Ong Leong Tung, Fan Si Wei David
Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.
J Paediatr Child Health. 2022 Dec;58(12):2156-2162. doi: 10.1111/jpc.16244. Epub 2022 Oct 17.
Cytomegalovirus (CMV) is the most common cause of congenital infection, affecting 1% of all live births. Intrauterine infection such as CMV infection is a risk factor for developing cerebral palsy. This study aims to investigate the association between congenital CMV infection and the development of cerebral palsy. A systematic literature search was conducted in PubMed, Web of Science and Ovid SP to identify relevant studies. The quality of studies was assessed using the Newcastle-Ottawa Scale. The random-effect model was used to calculate the pooled prevalence. The generic inverse variance method was used for statistical analysis. A total of 12 studies were included in this systematic review and meta-analysis. The overall pooled prevalence of cerebral palsy among patients diagnosed with congenital CMV infection was 26% (95% confidence interval (CI), 13-40%). The overall pooled prevalence of congenital CMV infection among patients with cerebral palsy was 10.9% (95% CI, 5-16%). Congenital CMV infection was significantly associated with the development of cerebral palsy in children. Routine follow-ups should be offered to screen for cerebral palsy.
巨细胞病毒(CMV)是先天性感染最常见的病因,影响着1%的活产儿。诸如CMV感染之类的宫内感染是发展为脑瘫的一个风险因素。本研究旨在调查先天性CMV感染与脑瘫发展之间的关联。在PubMed、科学网和Ovid SP中进行了系统的文献检索,以识别相关研究。使用纽卡斯尔-渥太华量表评估研究质量。采用随机效应模型计算合并患病率。采用通用逆方差法进行统计分析。本系统评价和荟萃分析共纳入12项研究。被诊断为先天性CMV感染的患者中脑瘫的总体合并患病率为26%(95%置信区间(CI),13 - 40%)。脑瘫患者中先天性CMV感染的总体合并患病率为10.9%(95%CI,5 - 16%)。先天性CMV感染与儿童脑瘫的发展显著相关。应进行常规随访以筛查脑瘫。