AP-HP, Service de Gynécologie-Obstétrique et Médecine de la Reproduction, Hôpital Antoine Béclère, Université Paris Sud, Clamart 92140, France.
J Clin Virol. 2012 Oct;55(2):158-63. doi: 10.1016/j.jcv.2012.06.022. Epub 2012 Jul 21.
Cytomegalovirus (CMV) is the most frequent cause of congenital virus infection. CMV infects approximately 1% of newborns at birth with severe consequences among 10% of them and antenatal and postnatal treatments, although promising, are still under evaluation in randomised control trials. Efficacy of hygienic counselling to prevent CMV infection is nowadays established and should be spread.
To evaluate health care providers' awareness of CMV infection during pregnancy in France.
A questionnaire on CMV infection was sent by e-mail to obstetricians, paediatricians, midwives and laboratory physicians, members of medical or midwives association. We evaluated their knowledge concerning CMV epidemiology, transmission, symptoms in adults, newborns and children.
The questionnaire was completed by 800 respondents (half midwives and one third obstetricians). Most of them were unaware of the precise transmission route of CMV. Laboratory physicians had the highest score concerning maternal symptoms and post natal long term effects. 20% of respondents were wrongly convinced that in utero treatment options for congenital CMV infection were already available in France at the time of the study. The mean knowledge scores regarding transmission and neonatal symptoms increased with a more advanced career stage (i.e. older age) among obstetrician.
This study tends to confirm that there is a large gap between knowledge of CMV during pregnancy and the burden of this disease. To bridge this gap, health care providers should improve their knowledge about congenital CMV by various means: medical reviews, continuing medical education, meetings, conferences, the Internet.
巨细胞病毒（CMV）是最常见的先天性病毒感染原因。CMV 在出生时感染大约 1%的新生儿，其中 10%的新生儿会出现严重后果，尽管产前和产后治疗有一定效果，但仍在随机对照试验中进行评估。卫生咨询以预防 CMV 感染的功效现已确立，应予以推广。
评估法国卫生保健提供者在妊娠期间对 CMV 感染的认识。
通过电子邮件向妇产科医生、儿科医生、助产士和实验室医生（医学或助产士协会成员）发送了一份关于 CMV 感染的问卷。我们评估了他们对 CMV 流行病学、传播途径、成人、新生儿和儿童症状的了解。
800 名受访者（一半为助产士，三分之一为妇产科医生）完成了问卷。他们大多数人不清楚 CMV 的确切传播途径。实验室医生在母体症状和产后长期影响方面得分最高。20%的受访者错误地认为，在研究期间，法国已经有治疗先天性 CMV 感染的宫内治疗选择。关于传播和新生儿症状的知识评分随着妇产科医生职业阶段的提高（即年龄增长）而增加。
本研究倾向于证实，妊娠期间对 CMV 的认识与该病的负担之间存在很大差距。为了弥合这一差距，卫生保健提供者应通过各种方式提高他们对先天性 CMV 的认识：医学审查、继续医学教育、会议、研讨会、互联网。
