Rubella

Rubella and Congenital Rubella Syndrome

Generalities
Agent	Rubella virus, genus Rubullovirus, family Togaviridae
Incubation period	14-17 days (range 14-21 days)
Period of transmissibility	- 7 days before rash and 4 days after rash onset - From congenital rubella: infants shed the virus for several months after birth
Reservoir	Humans
Modes of transmission	- Person-to-person: direct contact with droplets - Infants with Congenital Rubella Syndrome shed large quantities of virus in their pharyngeal secretions and urine. - Materno-foetal transmission: 90% of infants born to women infected with rubella during the 1st trimester. The risk of transmission is 10-20% by the 16th week, and rare after the 20th week.
Clinical presentation	- Febril maculo-papular rash - Complications: thrombocytopenia (1/3000), post-infectious encephalitis (1/6000), rarely chronic arthritis - Congenital Rubella Syndrome: Congenital malformation as deafness, cataracts, microphtalmia, congenital glaucoma, pigmentary retinopathy, nystagmus, microcephaly, meningo-encephalitis, mental retardation, patent ductus arteious, atrial or ventricular septal defects, other congenital heart disease, purpura, hepatosplenomegaly, jaundice, radiolucent bone disease
Resources
Case definitions	- MOPH circular no 12 (2013): Acquired Rubella - MOPH circular no 45 (2007): Congenital Rubella Syndrome
Forms	- Rash reporting form - CRS reporting form - Rash investigation form - CRS investigation form
Data	- Rubella 2021 - Rubella 2020 - Rubella 2019 - Rubella 2018 - Rubella 2017 - Rubella 2016 - Rubella 2015

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All

ATC	Name	B/G	Ingredients	Dosage	Form	Price
J01GB06	LIKACIN	G	Amikacin (sulfate) - 500mg/2ml	500mg/2ml	Injectable concentrated solution	349,399 L.L
D11AX18	LABDIC RELIEF	G	Diclofenac sodium - 1%w/w, Methyl salicylate - 8%w/w, Menthol - 2%w/w		Gel	263,393 L.L
M02AA15	LOCAGEL	G	Diclofenac sodium (diethylamine) - 10mg/g	10mg/g	Gel	223,078 L.L
D07AB02	LOCOID CRELO 0.1%	B	Hydrocortisone butyrate - 1mg/g	0.1%	Emulsion	177,387 L.L
D07AB02	LOCOID CRELO 0.1%	B	Hydrocortisone butyrate - 1mg/g	0.1%	Emulsion	177,387 L.L
C01AA05	LANOXIN PG	B	Digoxin - 0.05mg/ml	0.05mg/ml	Elixir	307,740 L.L
J07CA	LANTIGEN B	B	Streptococcus pneumoniae type 3 (antigenic extracts) - 63.2A.U./ml, Streptococcus pyogenes group A (antigenic extracts) - 126.2A.U./ml, Branhamella catarrhalis (antigenic extracts) - 39.9A.U./ml, Staphylococcus aureus (antigenic extracts) - 79.6A.U./ml, Haemophilus influenzae type b (antigenic extracts) - 50.2A.U./ml, Klebsiella pneumoniae (antigenic extracts) - 39.8A.U./ml		Drops suspension	916,501 L.L
S01BA14	LOTEMAX	B	Loteprednol etabonate - 0.5%	0.5%	Drops suspension	1,038,790 L.L
S01CA02	LOXTRA	G	Prednisolone acetate - 2mg/ml, Tetrahydrozoline HCl - 0.4mg/ml, Ofloxacin - 3mg/ml		Drops suspension	423,310 L.L
S01EE03	LUMIGAN	B	Bimatoprost - 0.1mg/ml	0.1mg/ml	Drops solution	740,457 L.L
S01XA20	LUBRI-TEARS	G	Carmellose sodium - 2mg		Drops solution	792,867 L.L
S01CA01	LEVIOSA	G	Levofloxacin - 5mg/ml, Dexamethasone - 1mg/ml		Drops solution	1,427,161 L.L
S01EA05	LUMIFY	B	Brimonidine tartrate - 0.025%		Drops solution	1,888,099 L.L
S01EE03	LUMIGAN	B	Bimatoprost - 0.1mg/ml	0.1mg/ml	Drops solution	740,457 L.L
S01ED51	LOPROSTAN	G	Timolol - 5mg/ml, Latanoprost - 50?g/ml		Drops	768,678 L.L
D07XC01	LOTRIDERM	B	Betamethasone (dipropionate) - 0.5mg/g, Clotrimazole - 10mg/g		Cream	470,345 L.L
D01AC12	LOMEXIN	B	Fenticonazole nitrate - 2g/100g	2%	Cream	758,029 L.L
D01AE15	LAMISIL	B	Terbinafine HCl - 10mg/g	1%	Cream	616,824 L.L
D01AE15	LAMIFEN	G	Terbinafine HCl - 1%	1%	Cream	350,743 L.L
D01AE15	LAMINOX	G	Terbinafine HCl - 10mg/g	10mg/g	Cream	453,067 L.L
D07AB02	LOCOID	B	Hydrocortisone butyrate - 1mg/g	0.1%	Cream	215,015 L.L
D07AB02	LOCOID	B	Hydrocortisone butyrate - 1mg/g	0.1%	Cream	215,015 L.L
L04AX04	LENOMA	G	Lenalidomide - 15mg	15mg	Capsule, hard	15,241,884 L.L
L04AX04	LENALIDOMIDE SPC	G	Lenalidomide - 25mg	25mg	Capsule, hard	87,161,381 L.L
L04AX04	LENOMA	G	Lenalidomide - 25mg	25mg	Capsule, hard	15,343,847 L.L
L04AX04	LENOMA	G	Lenalidomide - 10mg	10mg	Capsule, hard	L.L
L04AX04	LENOMA	G	Lenalidomide - 25mg	25mg	Capsule, hard	L.L
L04AX04	LENOMA	G	Lenalidomide - 15mg	15mg	Capsule, hard	L.L
L04AA27	LYXIA	G	Fingolimod Hydrochloride - 0.5mg	0.5mg	Capsule, hard	32,406,715 L.L
L04AA27	LYXIA	G	Fingolimod Hydrochloride - 0.25mg	0.5mg	Capsule, hard	32,406,715 L.L

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