Seroprevalence of rubella and cytomegalovirus (CMV) infection in pregnant women from Kerala State.

J Shanmugam, M Raveendranath, V R Nair
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Abstract

Prevalence of rubella antibody in 536 and cytomegalovirus (CMV) antibody in 260 pregnant women attending an antenatal clinic, in India, was studied by means of hemagglutination inhibition (HAI) test (for rubella antibody) and complement fixation test (CFT-for CMV antibody). The antibody detection rate in pregnant women was 74.1% for rubella and 85.4% for CMV. The prevalence rate of CMV infection was higher during third trimester (89.6%), while rubella antibody was more prevalent during second trimester (77.5%). The geometrical mean titre (GMT) was 73 for rubella antibody and 57 for CMV. Further, rubella antibody was found to be more prevalent in the age group of 26-30 years (76.8%), while for CMV, the highest prevalence rate was seen in 21-25 years (89.2%). The present study indicates the potential possibility of primary rubella infection in 26.0% and CMV infection in 15.0% of the susceptible women during pregnancy and the development of congenital malformations in children born to the infected women.

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喀拉拉邦孕妇风疹和巨细胞病毒(CMV)感染的血清患病率
通过血凝抑制试验(风疹抗体)和补体固定试验(CMV抗体),研究了印度一家产前诊所536例风疹抗体和260例巨细胞病毒(CMV)抗体的流行情况。孕妇风疹抗体检出率为74.1%,巨细胞病毒抗体检出率为85.4%。CMV感染阳性率在妊娠晚期较高(89.6%),风疹抗体阳性率在妊娠中期较高(77.5%)。风疹抗体的几何平均滴度为73,CMV抗体的几何平均滴度为57。此外,风疹抗体在26-30岁年龄组中更为普遍(76.8%),而巨细胞病毒在21-25岁年龄组中患病率最高(89.2%)。本研究提示,妊娠期易感妇女发生原发性风疹感染的潜在可能性为26.0%,巨细胞病毒感染的潜在可能性为15.0%,感染妇女所生儿童发育先天性畸形。
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