Shand A W, Luk W, Nassar N, Hui L, Dyer K, Rawlinson W
a Menzies Centre for Health Policy, Sydney School of Public Health , University of Sydney , Sydney , Australia.
b Department of Maternal Fetal Medicine , Royal Hospital for Women , Randwick , Australia.
J Matern Fetal Neonatal Med. 2018 Oct;31(19):2515-2520. doi: 10.1080/14767058.2017.1344968. Epub 2017 Jul 11.
To assess the knowledge, practice and attitudes of maternity clinicians regarding congenital cytomegalovirus (CMV). It is the most common congenital infection, and well-recognized cause of neurodevelopmental disability and hearing loss. New consensus recommendations state all pregnant women and health-care providers should be educated about congenital CMV infection and preventive measures.
An email questionnaire was distributed in October 2015 to specialists, diplomates (general practitioners), and trainees of the Royal Australian New Zealand College of Obstetricians and Gynaecologists (RANZCOG), and Victorian and New South Wales midwives.
774 responded: (37.3% specialists, 17.3% diplomates, 16.8% trainees, 28.6% midwives). Clinicians had variable knowledge of fetal sequelae, transmission routes and prevention. Overall, 30.2% felt confident about discussing CMV in pregnancy: less than 10% of midwives (7.4%) and less than half of specialists (47.1%, p < .0001). Only 8.8% of respondents routinely discussed CMV prevention with pregnant women. The majority (69.3%) responded that professional societies should make practice recommendations, and 88% thought more patient information was needed, preferably leaflets.
Australasian maternity clinicians lack confidence and knowledge about congenital CMV. Few (<10%) routinely provide advice on prevention. There is urgent need for clinical guidance and patient information to reduce the burden of disease.
评估产科临床医生对先天性巨细胞病毒（CMV）的知识、实践和态度。先天性巨细胞病毒是最常见的先天性感染，是公认的神经发育障碍和听力损失的病因。新的共识建议指出，所有孕妇和医疗服务提供者都应接受关于先天性巨细胞病毒感染及预防措施的教育。
2015年10月，向澳大利亚皇家新西兰妇产科医师学院（RANZCOG）的专家、全科医生（专科医生）、实习生以及维多利亚州和新南威尔士州的助产士发放了电子邮件调查问卷。
774人回复（37.3%为专家，17.3%为专科医生，16.8%为实习生，28.6%为助产士）。临床医生对胎儿后遗症、传播途径和预防的了解程度各不相同。总体而言，30.2%的人对在孕期讨论巨细胞病毒感染有信心：助产士中不到10%（7.4%），专家中不到一半（47.1%，p < 0.0001）。只有8.8%的受访者会定期与孕妇讨论巨细胞病毒感染的预防问题。大多数人（69.3%）回答专业协会应制定实践建议，88%的人认为需要更多的患者信息，最好是宣传册。
澳大利亚和新西兰的产科临床医生对先天性巨细胞病毒缺乏信心和了解。很少有人（<10%）会定期提供预防建议。迫切需要临床指导和患者信息，以减轻疾病负担。
