{"id":9293,"date":"2020-04-23T03:33:52","date_gmt":"2020-04-23T00:33:52","guid":{"rendered":"https:\/\/www.synevo.ro\/product\/virusul-rubeolei-anticorpi-igg\/"},"modified":"2026-02-18T23:54:08","modified_gmt":"2026-02-18T21:54:08","slug":"virusul-rubeolei-anticorpi-igg","status":"publish","type":"product","link":"https:\/\/old.synevo.md\/ru\/shop\/virusul-rubeolei-anticorpi-igg\/","title":{"rendered":"\u0412\u0438\u0440\u0443\u0441 \u043a\u0440\u0430\u0441\u043d\u0443\u0445\u0438 \u2013 \u0430\u043d\u0442\u0438\u0442\u0435\u043b\u0430 IgG"},"content":{"rendered":"<p style=\"text-align: justify;\"><em><strong>\u041e\u0431\u0449\u0430\u044f \u0438\u043d\u0444\u043e\u0440\u043c\u0430\u0446\u0438\u044f<\/strong><\/em><br \/>\nVirusul rubeolei este un togavirus cu ARN monocatenar care determin\u0103 una din infec\u0163iile exantematoase ale copil\u0103riei.<\/p>\n<p style=\"text-align: justify;\">Infec\u0163ia se produce predominant \u00een lunile de iarn\u0103 \u015fi primavar\u0103, subiec\u0163ii umani fiind singurele gazde cunoscute ale virusului. Modul de transmitere a bolii este direct \u015fi aerogen (prin secre\u0163ii nazofaringiene). Perioada de incuba\u0163ie este de 2-3 s\u0103pt\u0103m\u00e2ni.<\/p>\n<p style=\"text-align: justify;\">Infec\u0163ia are de obicei o evolu\u0163ie benign\u0103 \u015fi este frecvent subclinic\u0103. \u00cen cazurile simptomatice, tabloul clinic include febr\u0103, erup\u0163ie maculo-papular\u0103 adesea discret\u0103 \u015fi de scurt\u0103 durat\u0103, limfadenopatii, posibil coriz\u0103 \u015fi conjunctivit\u0103. Adenopatia rubeolic\u0103 (tipic \u00een regiunea occipital\u0103, retro- \u015fi submastoidian\u0103, laterocervical\u0103 \u015fi submaxilar\u0103) constituie un semn constant al bolii, fiind adesea singura ei manifestare. Hemoleucograma indic\u0103 de obicei neutropenie, iar \u00een formul\u0103 leucocitar\u0103 este caracteristic\u0103 apari\u0163ia de plasmocite \u015fi celule T\u00fcrk, a c\u0103ror propor\u0163ie poate ajunge la 5-19%. Infec\u0163ia confer\u0103 imunitate pe toat\u0103 durata vie\u0163ii<sup>1;7<\/sup>.<\/p>\n<p style=\"text-align: justify;\">Infec\u0163ia cu virusul rubeolei are consecin\u0163e foarte grave \u00een cazul \u00een care este contractat\u0103 \u00een cursul primelor patru luni de sarcin\u0103. Dac\u0103 gravida nu prezint\u0103 imunitate, exist\u0103 un risc mare de afectare embriofetal\u0103. Rubeola congenital\u0103 determin\u0103 apari\u0163ia unor defecte severe, multe dintre acestea fiind permanente, afect\u00e2nd dezvoltarea ulterioar\u0103: cataract\u0103, surditate, hepatosplenomegalie, retard psihomotor, anomalii osoase, cardiopatii, neuropatii. Consecin\u0163ele patologice asupra f\u0103tului \u015fi nou-n\u0103scutului depind de teratogenitatea virusului \u015fi de v\u00e2rsta gesta\u0163ional\u0103 la care s-a contractat infec\u0163ia. Este unanim acceptat faptul c\u0103 riscul scade odat\u0103 cu cre\u015fterea v\u00e2rstei gesta\u0163ionale; astfel riscul este maxim \u00een cursul primelor dou\u0103 luni de sarcin\u0103 (40-60%) \u015fi scade progresiv \u00een lunile patru \u015fi cinci (10-20%). Studiile au demonstrat faptul c\u0103 infec\u0163ia fetal\u0103 este rar\u0103 dup\u0103 trimestrul II de sarcin\u0103<sup>1;2;4;7<\/sup>.<\/p>\n<p style=\"text-align: justify;\">\u00cen cursul infec\u0163iei acute, virusul infecteaz\u0103 placenta \u015fi poate fi transmis la f\u0103t. Expunerea secundar\u0103 la virus sau reinfec\u0163ia se asociaz\u0103 extrem de rar cu transmiterea intrauterin\u0103 a virusului, indic\u00e2nd faptul c\u0103 imunitatea mamei (dob\u00e2ndit\u0103 natural sau indus\u0103 prin vaccinare) confer\u0103 protec\u0163ie \u00eempotriva infec\u0163iei in utero.<\/p>\n<p style=\"text-align: justify;\">Infec\u0163ia primar\u0103 a mamei poate avea urm\u0103toarele consecin\u0163e:<\/p>\n<ul>\n<li style=\"text-align: justify;\">absen\u0163a infec\u0163iei la embrion;<\/li>\n<li style=\"text-align: justify;\">resorb\u0163ia embrionului (doar \u00een cursul primelor s\u0103pt\u0103m\u00e2ni de sarcin\u0103);<\/li>\n<li style=\"text-align: justify;\">avort spontan;<\/li>\n<li style=\"text-align: justify;\">moartea f\u0103tului in utero;<\/li>\n<li style=\"text-align: justify;\">infec\u0163ia placentei f\u0103r\u0103 afectarea f\u0103tului;<\/li>\n<li style=\"text-align: justify;\">afectarea concomitent\u0103 a placentei \u015fi f\u0103tului<sup>1;4<\/sup>.<\/li>\n<\/ul>\n<p style=\"text-align: justify;\">Testele serologice reprezint\u0103 un instrument important \u00een diagnosticul \u015fi monitorizarea infec\u0163iei acute. Astfel, primul r\u0103spuns umoral la infec\u0163ie este reprezentat de anticorpii specifici de tip IgM care sunt detecta\u0163i \u00een majoritatea cazurilor la c\u00e2teva zile de la apari\u0163ia exantemului, ating\u00e2nd un maximum dup\u0103 2-3 s\u0103pt\u0103m\u00e2ni de la debut. Nivelurile IgM \u00eencep s\u0103 scad\u0103 dup\u0103 36-70 zile, fiind rar detectate dup\u0103 180 zile (\u00een cazuri izolate, p\u00e2n\u0103 la 1 an). Anticorpii specifici de tip IgG apar de obicei dup\u0103 aproximativ 1 s\u0103pt\u0103m\u00e2n\u0103 de la generarea anticorpilor IgM; nivelul acestora cre\u015fte rapid ating\u00e2nd un platou la 6-10 s\u0103pt\u0103m\u00e2ni de la debutul bolii, dup\u0103 care scad progresiv la un titru (15-200 UI\/mL) care se men\u0163ine toat\u0103 via\u0163a. Reinfec\u0163ia, care este complet asimptomatic\u0103, este \u00eenso\u0163it\u0103 de cre\u015fteri moderate ale anticorpilor IgG<sup>2;4;5<\/sup>.<\/p>\n<p style=\"text-align: justify;\">Introducerea vaccinului antirubeolic \u00een 1969 a avut un impact major asupra num\u0103rului de infec\u0163ii congenitale. Cu toate acestea continu\u0103 s\u0103 apar\u0103 epidemii de rubeol\u0103. Prevalen\u0163a femeilor neimunizate \u00een r\u00e2ndul popula\u0163iilor vaccinate este \u00een jur de 1.8%, \u00een timp ce la popula\u0163iile nevaccinate poate dep\u0103\u015fi 40%.<\/p>\n<p style=\"text-align: justify;\">Lu\u00e2nd \u00een considerare datele prezentate reiese importan\u0163a efectu\u0103rii screening-ului pentru determinarea statusului imun matern. Deoarece vaccinul antirubeolic este contraindicat la femeile gravide (risc teoretic, deoarece nu s-a demonstrat teratogenitatea virusului atenuat con\u0163inut \u00een vaccin) \u015fi la cele care pot deveni gravide \u00een urm\u0103toarea lun\u0103 dup\u0103 vaccinare, se recomand\u0103 ca screening-ul s\u0103 fie efectuat \u00eenainte de concep\u0163ie, iar femeile neimunizate s\u0103 poat\u0103 beneficia de vaccin<sup>1;2<\/sup>.<\/p>\n<p style=\"text-align: justify;\"><strong>Preg\u0103tire pacient <\/strong>\u2013 testele nu necesit\u0103 o preg\u0103tire prealabil\u0103<sup>4<\/sup>.<br \/>\n<strong>Specimen recoltat<\/strong> \u2013 s\u00e2nge venos<sup>4<\/sup>.<br \/>\n<strong>Recipient de recoltare<\/strong> \u2013 vacutainer f\u0103r\u0103 anticoagulant cu\/f\u0103r\u0103 gel separator<sup>4<\/sup>.<br \/>\n<strong>Prelucrare necesar\u0103 dup\u0103 recoltare<\/strong> \u2013 se separ\u0103 serul prin centrifugare<sup>4<\/sup>.<br \/>\n<strong>Volum prob\u0103 <\/strong>\u2013 minim 1mL ser (pentru determinarea ambelor tipuri de anticorpi)<sup>4<\/sup>.<br \/>\n<strong>Cauze de respingere a probei <\/strong>\u2013 specimen hemolizat<sup>4<\/sup>.<br \/>\n<strong>Stabilitate prob\u0103<\/strong> \u2013 serul separat este stabil c\u00e2teva ore la temperatura camerei 18-30\u00baC; c\u00e2teva zile la 2-8\u00baC ; perioad\u0103 mai \u00eendelungat\u0103 la \u201320\u00baC. Centrifuga\u0163i specimenele decongelate \u015fi utiliza\u0163i supernatantul. Evita\u0163i congelare\/decongelare repetat\u0103<sup>4<\/sup>.<\/p>\n<p><strong><em>Metode<\/em><\/strong><\/p>\n<p>\u00cen laboratorul Synevo sunt utilizate urm\u0103toarele metode de lucru:<\/p>\n<ol>\n<li><span style=\"text-decoration: underline;\">imunochimic\u0103 cu detec\u0163ie prin electrochemiluminiscen\u0163\u0103 (ECLIA)<\/span><\/li>\n<li><span style=\"text-decoration: underline;\">imunochimic\u0103 prin tehnica ELFA (enzyme-linked immunofluorescence assay)<\/span> (doar pentru anticorpii IgM)<sup>4<\/sup>.<\/li>\n<\/ol>\n<p><strong><em>Valori de referin\u0163\u0103 <\/em><\/strong>-.difer\u0103 \u00een func\u0163ie de metoda de lucru<sup>4<\/sup>.<\/p>\n<p><strong><span style=\"text-decoration: underline;\">Rubeola IgG<\/span><\/strong><\/p>\n<p><span style=\"text-decoration: underline;\">ECLIA<\/span><\/p>\n<p>&lt;10 UI\/mL:\u00a0\u00a0 Negativ<\/p>\n<p>&gt;=10 UI\/mL: Pozitiv.<\/p>\n<p><strong><span style=\"text-decoration: underline;\">Rubeola IgM<\/span><\/strong><\/p>\n<p>1. <span style=\"text-decoration: underline;\">ECLIA<\/span><\/p>\n<p>&lt;0.80 Index\u00a0\u00a0\u00a0\u00a0\u00a0 : Negativ<\/p>\n<p>0.80 \u2013 1: Index:\u00a0\u00a0 Echivoc<\/p>\n<p>\u22651 Index:\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Pozitiv.<\/p>\n<p>2. <span style=\"text-decoration: underline;\">ELFA<\/span><\/p>\n<p>&lt;0.80 Index\u00a0\u00a0\u00a0\u00a0\u00a0 :\u00a0\u00a0\u00a0\u00a0 Negativ<\/p>\n<p>0.80 \u2013 1.2: Index:\u00a0\u00a0 Echivoc<\/p>\n<p>\u22651.2 Index:\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0\u00a0Pozitiv.<\/p>\n<p style=\"text-align: justify;\"><em><strong>Interpretarea rezultatelor<\/strong><\/em><br \/>\nDeterminarea statusului imun:<br \/>\nAnti-rubeola IgG :<br \/>\n&lt; 5 UI\/mL: imunitate absent\u0103; \u00een cazul pacientelor gravide se va repeta recoltarea pentru determinarea anticorpilor IgG \u00een s\u0103pt\u0103m\u00e2nile 16-18 de sarcin\u0103, chiar \u00een absen\u0163a unei expuneri cunoscute la virusul rubeolei<sup>3;6<\/sup>;<br \/>\n\u2265 5 dar &lt;10 UI\/mL: rezultat echivoc; se recomand\u0103 repetarea determin\u0103rii dup\u0103 o s\u0103pt\u0103m\u00e2n\u0103;<br \/>\n\u226510 UI\/mL: rezultat pozitiv \u2013 indic\u0103 infec\u0163ie \u00een antecedente\/vaccinare\/infec\u0163ie recent\u0103. Se recomand\u0103 efectuarea anti-rubeola IgM din acela\u015fi ser; ob\u0163inerea unui rezultat negativ confirm\u0103 infec\u0163ia \u00een antecedente \u015fi prezen\u0163a statusului imun<sup>3;4;6<\/sup>.<br \/>\n<em><strong>Diagnosticul infec\u0163iei recente<\/strong><\/em><br \/>\nO cre\u015ftere de patru ori a nivelului anticorpilor IgG \u00een seruri perechi ob\u0163inute la interval de 14-21 zile confirm\u0103 infec\u0163ia recent\u0103.<br \/>\nUn rezultat pozitiv pentru anticorpii IgM este de asemenea sugestiv pentru infec\u0163ia recent\u0103, dar instituirea m\u0103surilor clinice nu trebuie s\u0103 se fac\u0103 pe baza unei singure determin\u0103ri<sup>1<\/sup>.<br \/>\n\u00cen laboratorul Synevo, un rezultat pozitiv pentru anti-rubeola IgM este confirmat prin dou\u0103 metode: chemiluminiscen\u0163a \u015fi ELISA, iar aceast\u0103 men\u0163iune apare pe buletinul final de rezultate<sup>4<\/sup>.<br \/>\n<em><strong>Diagnosticul infec\u0163iei congenitale<\/strong><\/em><br \/>\nDeoarece serul copiilor normali con\u0163ine anticorpi IgG transfera\u0163i pasiv de la mam\u0103, diagnosticul de rubeol\u0103 congenital\u0103 se stabile\u015fte pe eviden\u0163ierea anticorpilor IgM. Ace\u015ftia sunt depista\u0163i \u00een 100% din cazuri \u00een primele 5 luni de la na\u015ftere (\u00een majoritate cazurilor \u00een primele 3 luni). Frecven\u0163a acestora scade dup\u0103 cum urmeaz\u0103: 60% la v\u00e2rsta de 6-12 luni, 40% la v\u00e2rsta de 12-18 luni; rar detectabili dupa v\u00e2rsta de 18 luni<sup>2<\/sup>.<br \/>\n<em><strong>Monitorizarea post-vaccinal\u0103<\/strong><\/em><br \/>\nAnticorpii IgM apar la 80% din pacien\u0163ii vaccina\u0163i \u00een primele 3 s\u0103pt\u0103m\u00e2ni de la vaccinare4. Anticorpii IgG sunt de regul\u0103 detecta\u0163i la 4-6 s\u0103pt\u0103m\u00e2ni de la data vaccin\u0103rii \u015fi persist\u0103 toat\u0103 via\u0163a<sup>2<\/sup>.<\/p>\n<p><strong><em>Limite \u015fi interferen\u0163e<\/em><\/strong><\/p>\n<p>Absen\u0163a anticorpilor IgM la na\u015ftere nu exclude diagnosticul de rubeol\u0103 congenital\u0103. Rubeola neonatal\u0103, este o condi\u0163ie clinic\u0103 rar\u0103, dar trebuie luat\u0103 \u00een considerare dac\u0103 anticorpii IgM nu se pozitiveaz\u0103 \u00een perioada postnatal\u0103 imediat\u0103, ci mai t\u00e2rziu.<\/p>\n<p>Rezultate fals pozitive pentru rubeola IgM pot s\u0103 apar\u0103 dup\u0103 mononucleoza infec\u0163ioas\u0103, infec\u0163ii cu parvovirus B19 \u015fi posibil alte infec\u0163ii\u00a0 cu virusuri de tip herpetic.<\/p>\n<p>Reac\u0163ii fals pozitive pentru rubeola IgM au fost raportate \u015fi la gravide, datorate unor reac\u0163ii \u00eencruci\u015fate cu alte virusuri (CMV, rujeolic)<sup>4<\/sup>.<\/p>\n<p style=\"text-align: left;\" align=\"center\"><strong>\u0411\u0438\u0431\u043b\u0438\u043e\u0433\u0440\u0430\u0444\u0438\u044f:<\/strong><\/p>\n<ol>\n<li style=\"text-align: left;\">Ann M.Gronowski. Prenatal Screening and Diagnosis of Congenital Infections. \u00cen <em>Handbook of\u00a0\u00a0 Clinical Laboratory Testing During Pregnancy.<\/em> Totowa, NJ: Humana Press ed. 2004; 264-266.<\/li>\n<li style=\"text-align: left;\">Felicity T.Cutts, et.al. Guidelines for Surveillance of Congenital Rubella Syndrome and Rubella. <a style=\"font-size: 16px; background-color: #ffffff;\" href=\"http:\/\/www.who.int\/pdf\/\" rel=\"nofollow noopener\" target=\"_blank\">www.who.int\/pdf\/<\/a><span style=\"font-size: 16px;\">\u00a0 2000. Ref Type: Internet Communication<\/span><\/li>\n<li style=\"text-align: left;\">Hans W.Doerr.Viral Diseases. \u00cen <em style=\"font-size: 16px;\">Clinical Laboratory Diagnostics-Use and Assessment of Clinical Laboratory Results.<\/em><span style=\"font-size: 16px;\"> Lothar Thomas. TH-Books Verlagsgesellschaft mbH, Frankfurt \/Main, Germany,1 ed. 1998, 1253-1254<\/span><\/li>\n<li style=\"text-align: left;\">Laborator Synevo. Referin\u0163ele specifice tehnologiei de lucru utilizate 2010. Ref Type: Catalog<\/li>\n<li style=\"text-align: left;\">Laboratory Corporation of America.Directory of Services and Interpretive Guide. Rubella Antibodies IgM. <a style=\"font-size: 16px; background-color: #ffffff;\" href=\"http:\/\/www.labcorp.com\/\" rel=\"nofollow noopener\" target=\"_blank\">www.labcorp.com<\/a><span style=\"font-size: 16px;\"> 2010. Ref Type: Internet Communication<\/span><\/li>\n<li style=\"text-align: left;\">Lothar Thomas. Prenatal monitoring. \u00cen <em style=\"font-size: 16px;\">Clinical Laboratory Diagnostics-Use and Assessment of Clinical Laboratory Results.<\/em><span style=\"font-size: 16px;\"> TH-Books Verlagsgesellschaft mbH, Frankfurt \/Main, Germany,1 ed. 1998;1117.<\/span><\/li>\n<li style=\"text-align: left;\">Marin Voiculescu. Rubeola. \u00cen <em style=\"font-size: 16px;\">Boli infec\u0163ioase-clinic\u0103 \u015fi epidemiologie.<\/em><span style=\"font-size: 16px;\"> Editura Medical\u0103, Rom\u00e2nia ed. 1981, 516-525.<\/span><\/li>\n<\/ol>","protected":false},"excerpt":{"rendered":"<p>\u0410\u043d\u0442\u0438\u0442\u0435\u043b\u0430 \u043a\u043b\u0430\u0441\u0441\u0430 IgG \u043a \u0432\u0438\u0440\u0443\u0441\u0443 \u043a\u0440\u0430\u0441\u043d\u0443\u0445\u0438 \u043d\u0430\u0447\u0438\u043d\u0430\u044e\u0442 \u0432\u044b\u0440\u0430\u0431\u0430\u0442\u044b\u0432\u0430\u0442\u044c\u0441\u044f \u0447\u0435\u0440\u0435\u0437 3-4 \u043d\u0435\u0434\u0435\u043b\u0438 \u0441 \u043c\u043e\u043c\u0435\u043d\u0442\u0430 \u0438\u043d\u0444\u0438\u0446\u0438\u0440\u043e\u0432\u0430\u043d\u0438\u044f \u0438 \u0432\u044b\u044f\u0432\u043b\u044f\u044e\u0442\u0441\u044f \u043f\u043e\u0441\u043b\u0435 \u043e\u043a\u043e\u043d\u0447\u0430\u043d\u0438\u044f \u043e\u0441\u0442\u0440\u043e\u0433\u043e \u0437\u0430\u0431\u043e\u043b\u0435\u0432\u0430\u043d\u0438\u044f \u043f\u043e\u0436\u0438\u0437\u043d\u0435\u043d\u043d\u043e, \u043e\u0431\u0435\u0441\u043f\u0435\u0447\u0438\u0432\u0430\u044f \u0437\u0430\u0449\u0438\u0442\u0443 \u043e\u0442 \u043f\u043e\u0432\u0442\u043e\u0440\u043d\u043e\u0439 \u0438\u043d\u0444\u0435\u043a\u0446\u0438\u0438. \u041e\u043d\u0438 \u0432\u044b\u0440\u0430\u0431\u0430\u0442\u044b\u0432\u0430\u044e\u0442\u0441\u044f \u0442\u0430\u043a\u0436\u0435 \u0438 \u043f\u0440\u0438 \u044d\u0444\u0444\u0435\u043a\u0442\u0438\u0432\u043d\u043e\u0439 \u0432\u0430\u043a\u0446\u0438\u043d\u0430\u0446\u0438\u0438. \u0412\u044b\u044f\u0432\u043b\u0435\u043d\u0438\u0435 \u0430nti-Rubella IgG \u0432 \u043a\u043e\u043d\u0446\u0435\u043d\u0442\u0440\u0430\u0446\u0438\u0438 \u043c\u0435\u043d\u0435\u0435 10 \u0415\u0434\/\u043c\u043b \u0441\u0432\u0438\u0434\u0435\u0442\u0435\u043b\u044c\u0441\u0442\u0432\u0443\u0435\u0442 \u043e\u0431 \u0438\u0445 \u043d\u0435\u0434\u043e\u0441\u0442\u0430\u0442\u043e\u0447\u043d\u043e\u043c \u0443\u0440\u043e\u0432\u043d\u0435 \u0434\u043b\u044f \u043f\u0440\u0435\u0434\u043e\u0445\u0440\u0430\u043d\u0435\u043d\u0438\u044f \u043e\u0442 \u043a\u043b\u0438\u043d\u0438\u0447\u0435\u0441\u043a\u0438\u0445 \u043f\u0440\u043e\u044f\u0432\u043b\u0435\u043d\u0438\u0439 \u0437\u0430\u0431\u043e\u043b\u0435\u0432\u0430\u043d\u0438\u044f \u043f\u0440\u0438 \u044d\u043a\u0441\u043f\u043e\u0437\u0438\u0446\u0438\u0438 \u043a \u0432\u0438\u0440\u0443\u0441\u0443 \u043a\u0440\u0430\u0441\u043d\u0443\u0445\u0438 \u0438\u043b\u0438 \u043e\u0431 \u043e\u0442\u0441\u0443\u0442\u0441\u0442\u0432\u0438\u0438 \u0430\u043d\u0442\u0438\u0442\u0435\u043b. \u0423\u0440\u043e\u0432\u0435\u043d\u044c \u0430nti-Rubella IgG \u0431\u043e\u043b\u0435\u0435 10 \u0415\u0434\/\u043c\u043b \u0440\u0435\u043a\u043e\u043c\u0435\u043d\u0434\u043e\u0432\u0430\u043d \u043a\u0430\u043a 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