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Model Answers Microbiology Written examinations 2007 - RCPA

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NA<br />

2. Sensitive and specific reliable assay available<br />

Limited probably to detection of discordant partners in pregnancy<br />

HSV positive male and HSV negative female at risk of primary HSV<br />

infection in pregnancy<br />

Risk when primary infection occurring at delivery – 50%<br />

3. Availability of a safe effective intervention strategy if detected<br />

Practice safe sex at time from 36 weeks<br />

4. Occurs at a frequency that has a cost benefit for the screening ?<br />

Parvovirus<br />

Detect potential foetal infection and damage<br />

Not teratogenic<br />

Foetal hydrops – intrauterine transfusion<br />

1. Sensitive and specific reliable assay available<br />

IgM –<br />

IgG – Immune status<br />

Recent infection ? recent infection, susceptible, immune<br />

Repeat in 2-4 weeks after exposure or if symptoms occur<br />

2. Availability of a safe effective intervention strategy if detected<br />

Foetal hydrops – intrauterine transfusion<br />

Ultrasound<br />

3. Occurs at a frequency that has a cost benefit for the screening<br />

Diagnosis of infection following contact or illness with rash during<br />

pregnancy<br />

Common non notifiable infection

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