Urinary infection, urinary tract infection, bacterial infection

Question: Sergei Mikhailovich, I plan a pregnancy, rubella is not sick, the immunity does not (have medical tests). My husband was sick in childhood rubella (this analysis confirmed IgG – 270 (at a rate of 0 -9)). Vaccinated, I do not want. Personally, my colleagues at work are no small children, so by my environment is minimal risk of infection. But my husband at work in almost all of my colleagues, children who go to kindergarten (and as I understand it, these children are the most "dangerous"), respectively, and their parents may become ill with rubella. I'm having 2 questions: 1) Can my husband (in case of illness of his colleagues) to be a carrier of the virus "to me"? Or, if he had so many antibodies, that his body is simply "ignore" Viru rasnuhi, and to convey to me he was not able to. . . 2) What precautions / prevention you advise pregnant women to avoid infection. (except vaccinations) Thank you in advance!

Answer: My husband will not be a source of infection. Do not want to be instilled – pryachtes. The farther away from the people – the better. as possible? Sincerely, Zakharenko SM

Question: Sergey. Help, please, understand the results of tests. My husband and I are planning a pregnancy, I was tested for infection and rubella. CMV: IgM – not detected, IgG – 136 UE / ml Rubella: IgM – 1,1 smoothly, IgG – 99 IU / ml. What to do with the infection and whether immunity to rubella? Thank you!

Answer: Next to the number of antibodies to rubella should indicate how to interpret this value – 1,1. Rather it is even so immune. CMV infection is, but besides the presence of antibodies necessary to consider your health. Most likely the treatment is not necessary. Clear threat to your plans, none of these findings can not be held. Sincerely, Zakharenko SM

Question: Zdrastvute! Tell me please, I have introduced rubella vaccine (for immunization against rubella) and a month later I got pregnant, (I'm 26 years old). Is it dangerous? What can you advise, obort do not want to?

Answer: It is necessary to clarify the name of the vaccine. Read the annotations. It must be stated over what period should refrain from pregnancy. Sometimes, and 3 months, it happens and 2. If the interrupt does not want to go, then attach the greatest possible number of forces and means to control the child's development. Gynecologist, geneticist, etc. If problems with the child will not be revealed – the chances of a normal increase. But give 100% guarantee of no problems in such a situation, nobody can. Sincerely, Zakharenko SM

Question: I have a 10 week pregnancy. I passed blood for rubella virus to avidity and got this result. Help please decrypt it: IgG avidity-74, 60. Reference values: <37% – primary infection, 37-66% – of past infection,> 66% – a chronic process. Tell me it's terrible for my baby? Thanks in advance.

Answer: Chronic rubella vaccine does not happen. You found immunity. Do not worry. Sincerely, Zakharenko SM

Question: Doctor! "I'm pregnant, 6 weeks. According to the analysis I have no immunity to rubella, a gynecologist told me so at the reception. The only thing that she advised me – take it every 3 weeks for testing and to avoid children, because the disease is transmitted by airborne droplets. Please describe briefly how specifically do you get infected with rubella? I am interested in specifically are these aspects: 1) At what distance an infected person poses a risk? Roughly speaking, if we sit next to him on the bench and talk, then that is dangerous or should he while sneezing and coughing? 2) At what stage of the disease the infected person is contagious? 3) Is there any preventive effect against rubella oxoline ointment? I know that during epidemics of influenza doctors who sit at the reception, smeared with ointment of the nasal cavity to neutralize the virus. Thank you!

Answer: better to take tests every three weeks there. Infection will know after the virus is already something done. You can pass the analysis before the deadline for termination of pregnancy. The later a person becomes infected, the less harm to the child. Apply constantly Antiviral agents do not. About the disease can be read here – http://www. infectology. ru / Forall / noso / krasn. aspx, and here – http://www. infectology. ru / nosology / infectious / viral / crasnucha. aspx. Sincerely, Zakharenko SM

Question: Dear Sergey. We are planning a second pregnancy test results came, and a doctor on vacation, please help to understand. Toxoplasma g. lgG – kr. ns. 25ME/ml = 1,27, Toxoplasma g. lgM – to 1:20 – otritsat. ; Avidity Toxoplasma G -> 50% – vysokoavidnye; <35% nizkoavidnye. Rubella lgG – kr. ns. 25ME/ml = 7,21, Rubella lgM – = negative to 1:100. There immunity to these infections, or not? Thank you, thank you very much.

Answer: If the first digit indicates the positive threshold value, then you do not have toxoplasmosis, or immunity to rubella. Sincerely, Zakharenko SM

Question: Sergei Mikhailovich, hello! being vaccinated against rubella (before immunity was not). Reanalysis of a month showed Ig G = 4,3. (<5 – negative, 5-10 doubtful,> 10 – positive). 'm Planning a pregnancy. Do I need to do re-vaccinated? or is it possible to assume that this value is enough? thanks in advance!

Answer: For the appearance of significant immunity analysis done early. In addition, after inoculation of pregnancy is not recommended within 3 months (you can specify in the annotations to the vaccine). So time for the recruitment of immune strength is sufficient. Sincerely, Zakharenko SM

Question: Was tested for TORCH infection. Lg M antibody to rubella virus 1,66. I'm 23 weeks pregnant. Doctors say that I had measles in the acute form, so it may be pathology of the fetus. I feel fine, even beautiful. no outward signs of rubella (acne, redness, headache, etc.) – no. Do I have the measles?

Answer: It is necessary to compare this figure with the boundaries of the rules for this test system (must be specified in the form of analysis), we had to do and analysis of immunoglobulin G. In the current situation reliably diagnose rubella you can not. Doctors have some additional information? If not – then they too categorical. Repeat analysis of two classes of immunoglobulins. Sincerely, Zakharenko SM

Question: I am planning a pregnancy. Help please decipher analysis. Was vaccinated against rubella, after 3 months of analysis showed the following. LgM not identified, LgG identified 180, with the threshold concentration of <15. What does this mean, if I have immunity to rubella.

Answer: This means that the immunity appeared. What they wanted. Sincerely, Zakharenko SM

Question: Sergey! In my childhood I was infected with rubella, was even photophobia. 16. 11. 07 I was vaccinated against rubella. 01. 07. 08 made another (say, that this re-vaccination). 06. 08. 08 found that pregnant. They put 3-4 weeks of pregnancy. Pregnancy desirable. Analysis of rubella from 08. 08. 08: anti-Rubella lgG-41, 9 ME / ml (the reference limits: less than 15 ME / ml-negative; 15-30 ME / ml-questionable; more than 30 ME / ml-positive); anti-Rubella lgM-negative; avidity of antibodies to rubella-37, 5% (less than 50% primary infection (disease was 2-3 months ago), 50-70% of late-stage primary infection with more than 70% of pastes infection (more than 5 months. ago) . What can you advise? "How can it affect the fetus?

Answer: Since the introduction of rubella vaccine is recommended to refrain from becoming pregnant within 3 months (rarely – 2). So you get the group in the risk of adverse changes in the child. The decision to take on the spot, but it still does not look in favor of maintaining pregnancy. Sincerely, Zakharenko SM