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先天性巨细胞病毒感染:临床结果。

Congenital cytomegalovirus infection: clinical outcome.

机构信息

Departments of Pediatrics.

出版信息

Clin Infect Dis. 2013 Dec;57 Suppl 4(Suppl 4):S178-81. doi: 10.1093/cid/cit629.

DOI:10.1093/cid/cit629
PMID:24257422
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4471438/
Abstract

Congenital cytomegalovirus (CMV) infection is a leading cause of hearing loss and neurologic disabilities in children worldwide. Infants with symptomatic congenital CMV infection at birth are at significantly increased risk for developing adverse long-term outcomes. The vast majority of infants with congenital CMV infection have no clinical findings at birth (asymptomatic infants), and about 10%-15% of these children develop long-term sequelae. Currently, predictors of adverse outcome in asymptomatic congenital CMV infection are not known, and it is important that future studies address this issue.

摘要

先天性巨细胞病毒(CMV)感染是全球导致儿童听力损失和神经发育障碍的主要原因。出生时患有有症状先天性 CMV 感染的婴儿发生不良长期结局的风险显著增加。绝大多数患有先天性 CMV 感染的婴儿在出生时没有临床发现(无症状婴儿),其中约 10%-15%的儿童会出现长期后遗症。目前,无症状先天性 CMV 感染不良结局的预测因素尚不清楚,未来的研究解决这个问题非常重要。

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本文引用的文献

1
Long-term outcomes of congenital cytomegalovirus infection in Sweden and the United Kingdom.瑞典和英国先天性巨细胞病毒感染的长期结局。
Clin Infect Dis. 2013 May;56(9):1232-9. doi: 10.1093/cid/cit018. Epub 2013 Jan 18.
2
Congenital cytomegalovirus infection as a cause of sensorineural hearing loss in a highly immune population.先天性巨细胞病毒感染是高度免疫人群感音神经性听力损失的一个原因。
Pediatr Infect Dis J. 2011 Dec;30(12):1043-6. doi: 10.1097/INF.0b013e31822d9640.
3
Saliva polymerase-chain-reaction assay for cytomegalovirus screening in newborns.唾液聚合酶链反应检测法用于新生儿巨细胞病毒的筛查。
N Engl J Med. 2011 Jun 2;364(22):2111-8. doi: 10.1056/NEJMoa1006561.
4
Birth prevalence and natural history of congenital cytomegalovirus infection in a highly seroimmune population.高血清免疫人群中先天性巨细胞病毒感染的出生患病率及自然史
Clin Infect Dis. 2009 Aug 15;49(4):522-8. doi: 10.1086/600882.
5
Cytomegalovirus blood viral load and hearing loss in young children with congenital infection.巨细胞病毒血液病毒载量与先天性感染幼儿听力损失的关系。
Pediatr Infect Dis J. 2009 Jul;28(7):588-92. doi: 10.1097/INF.0b013e3181979a27.
6
New estimates of the prevalence of neurological and sensory sequelae and mortality associated with congenital cytomegalovirus infection.先天性巨细胞病毒感染相关神经和感觉后遗症患病率及死亡率的新估计。
Rev Med Virol. 2007 Sep-Oct;17(5):355-63. doi: 10.1002/rmv.544.
7
Newborn hearing screening--a silent revolution.新生儿听力筛查——一场无声的革命。
N Engl J Med. 2006 May 18;354(20):2151-64. doi: 10.1056/NEJMra050700.
8
Hearing loss in children with congenital cytomegalovirus infection born to mothers with preexisting immunity.母亲具有既往免疫力的先天性巨细胞病毒感染患儿的听力损失
J Pediatr. 2006 Mar;148(3):332-6. doi: 10.1016/j.jpeds.2005.09.003.
9
Congenital cytomegalovirus (CMV) infection and hearing deficit.先天性巨细胞病毒(CMV)感染与听力缺陷。
J Clin Virol. 2006 Feb;35(2):226-31. doi: 10.1016/j.jcv.2005.09.016. Epub 2005 Dec 28.
10
Neonatal cytomegalovirus blood load and risk of sequelae in symptomatic and asymptomatic congenitally infected newborns.有症状和无症状先天性感染新生儿的新生儿巨细胞病毒血载量及后遗症风险
Pediatrics. 2006 Jan;117(1):e76-83. doi: 10.1542/peds.2005-0629. Epub 2005 Dec 1.