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Volume 4, Issue 4(Suppl)

J Infect Dis Ther 2016

ISSN: 2332-0877, JIDT an open access journal

Page 93

Notes:

Infectious Diseases 2016

August 24-26, 2016

conferenceseries

.com

August 24-26, 2016 Philadelphia, USA

&

Infectious Diseases

Joint Event on

2

nd

World Congress on

Pediatric Care & Pediatric Infectious Diseases

International Conference on

Puerto Rico University Pediatric Hospital Zika protocol

Leticia Gely, Ines Garcia

and

Lourdes Garcia

University of Puerto Rico, USA

Z

ika virus (ZV) is a mosquito-borne

Flavivirus

primarily transmitted by

Aedes aegypti

mosquitoes found in tropical regions.

ZV infection may occur by vertical transmission to the fetus or by intrapartum transmission from a viremic mother to the

newborn, and may have severe implications to the newborn health including microcephaly. The World Health Organization and

the Centers for Disease Control and Prevention (CDC) activated their respective emergency operations centers to better coordinate

response to the ZV outbreak. The Neonatology Section, University of Puerto Rico provides services in a Level 3 Neonatal Intensive

Care Unit. A protocol was design based on the CDC and the Puerto Rico Health Department guidelines. The specific aim is to

identify, evaluate and treat appropriately all fetus/newborns with possible intrauterine ZV exposure. The protocol included a quality

improvement strategy with process mapping for all deliveries with documented prenatal ZV exposure. All interventions will follow

the standard evaluations and procedures based on the infant’s needs as recommended by the American Academy of Pediatrics and

the CDC recommendations. Review of the process map with local managers and frontline health professionals revealed multiple areas

which require improvement, such as including new questions of events occurring during prenatal period and accessibility to prenatal

laboratory and fetal ultrasounds for appropriate identification of cases and avoid adding steps that do not add value to the process,

will dramatically increase the cost of interventions in a time of decreased funding and may interfere with the standard newborn care

and the promotion of breastfeeding practices.

Biography

Leticia Gely has completed her MD from University of Puerto Rico, School of Medicine. She has completed Pediatric Residency at the University of Puerto Rico in the year

2013 and is a Board Certified Pediatrician. She is currently a 2nd year Fellow in the Neonatal-Perinatal Medicine Program at the University of Puerto Rico. She is a Member

of National Academic Associations.

leticia.gely@upr.edu

Leticia Gely et al., J Infect Dis Ther 2016, 4:4(Suppl)

http://dx.doi.org/10.4172/2332-0877.C1.009