A.I. Toma, R.D. Bogdan, C.M. Gheorghe, T. Salmen, C. Grigoriu, B.M. Mihai, V. Dima, R.E. Bohîlțea, S. Vlădăreanu
Rezumat: The increase in the number of microorganisms that cause
maternal-fetal infections has led to the need to update
the acronym TORCH (Toxoplasma, Others, Rubella,
Cytomegalovirus, Herpes) to SCRATVHEZ (Syphilis,
Cytomegalovirus, Rubella, AIDS, Tuberculosis, Varicella,
Herpes, Enterovirus, Zika). The multiple routes of transmission
(transplacental, intrapartum, breast milk or posttransfusion),
the multitude of microorganisms generating various and complex complications – from quasi-asymptomatic diseases
to intrauterine growth restriction, neurological sequelae
and to fetal death, the treatment that varies from case to case, between symptomatic and etiological and the possibility
of preventing infections, outline their complexity and importance.
A complete and correct early diagnosis involves
clinical, biological and serological evaluation from the prenatal
period, in order to prevent the evolution of infections,
especially in the case of those in which there is an etiological treatment. The importance of knowing these infections and the effort to prevent their transmission, in order to limit the development of the consequences they can cause, are key elements in the optimal management of a pregnancy. Cuvinte cheie: intrauterine infections, TORCH, SCRATVHEZ,
congenital syphilis, cytomegalovirus infection, congenital
rubella, HIV, tuberculosis, congenital toxoplasmosis,
perinatal varicella, herpes simplex virus, enterovirus,
parechovirus, Zika virus.