

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.eduLeticia Gely et al., J Infect Dis Ther 2016, 4:4(Suppl)
http://dx.doi.org/10.4172/2332-0877.C1.009