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Med J Malaysia. 2006 Jun;61(2):248-50.

西苏丹孕妇巨细胞病毒和风疹的血清流行率。

Seroprevalence of cytomegalovirus and rubella among pregnant women in western Sudan.

机构信息

Department of Biochemistry, Faculty of Medicine, Al-Neelain University, Khartoum, Sudan.

出版信息

Virol J. 2011 May 11;8:217. doi: 10.1186/1743-422X-8-217.

DOI:10.1186/1743-422X-8-217
PMID:21569321
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3112446/
Abstract

BACKGROUND

Maternal cytomegalovirus (CMV) and rubella infections have adverse neonatal outcomes. Basic epidemiological data concerning CMV and rubella is necessary for health planners and care providers.

METHODS

A cross sectional study was conducted at El-Rahad hospital, Sudan to investigate seroprevalence of CMV and rubella infections and associated possible risk factors among pregnant women. Structured questionnaires were used to gather socio-demographic data and ELISA was used to detect CMV and rubella infections using IgG and IgM.

RESULTS

Out of 231 pregnant women, 167 (72.2%) and 151 (65.3%) were CMV-IgG and rubella-IgG positive, respectively. Only 6 (2.5%) and 8 women (3.4%) were CMV-IgM and rubella-IgM positive, respectively. While, high parity (OR = 14.7, 95%CI = 1.7 - 123.6; P = 0.01] and illiteracy (OR = 3.0, CI = 1.4 - 6.5; P = 0.004) were significantly associated with seropostive CMV-IgG in multivariate analysis, none of the other obstetrical and medical characteristics were significantly associated with CMV or rubella infections.

CONCLUSION

CMV prevalence was 72.2% and rubella susceptibility among pregnant women was 34.6%. Rubella vaccine and routine screening for rubella and CMV should be introduced for pregnant women in this setting. Further research is needed.

摘要

背景

母体巨细胞病毒(CMV)和风疹感染对新生儿有不良影响。CMV 和风疹的基本流行病学数据对卫生规划人员和医护人员是必要的。

方法

在苏丹的 El-Rahad 医院进行了一项横断面研究,以调查孕妇 CMV 和风疹感染的血清流行率以及相关的可能危险因素。使用结构化问卷收集社会人口统计学数据,使用 ELISA 检测 IgG 和 IgM 以检测 CMV 和风疹感染。

结果

在 231 名孕妇中,167 名(72.2%)和 151 名(65.3%)分别为 CMV-IgG 和风疹 IgG 阳性,仅 6 名(2.5%)和 8 名妇女(3.4%)分别为 CMV-IgM 和风疹 IgM 阳性。而高胎次(OR = 14.7,95%CI = 1.7 - 123.6;P = 0.01)和文盲(OR = 3.0,CI = 1.4 - 6.5;P = 0.004)与 CMV-IgG 血清阳性在多变量分析中显著相关,而其他产科和医学特征均与 CMV 或风疹感染无显著相关性。

结论

CMV 的流行率为 72.2%,孕妇风疹易感性为 34.6%。在这种情况下,应向孕妇引入风疹疫苗和常规风疹及 CMV 筛查。需要进一步研究。