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Re: Parvovirus Amniotic Fluid PCR From: Bernard Cristalli (bcrist@club-internet.fr) Wed Jul 26 00:09:08 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Robert J. Woolley: "Re: LASIK" Previous message: RModugno@aol.com: "Better than e-Bay" In reply to: Richard D. Kaplan: "Re: Parvovirus Amniotic Fluid PCR" fine. And if not ? -- Bernard Cristalli MD AMACOG AIHP - ACCA Paris France Bernard.Cristalli@CliniquedelEssonne.fr http://www.CliniquedelEssonne.fr http://www.obgyn.net/corresp/cristalli.htm http://www.gyneweb.fr '64 Mk2 3.8 > De : "Richard D. Kaplan" <rkaplan@triad.rr.com> > Répondre à : ob-gyn-l@obgyn.net > Date : Tue, 25 Jul 2000 20:47:13 -0500 > À : Multiple recipients of list OB-GYN-L <ob-gyn-l@forum.obgyn.net> > Objet : Re: Parvovirus Amniotic Fluid PCR > > Because of the expense and anxiety associated with determining whether a > patient has been infected with parvovirus, I have started to do IgG titers > as a preconception test on my patients who are school teachers or work > around young children. If the IgG is positive then I tell them that they do > not have to worry if a child in their class develops Parvovirus since they > are immune. What are your opinions on this approach? > >> The protocol I follow consists of checking an initial IgG. I have not >> relied on the IgM's for parvo because the results on parvo IgM's from most >> reference labs in the country suck and are not reliable. I then begin >> scanning weekly, looking for any signs of anemia (i.e. hydrops, > pericardial >> effusion, etc). After three weeks, I check another IgG. If there is any >> change (up or down) in the IgG value over the three weeks, then the weekly >> scanning continues. From maternal infection, the latent period for >> potential fetal infection is 4-6 weeks, therefore quiting the surveillance >> at 4 weeks leaves margin for error. Additionally, it is seldom clear when >> mom was actually exposed, so giving some margin for error is purdent. ... > >> Lynn >> >> Lynn D. Montgomery, M.D. > Next message: Robert J. Woolley: "Re: LASIK" Previous message: RModugno@aol.com: "Better than e-Bay" In reply to: Richard D. Kaplan: "Re: Parvovirus Amniotic Fluid PCR"

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