Louisville Medicine Volume 64, Issue 4 | Page 23

Table 3 Insect repellents appropriate for use in pregnancy REPELLENT PRODUCT REMARKS DEET N,N-diethyl Meta-toluamide ~OFF ~Repel ~Ultra 30 liposome Controlled release preferred repellent for use on skin Oil of lemon/Eucalyptus/ Para-menthane-diol ~ Repel Eucalyptus insect repellent acceptable for use on the skin IR3535 ~Skin so soft bug guard acceptable for use on the skin Permethrin ~Repel permethrin Clothing and gear aerosol ~permethrin pump spray for use only on clothing 1. Mlakar J. Korva, M. Tel N: Zika Virus associated with microcephaly. M. Engl J Med 2016; 374; 951-958 2. Brasil P, Pereire JP JR, Raja Gabalgia C.: Zika Virus infection in pregnant Women in Rio de Janerio-preliminary report. N. Engl J. Med DOI: 10.1056/NEI Moa 1602412 3. Driggers, RW, Ho EM, Korhonen S Zika virus infection with prolonged Maternal viremia and fetal brain abnormalities. N Engl J. Med 2016; 374: 2142-2151 4. Peterson EE, Staples E, Meaney-Delman. Detailed Interim guidelines for Pregnant women during a Zika virus outbreak, United Staes 2016 MMWR 2016; 65: 30-33 5. Oduyebo T, Peterson EE, Rasmussen SA Update! Interior guidelines for Health care provides caring for pregnant women And women of reproductive age with possible Zika Virus exposures, United States 2016 MMWR 2016; 65: 122-127 6. Barba-Spaeth G et al: Structural bias of potent zika-dengue virus antibody cross Neutralization Nature 2016; June 23; e-pub: http:dx.doi.org/10.1038/nature/18938. 7. Dejinirattisai W: Dengue virus sero-cross-reactivity drives antibody Dependent enhancement of Infection with Zika virus. Nat Immunol 2016 June 23 [e-pub] http://dx/doi.org/10.1038/ni:3515 Stanley Gall, MD, practices obstetrics, gynecology and women’s health as part of the University of Louisville Physicians Group. SEPTEMBER 2016 21