Measles and rubella are two controlled airborne infections: etiopathogenesis, epidemiology, clinical picture, diagnosis, treatment and prevention. Part 2. Rubella

Abstract

The lecture is devoted to two infections controlled by specific means of prevention — measles and rubella, which still pose a danger both to the sphere of child and maternal health, and to healthcare in general.

The second part of the lecture is devoted to rubella, which, despite its benign course in most cases, currently poses a serious problem for global health due to its ubiquity and high incidence of severe intrauterine lesions of the fetus. Despite significant advances in the field of diagnosis and immunoprophylaxis of rubella, it is still found in economically developed countries with confirmed elimination of the disease. Therefore, to prevent the return of this infection to our country, where its elimination was achieved by 2018, maximum coverage of the population with vaccinations against rubella is still necessary in all its regions.

The lecture covers modern aspects of the etiopathogenesis, epidemiology, clinical picture, diagnosis, treatment and prevention of rubella. This information, given the increasing incidence of rubella, even in countries with confirmed elimination of the disease, may be useful for general practitioners, primarily family doctors.

Keywords

measles / rubella / viruses / immunity / diagnosis / treatment / specific prevention

References

[1] Zimmerman LA, Knapp JK, Antoni S, et al. Progress toward rubella and congenital rubella syndrome control and elimination — worldwide, 2012-2020. MMWR Morb Mortal Wkly Rep. 2022;71(6):196–201. doi: 10.15585/mmwr.mm7106a2

[2] Zimmerman L.A., Knapp J.K., Antoni S., et al. Progress toward rubella and congenital rubella syndrome control and elimination — worldwide, 2012-2020 // MMWR Morb Mortal Wkly Rep. 2022. Vol. 71, N 6. P. 196–201. doi: 10.15585/mmwr.mm7106a2

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[4] George S., Viswanathan R., Sapkal G.N. Molecular aspects of the teratogenesis of rubella virus // Biol Res. 2019. Vol. 52, N 1. P. 47. doi: 10.1186/s40659-019-0254-3

[5] Clinical recommendations (treatment protocol) for providing medical care to children with rubella 2015 [Internet]. Available from: http://niidi.ru/dotAsset/ba8dd601-7b01-40b6-806c-21bf63436a55.pdf. Accessed: Dec 25, 2023. (In Russ.)

[6] Клинические рекомендации (протокол лечения) оказания медицинской помощи детям больным краснухой. 2015 [Электронный ресурс]. Режим доступа: http://niidi.ru/dotAsset/ba8dd601-7b01-40b6-806c-21bf63436a55.pdf. Дата обращения: 25.12.2023.

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