Screening among Pregnant Women for Cytomegalovirus (CMV) Infection — Recommendations in Poland and Selected Countries Worldwide (a Preliminary Study to Investigate the Incidence of Neurological Complications in CMV — Infected Children)

Adrianna Frydrysiak-Brzozowska, M. Słodki, M. Głowacka
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Abstract

Cytomegalovirus (CMV) is the most common cause of congenital infections worldwide, yet it remains an underestimated public health problem. There are no international standards for the prevention of vertical transmission of the infection, and the management of pregnant women as well as fetuses with symptoms of infection. The analysis was conducted between December and February 2022. The detailed criteria of inclusion in the analysis included: a separate study group, consisting only of pregnant women regardless of their stage, and statistical analysis of obtained data with particular emphasis on the result of antibodies against CMV antigens in IgG and IgM class. The introduction of universal screening is still controversial. In most countries, routine determination of IgG and IgM antibodies to CMV antigens is not recommended among pregnant women, but these tests are often offered to them independently of nationally approved screening programmes. (JNNN 2022;11(2):83–94).
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孕妇巨细胞病毒(CMV)感染筛查——波兰和世界选定国家的建议(一项调查巨细胞病毒感染儿童神经系统并发症发生率的初步研究)
巨细胞病毒(CMV)是全世界先天性感染最常见的原因,但它仍然是一个被低估的公共卫生问题。对于预防这种感染的垂直传播,以及对有感染症状的孕妇和胎儿的管理,目前尚无国际标准。该分析是在2022年12月至2月期间进行的。纳入分析的详细标准包括:单独的研究组,仅由孕妇组成,而不考虑其阶段,并对获得的数据进行统计分析,特别强调IgG和IgM类CMV抗原抗体的结果。普遍筛查的引入仍然存在争议。在大多数国家,不建议孕妇常规检测巨细胞病毒抗原的IgG和IgM抗体,但这些检测通常是独立于国家批准的筛查规划向她们提供的。(JNNN 2022; 11(2): 83 - 94)。
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