University of Michigan and CS Mott Children's Hospital, Ann Arbor, MI, USA.
Midwestern University, Glendale, AZ, USA.
J Prim Care Community Health. 2022 Jan-Dec;13:21501319221106880. doi: 10.1177/21501319221106880.
Congenital cytomegalovirus (cCMV) affects 1 in every 200 United States infants, at present there are 9 states which mandate newborn cCMV screening. With more infants being diagnosed, more children will need continuing care from providers who are knowledgeable about cCMV.
To examine pediatric provider knowledge, practices, and beliefs around cCMV.
Primary care and newborn hospitalist pediatricians (N = 103) from Michigan, who "regularly care for infants" were invited to participate in a survey about their cCMV-related knowledge, clinical practices, and beliefs.
Respondents had low knowledge of typical cCMV presentation and sequelae, with mixed knowledge of screening and testing standards. Most (68%) reported rarely/never screening for cCMV, though 71% strongly agreed/agreed that primary care providers should test for cCMV. Most (90%) strongly agreed/agreed that infants who fail/refer on their newborn hearing screen should be tested for cCMV, yet 81% expressed not being comfortable diagnosing and managing cCMV. Most (72%) felt that cCMV was not sufficiently covered in their medical training; almost all respondents endorsed interest in learning more.
Primary care and newborn hospitalists in this study expressed mixed knowledge about, infrequent practice of and low comfort with screening and caring for children with cCMV. This may present a prime opportunity for education and clinician support by professional organizations.
先天性巨细胞病毒（cCMV）影响美国每 200 名婴儿中的 1 名，目前有 9 个州要求对新生儿进行 cCMV 筛查。随着越来越多的婴儿被诊断出来，更多的儿童将需要从了解 cCMV 的提供者那里获得持续的护理。
调查儿科医生对 cCMV 的知识、实践和信念。
密歇根州的初级保健和新生儿医院儿科医生（N=103），“经常照顾婴儿”，被邀请参与一项关于他们与 cCMV 相关的知识、临床实践和信念的调查。
受访者对典型 cCMV 表现和后遗症的了解较少，对筛查和检测标准的了解也参差不齐。大多数（68%）表示很少/从未筛查过 cCMV，尽管 71%的人强烈同意/同意初级保健提供者应该检测 cCMV。大多数（90%）强烈同意/同意新生儿听力筛查失败/转介的婴儿应该检测 cCMV，但 81%的人表示对诊断和管理 cCMV 感到不舒服。大多数（72%）认为 cCMV 在他们的医学培训中没有得到充分涵盖；几乎所有受访者都表示有兴趣学习更多相关知识。
在这项研究中，初级保健和新生儿医院的儿科医生对筛查和照顾患有 cCMV 的儿童的知识、实践和舒适度存在混合认识。这可能为专业组织提供教育和临床医生支持提供了一个绝佳的机会。
