Robella and light measles are very misdiagnosed. It is easy to confuse with the rash caused by human little DNA virus B19, scarlet fever, acute rash and intestinal virus.Therefore, laboratory identification diagnosis accounts for increasingly important positions.Patients with rubella are 1-3 days, 75%IgM positive, and about 100%positive in 4-15 days. If the blood collection time is premature, IgM is negative.EssenceWhen checking the double blood, the first blood was collected within seven days after the rash, and the second blood collection was more than ten days away from the first part. Double blood should be checked at the same laboratory at the same time.
(1) The heating of suspected cases (37 ℃ or above), rash, lymph nodes or arthritis/arthritis pain or conjunctivitis, or any of the cases of rubella that are trained as a rubella are suspected of rubella.
(2) The suspected case of a diagnosis case has a complete epidemiological survey data. The laboratory confirmed that rubella infection is a confirmed case.
(3) Clinical cases that comply with cases that meet the following conditions are suspected cases of the following conditions as clinical cases:
Clinical report cases without epidemiological surveys and laboratory diagnosis results.
Epidemiological surveys have shown that there are obvious cases of epidemiological contact with laboratory diagnosis diagnosis.
The laboratory has confirmed that the rubella outburries, other cases that have not been confirmed by the same outbreak.
(4) Eliminate the case of a complete epidemiological survey data, and adopt a qualified serum specimen, and detect IgM negative cases by a qualified laboratory.
(5) Congenital rubella syndrome:
1. Confirmation case: One of groups in group A or group B and confirmed by the laboratory as the confirmed case
2. In line with cases: there are two or one of groups in group A or one of Group A, but the case that has not been confirmed by the laboratory is in line with the case.
(1) Congenital cataract/congenital glaucoma, congenital heart malformation, congenital deafness and retinal pigmentation.
(2) Platelets reduce purpura, spleen mysteria, jaundice, small head deformity, low intelligence, low skeleton deformed, meningitis.
(6) The laboratory confirms: one of the following examples is a laboratory confirmation.
1.IGM antibody capture patients with ELISA or neonatal blood/umbilical cord blood medium rubella. Igm positive.
2.Indirect ELISA or healing inhibitory patients are 4 times or more than 4 times higher than the acute stage (including from yin to yang) or the baby’s IGG will not fall down after 6 months.
3.In the specimen of the internal organs, respiratory tracts, urine, nasopharyngeal secretions in patients (newborn or fetuses), is separated to the rubella wild virus with Vero/BHK-21/RK-13 cells.
Treatment principles
There is no special effect of drugs to treat rubella. Clinically, it is mainly symptomatic treatment to prevent complications from generating.Pregnant women infected with rubella in the early stages of pregnancy, and the termination of pregnancy should be considered after diagnosis.
