{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T07:59:23Z","timestamp":1790668763349,"version":"4.1.0"},"reference-count":46,"publisher":"Akademiai Kiado Zrt.","issue":"39","license":[{"start":{"date-parts":[[2026,9,27]],"date-time":"2026-09-27T00:00:00Z","timestamp":1790467200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.akjournals.com"],"crossmark-restriction":true},"short-container-title":["OH"],"published-print":{"date-parts":[[2026,9,27]]},"abstract":"<jats:p>A TORCH-fert\u0151z\u00e9sek (toxoplasmosis, egy\u00e9b [syphilis, b\u00e1r\u00e1nyhiml\u0151], rubeola,\n                    cytomegalovirus, herpes simplex v\u00edrus) a velesz\u00fcletett infekci\u00f3k klasszikus\n                    csoportj\u00e1t alkotj\u00e1k, amelyek s\u00falyos magzati \u00e9s \u00fajsz\u00fcl\u00f6ttkori k\u00f6vetkezm\u00e9nyekkel\n                    j\u00e1rhatnak. A transplacentarisan terjed\u0151 fert\u0151z\u00e9sek \u00e9vtizedek \u00f3ta a praenatalis\n                    gondoz\u00e1s kritikus r\u00e9sz\u00e9t k\u00e9pezik. B\u00e1r Magyarorsz\u00e1gon 1971 \u00f3ta alkalmazz\u00e1k a\n                    gy\u0171jt\u0151fogalomba tartoz\u00f3 sz\u0171r\u00e9seket, a diagnosztikai szeml\u00e9let \u00e9s a sz\u0171r\u00e9si\n                    strat\u00e9gi\u00e1k jelent\u0151s \u00e1talakul\u00e1son mentek kereszt\u00fcl. A jelenlegi nemzetk\u00f6zi\n                    aj\u00e1nl\u00e1sok \u00e9s a hazai szakmai ir\u00e1nyelvek nem specifikus ultrahangelt\u00e9r\u00e9sek eset\u00e9n\n                    m\u00e1r nem javasolj\u00e1k az indokolatlan, rutinszer\u0171 TORCH-panelek alkalmaz\u00e1s\u00e1t, mivel\n                    ezek diagnosztikai \u00e9rt\u00e9ke rendk\u00edv\u00fcl csek\u00e9ly. A k\u00f6zlem\u00e9ny c\u00e9lja a\n                    TORCH-fert\u0151z\u00e9sek klinikai jelent\u0151s\u00e9g\u00e9nek, a legfrissebb, bizony\u00edt\u00e9kokon alapul\u00f3\n                    diagnosztikai algoritmusoknak (szerol\u00f3gia, avidit\u00e1svizsg\u00e1lat,\n                    polimer\u00e1z-l\u00e1ncreakci\u00f3) \u00e9s az \u00faj ter\u00e1pi\u00e1s lehet\u0151s\u00e9geknek (p\u00e9ld\u00e1ul valaciklovir\n                    cytomegalovirus-fert\u0151z\u00e9sben) a bemutat\u00e1sa, hangs\u00falyozva a c\u00e9lzott kivizsg\u00e1l\u00e1s \u00e9s\n                    a megel\u0151z\u00e9s jelent\u0151s\u00e9g\u00e9t. A k\u00e9zirat \u00f6sszefoglalja a v\u00e1rand\u00f3ss\u00e1g alatti\n                    TORCH-fert\u0151z\u00e9sek diagnosztik\u00e1j\u00e1nak \u00e9s kezel\u00e9s\u00e9nek hazai vonatkoz\u00e1sait, bele\u00e9rtve\n                    a magyar sz\u0171r\u00e9si gyakorlat \u00e9s a referenciaell\u00e1t\u00e1s saj\u00e1toss\u00e1gait is. A\n                    diagnosztika paradigmav\u00e1lt\u00e1son ment kereszt\u00fcl, \u00edgy a TORCH-panel vizsg\u00e1lat\u00e1t\n                    rutinszer\u0171en nem javasolt v\u00e9gezni. A c\u00e9lzott vizsg\u00e1lati strat\u00e9gia alkalmaz\u00e1sa\n                    jav\u00edtja a diagnosztikai hat\u00e9konys\u00e1got, \u00e9s cs\u00f6kkenti a felesleges\n                    beavatkoz\u00e1sokat. Orv Hetil. 2026; 167(39): 1535\u20131551.<\/jats:p>","DOI":"10.1556\/650.2026.33642","type":"journal-article","created":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T07:50:57Z","timestamp":1790668257000},"page":"1535-1551","update-policy":"https:\/\/doi.org\/10.1556\/policypage.crossmark.crossref.2","source":"Crossref","is-referenced-by-count":0,"title":["TORCH-fert\u0151z\u00e9sek a v\u00e1rand\u00f3ss\u00e1g alatt: klinikai jelent\u0151s\u00e9g, diagn\u00f3zis \u00e9s kezel\u00e9s"],"prefix":"10.1556","volume":"167","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7054-8333","authenticated-orcid":true,"given":"S\u00e1ndor","family":"Nagy","sequence":"first","affiliation":[{"name":"Sz\u00e9chenyi Istv\u00e1n Egyetem, Eg\u00e9szs\u00e9g- \u00e9s Sporttudom\u00e1nyi Kar, Sz\u00fcl\u00e9szeti \u00e9s N\u0151gy\u00f3gy\u00e1szati Tansz\u00e9k Gy\u0151r Magyarorsz\u00e1g"},{"name":"Gy\u0151r-Moson-Sopron V\u00e1rmegyei Petz Alad\u00e1r Egyetemi Oktat\u00f3 K\u00f3rh\u00e1z, Sz\u00fcl\u00e9szeti \u00e9s N\u0151gy\u00f3gy\u00e1szati Oszt\u00e1ly Gy\u0151r, Vasv\u00e1ri P. u. 2\u20134., 9024 Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B\u00e9la","family":"Gyarmati","sequence":"additional","affiliation":[{"name":"Sz\u00e9chenyi Istv\u00e1n Egyetem, Eg\u00e9szs\u00e9g- \u00e9s Sporttudom\u00e1nyi Kar, Sz\u00fcl\u00e9szeti \u00e9s N\u0151gy\u00f3gy\u00e1szati Tansz\u00e9k Gy\u0151r Magyarorsz\u00e1g"},{"name":"Uzsoki Utcai K\u00f3rh\u00e1z, Sz\u00fcl\u00e9szeti \u00e9s N\u0151gy\u00f3gy\u00e1szati Oszt\u00e1ly Budapest Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zor\u00e1n","family":"Belics","sequence":"additional","affiliation":[{"name":"Sz\u00e9chenyi Istv\u00e1n Egyetem, Eg\u00e9szs\u00e9g- \u00e9s Sporttudom\u00e1nyi Kar, Sz\u00fcl\u00e9szeti \u00e9s N\u0151gy\u00f3gy\u00e1szati Tansz\u00e9k Gy\u0151r Magyarorsz\u00e1g"},{"name":"Maternity Sz\u00fcl\u00e9szeti \u00e9s N\u0151gy\u00f3gy\u00e1szati Mag\u00e1nklinika Budapest Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"425","reference":[{"key":"R1","doi-asserted-by":"crossref","unstructured":"Neu N, Duchon J, Zachariah P. 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Congenital\n                    cytomegalovirus infection in pregnancy and the neonate: consensus\n                    recommendations for prevention, diagnosis, and therapy. Lancet Infect Dis. 2017;\n                    17: e177-e188.\n                    https:\/\/doi.org\/10.1016\/S1473-3099(17)30143-3","DOI":"10.1016\/S1473-3099(17)30143-3"},{"key":"R5","doi-asserted-by":"crossref","unstructured":"American College of Obstetricians and Gynecologists. Practice\n                    Bulletin No. 151: Cytomegalovirus, parvovirus B19, varicella zoster, and\n                    toxoplasmosis in pregnancy. Obstet Erratum: Obstet Gynecol. 2016; 127: 405.\n                        https:\/\/doi.org\/10.1097\/AOG.0000000000001280","DOI":"10.1097\/AOG.0000000000001280"},{"key":"R6","doi-asserted-by":"crossref","unstructured":"Sz\u00e9cs\u00e9nyi M, Somogyv\u00e1ri F, D\u00f3czi I. Seroepidemiology of\n                    toxoplasmosis in pregnant women between 2018 and 2022. 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