Tue Apr 25 13:29:30 CST 2017, time=2017-04-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=122489, encodeId=d67112248908, content=没有梅斯医学指导还真不知道这些,得好好学习呀, beContent=null, objectType=guider, channel=null, level=null, likeNumber=92, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzdAIB7UwTkHt6fQkBP8ictliaXtc5gCUmYdAW1sAETC2nhO3q6YjRHkUibyOCtP8ibmXNObTyd63A076/0, createdBy=d4111948983, createdName=1e10c84am36(暂无匿称), createdTime=Sun Sep 11 11:28:00 CST 2016, time=2016-09-11, status=1, ipAttribution=)]
    2022-10-08 ms1000001386043224

    不错

    0

  2. [GetPortalCommentsPageByObjectIdResponse(id=2092563, encodeId=ac8c2092563ab, content=不错, beContent=null, objectType=guider, channel=null, level=null, likeNumber=55, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=8a868210624, createdName=ms1000001386043224, createdTime=Sat Oct 08 20:19:05 CST 2022, time=2022-10-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=190480, encodeId=27f9190480ff, content=太棒了,给点赞!, beContent=null, objectType=guider, channel=null, level=null, likeNumber=100, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160911/IMG57D51CE461BD24798.jpg, createdBy=91d61672802, createdName=西风染林, createdTime=Tue Apr 25 13:35:48 CST 2017, time=2017-04-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=190478, encodeId=ff591904e85b, content=关于那个“其他”我很好奇是哪些其他类型。, beContent=null, objectType=guider, channel=null, level=null, likeNumber=94, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160911/IMG57D51CE461BD24798.jpg, createdBy=91d61672802, createdName=西风染林, createdTime=Tue Apr 25 13:29:30 CST 2017, time=2017-04-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=122489, encodeId=d67112248908, content=没有梅斯医学指导还真不知道这些,得好好学习呀, beContent=null, objectType=guider, channel=null, level=null, likeNumber=92, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzdAIB7UwTkHt6fQkBP8ictliaXtc5gCUmYdAW1sAETC2nhO3q6YjRHkUibyOCtP8ibmXNObTyd63A076/0, createdBy=d4111948983, createdName=1e10c84am36(暂无匿称), createdTime=Sun Sep 11 11:28:00 CST 2016, time=2016-09-11, status=1, ipAttribution=)]
    2017-04-25 西风染林

    太棒了,给点赞!

    0

  3. [GetPortalCommentsPageByObjectIdResponse(id=2092563, encodeId=ac8c2092563ab, content=不错, beContent=null, objectType=guider, channel=null, level=null, likeNumber=55, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=8a868210624, createdName=ms1000001386043224, createdTime=Sat Oct 08 20:19:05 CST 2022, time=2022-10-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=190480, encodeId=27f9190480ff, content=太棒了,给点赞!, beContent=null, objectType=guider, channel=null, level=null, likeNumber=100, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160911/IMG57D51CE461BD24798.jpg, createdBy=91d61672802, createdName=西风染林, createdTime=Tue Apr 25 13:35:48 CST 2017, time=2017-04-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=190478, encodeId=ff591904e85b, content=关于那个“其他”我很好奇是哪些其他类型。, beContent=null, objectType=guider, channel=null, level=null, likeNumber=94, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160911/IMG57D51CE461BD24798.jpg, createdBy=91d61672802, createdName=西风染林, createdTime=Tue Apr 25 13:29:30 CST 2017, time=2017-04-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=122489, encodeId=d67112248908, content=没有梅斯医学指导还真不知道这些,得好好学习呀, beContent=null, objectType=guider, channel=null, level=null, likeNumber=92, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzdAIB7UwTkHt6fQkBP8ictliaXtc5gCUmYdAW1sAETC2nhO3q6YjRHkUibyOCtP8ibmXNObTyd63A076/0, createdBy=d4111948983, createdName=1e10c84am36(暂无匿称), createdTime=Sun Sep 11 11:28:00 CST 2016, time=2016-09-11, status=1, ipAttribution=)]
    2017-04-25 西风染林

    关于那个“其他”我很好奇是哪些其他类型。

    0

  4. [GetPortalCommentsPageByObjectIdResponse(id=2092563, encodeId=ac8c2092563ab, content=不错, beContent=null, objectType=guider, channel=null, level=null, likeNumber=55, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=8a868210624, createdName=ms1000001386043224, createdTime=Sat Oct 08 20:19:05 CST 2022, time=2022-10-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=190480, encodeId=27f9190480ff, content=太棒了,给点赞!, beContent=null, objectType=guider, channel=null, level=null, likeNumber=100, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160911/IMG57D51CE461BD24798.jpg, createdBy=91d61672802, createdName=西风染林, createdTime=Tue Apr 25 13:35:48 CST 2017, time=2017-04-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=190478, encodeId=ff591904e85b, content=关于那个“其他”我很好奇是哪些其他类型。, beContent=null, objectType=guider, channel=null, level=null, likeNumber=94, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160911/IMG57D51CE461BD24798.jpg, createdBy=91d61672802, createdName=西风染林, createdTime=Tue Apr 25 13:29:30 CST 2017, time=2017-04-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=122489, encodeId=d67112248908, content=没有梅斯医学指导还真不知道这些,得好好学习呀, beContent=null, objectType=guider, channel=null, level=null, likeNumber=92, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzdAIB7UwTkHt6fQkBP8ictliaXtc5gCUmYdAW1sAETC2nhO3q6YjRHkUibyOCtP8ibmXNObTyd63A076/0, createdBy=d4111948983, createdName=1e10c84am36(暂无匿称), createdTime=Sun Sep 11 11:28:00 CST 2016, time=2016-09-11, status=1, ipAttribution=)]
    2016-09-11 1e10c84am36(暂无匿称)

    没有梅斯医学指导还真不知道这些,得好好学习呀

    0

Baidu
map
Baidu
map
Baidu
map