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RB<br />

8172<br />

ROSC<br />

80262<br />

1 0.35-0.69 Equivocal<br />

2 0.70-3.49 Positive<br />

3 3.50-17.4 Positive<br />

4 17.5-49.9 Strongly positive<br />

5 50.0-99.9 Strongly positive<br />

6 > or =100 Strongly positive Reference values<br />

apply to all ages.<br />

Clinical References: Homburger HA: Allergic diseases. In Clinical Diagnosis and Management by<br />

Laboratory Methods. 21st edition. Edited by RA McPherson, MR Pincus. New York, WB Saunders<br />

Company, 2007, Chapter 53, Part VI, pp 961-971<br />

Rubella Antibodies, IgG, Serum<br />

Clinical Information: Primary postnatal rubella infection (German or 3-day measles) is typically a<br />

mild, self-limiting disease characterized by a maculopapular rash, fever, malaise, and lymphadenopathy.<br />

Conversely, primary prenatal rubella infections may have devastating results. In utero infections may<br />

severely damage the fetus, particularly if the infection occurs during the first 4 months of gestation.<br />

Congenitally infected infants may exhibit 1 or more defects including congenital heart disease and mental<br />

retardation. Prior to the introduction of the rubella vaccines, approximately 15% of childhood<br />

sensorineural deafness and 2% of congenital heart defects were attributed to congenital rubella infection<br />

in both the United States (US) and the United Kingdom. During the epidemic of 1962 to 1965, rubella<br />

infections during pregnancy were estimated to have caused 30,000 stillbirths and 20,000 malformed<br />

infants in the US. The US rubella vaccination program, which calls for vaccination of all children, has<br />

significantly reduced the incidence of rubella. A total of 9 cases of rubella were reported to the CDC in<br />

2004, and only 4 cases of congenital rubella syndrome were reported between 2001 and 2004.(3) Due to<br />

the success of the national vaccination program, rubella is no longer considered endemic in the US<br />

(cdc.gov/rubella).<br />

Useful For: Determination of rubella immune status<br />

Interpretation: Approximately 80% to 90% of the United States (US) adult population shows<br />

serologic evidence of immunity to rubella. The rubella vaccine is recommended for all children, as well as<br />

nonimmune adolescents and adults (particularly females) unless it is specifically contraindicated. Due to<br />

the national vaccination program, the majority of the US population will be positive for rubella IgG. A<br />

positive result indicates either prior exposure to the virus or response to vaccination. The presence of<br />

rubella IgG suggests immunity against rubella.<br />

Reference Values:<br />

Negative<br />

Clinical References: 1. Yelland MJ: Rubella immune status in general practice. Aust Fam Physician<br />

1989;18:1279-1281;1284-1285 2. Recommendation of the Immunization Practices Advisory Committee:<br />

Centers for Disease Control Morbidity and Mortality Weekly Report 1981;30:37-47 3. Achievements in<br />

Public Health: elimination of rubella and congenital rubella syndrome – United States, 1969-2004:<br />

Centers for Disease Control Morbidity and Mortality Weekly Report, March, 2005;54(11):279-282<br />

Rubeola (Measles) Antibodies Screen, IgG, Serum<br />

Clinical Information: Measles (rubeola) virus is a member of the family paramyxoviridae, which<br />

also includes mumps, respiratory syncytial virus, and parainfluenza viruses. Clinical infection with<br />

measles virus is characterized by a prodromal phase of high fever, cough, coryza, conjunctivitis, malaise,<br />

and Koplik's spots on the buccal mucosa. An erythematous rash then develops behind the ears and over<br />

Current as of January 4, 2013 7:15 pm CST 800-533-1710 or 507-266-5700 or <strong>Mayo</strong><strong>Medical</strong><strong>Laboratories</strong>.com Page 1550

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