小结
定义
病史和体格检查
关键诊断因素
- რისკ-ფაქტორების არსებობა
- მაკულოპაპულური გამონაყარი.
- ცხელება
- ართრალგია
- ლიმფადენოპათია
- არასრული იმუნიზაცია
其他诊断因素
- საერთო სისუსტე
- სურდო, ან ფარინგიტი
- ართრიტი
- კონიუქტივიტი
危险因素
- არასრული იმუნიზაცია
- ინფექციასთან კონტაქტი
- საერთაშორისო მოგზაურობა
Diagnostic investigations
1st investigations to order
- ნერწყვში წითურა IgM
- სეროლოგია
- FBC
Investigations to consider
- ვირუსული კულტურა
- რევერსული ტრანსკრიპტაზის PCR(RT-PCR)
Treatment algorithm
ორსულები: მგრძნობიარე და კონტაქტის მქონე წითელსმაგვარი წითურასთან.
არა-ორსულები: სიმპტომური წითელასნაირი წითურა
Contributors
Authors
Elisabeth Adderson, MD
Associate Member
St. Jude Children's Research Hospital
Associate Professor of Pediatrics
University of Tennessee Health Sciences Center
Memphis
TN
Disclosures
EA declares that she has no competing interests.
Peer reviewers
Elizabeth Barnett, MD, FAAP
Director of International Clinical Maxwell Finland Laboratory for Infectious Diseases
Boston Medical Center
Associate Professor of Pediatrics
Boston University School of Medicine
Boston
MA
Disclosures
EB has received research grant support from Sandipasteen and Intercell and received an honorarium to attend a meeting sponsored by Novartis. She receives royalties from the sale of a book she edited.
Suzanne M. Garland, MBBS, MD, FRCPAm FAChSHM, FRANZCOG ad eundem
Director of Microbiological Research
Head of Clinical Microbiology and Infectious Diseases
Royal Women's Hospital
Senior Consultant of Microbiology
Royal Children's Hospital
Professor
Faculty of Medicine, Dentistry and Health
Department of Obstetrics and Gynaecology
University of Melbourne
Melbourne
Australia
Disclosures
SMG has received advisory board fees and grant support from Commonwealth Serum Laboratories and GlaxoSmithKline, and lecture fees from Merck and GSK. SMG has received funding through her institution to conduct HPV vaccine studies for MSD and GSK.
Robert S. Duszak, OD, FAAO
Co-Director of Residency Program and Consulting Staff
Philadelphia Veterans Affairs Medical Center
Consulting Staff
Nemours Health Clinic & Mayfair Eye Associates
Adjunct Clinical Faculty
Pennsylvania College of Optometry
Salus University
Philadelphia
PA
Disclosures
RSD declares that he has no competing interests.
Peer reviewer acknowledgements
BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.
Disclosures
Peer reviewer affiliations and disclosures pertain to the time of the review.
References
Key articles
Centers for Disease Control and Prevention. Rubella (German measles, three-day measles). Dec 2020 [internet publication].Full text
Centers for Disease Control and Prevention. Yellow Book 2024. Section 5: travel-associated infections and diseases - rubella. May 2023 [internet publication].Full text
McLean HQ, Fiebelkorn AP, Temte JL, et al; Centers for Disease Control and Prevention. Prevention of measles, rubella, congenital rubella syndrome, and mumps, 2013: summary recommendations of the Advisory Committee on Immunization Practices. MMWR Recomm Rep. 2013 Jun 14;62(RR-04):1-34.Full text Abstract
Centers for Disease Control and Prevention. Recommended child and adolescent immunization schedule for ages 18 years or younger, United States, 2024. Nov 2023 [internet publication].Full text
Centers for Disease Control and Prevention. Recommended adult immunization schedule for ages 19 years or older, United States, 2024. Nov 2023 [internet publication].Full text
Centers for Disease Control and Prevention. Rubella/German measles: 2013 case definition. 2013 [internet publication].Full text
Reference articles
A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.
Differentials
- წითელა (rubeola)
- Roseola infantum (HHV-6, HHV-7, exanthem subitum, მეექვსე დაავადება)
- ქუნთრუშა (A ჯგუფის პიოგენური სტრეპტოკოკი)
More Differentialsგაიდლაინები
- Immunisation guidelines for Ireland
- CDC Yellow Book: health information for international travel - rubella
More გაიდლაინებიპაციენტის ბროშურები
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