Resources for Pediatricians
The AAP released a
Red Book chapter on Zika ahead of the full 2018 Red Book. The chapter provides information on Zika's clinical manifestations, etiology, epidemiology, control measures, and diagnostic tests as well as guidance on managing infants who have been exposed. It includes guidance from the CDC, much of which was created with input from AAP experts and updated in October. See the
AAP News article for additional information.
Free Online Course: Challenging Cases: Dengue, Chikungunya, Zika Virus Infections
The goal of this course, “Challenging Cases: Dengue, Chikungunya, Zika Virus Infections”, is to increase the learner’s knowledge regarding the epidemiology, clinical manifestations, prevention and diagnosis of three uncommon but emerging infections: dengue, chikungunya, Zika. These three conditions are discussed together because they share similarities in transmission and some clinical manifestations so that knowing the differences will aid in diagnosis. Misdiagnosis is common, and pediatricians should be trained in how to differentiate among these diseases.
Zika Consultation Service
The CDC maintains a Zika consultation service for health officials and health care providers. To contact the service with questions related to children's and adolescents' health, call 1-800-232-4636, Monday through Friday, 8:00am to 8:00pm ET, or via the CDC-INFO online form. If the request is urgent, please email here.
See the CDC Testing for Zika Virus resource page for additional information on when to test, test specimens, diagnostic tests, and understanding test results.
As of December 22, 2016 the FDA Warns Health Care Providers Against Relying Solely on Zika Virus Serological IgM Assay Results; Reminds them to Wait for Confirmatory Test Results Before Making Patient Management Decisions: FDA Safety Communication.
US Zika Pregnancy and Infant Registries
To understand more about Zika virus infection, the CDC established the US Zika Pregnancy and Infant Registries. The CDC is collaborating with state, tribal, local, and territorial health departments to collect information about pregnancy and infant outcomes following laboratory evidence of Zika virus infection during pregnancy. The CDC is asking pediatricians to contribute to the registries by reporting suspected congenital Zika cases to state, tribal, local or territorial health departments to facilitate testing. Members of the AAP can find state-specific contact information here. For questions about the registry please email ZikaPregnancy@cdc.gov or call 770-488-7100.
Zika Virus PowerPoint Slides for Pediatricians
The CDC has developed PowerPoint slides and a facilitation guide about Zika virus for pediatricians that can be used for grand rounds and other presentations. If you use these slides, please email DisasterReady@aap.org to share information about the presentation, including audience type, number of participants, and any feedback that you receive.
The Puerto Rico Department of Health and the CDC have developed a surveillance system called Zika Active Pregnancy Surveillance System (ZAPSS)/Sistema de Vigilancia Activa de Zika en Embarazos (SVAZE). The surveillance system will be used to evaluate the association between Zika virus infection during pregnancy and adverse outcomes during pregnancy, birth, and early childhood up to 3 years old. For questions about the registry please email ZikaPregnancy@cdc.gov or call 770-488-7100.
Screening and Care of Infants Born with Congenital Zika Virus Syndrome
Pediatricians may or may not know an infant's mothers Zika virus exposure prior to seeing the infant. If there is reason for suspicion that there may have been a Zika virus exposure to the infant, the pediatricians should screen the infant according to the CDC's guidance for the evaluation and management of infants with possible congenital Zika virus infection.
Children born with Congenital Zika Virus Syndrome will have varied presentations of the syndrome. See the Key Information for Pediatricians page for more information about the known abnormalities. Like other congenital conditions, children with Congenital Zika Virus Syndrome will need care by a team of subspecialists. This can be very overwhelming for parents, so the AAP has produced a report and webinar on managing medical complexity in your practice.
Developmental Surveillance Steps that Pediatricians Should Take During Each Health Supervision Visit
The AAP developed a video that highlights important developmental surveillance steps that pediatricians should take during each health supervision visit. Pediatrician Dr Shelly Flais discusses recommendations, tips, and resources available to pediatricians, clinicians, and families.