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苏丹孕妇巨细胞病毒感染的血清流行病学调查。

Seroepidemiological Survey of Cytomegalovirus Infection among Pregnant Women in Sudan.

机构信息

Department of Pharmaceutics, College of Pharmacy, Prince Sattam bin Abdulaziz University, Alkharj, Kingdom of Saudi Arabia.

Department of Microbiology and Parasitology, Institute of Medicinal and Aromatic Plants Research, The National Center for Research, Khartoum, Sudan.

出版信息

Pol J Microbiol. 2023 Sep 20;72(3):269-275. doi: 10.33073/pjm-2023-026. eCollection 2023 Sep 1.

Abstract

Human Cytomegalovirus (HCMV) is a leading healthcare problem associated with stillbirth and congenital abnormalities. Determining the seroprevalence and the possible risk factors related to HCMV infections may be a cornerstone in preventing its complications. This cross-sectional study was conducted in Kassala and River Nile States to determine the seroprevalence and risk factors associated with HCMV infection in pregnant women. One hundred eighty-four (n = 184) blood specimens were collected from pregnant women from February 2018 to January 2020. Enzyme-linked immunosorbent assay (ELISA) was used to detect HCMV-specific IgG and IgM antibodies. Socio-demographical characteristics of the women were collected using structured questionnaires. The results showed that HCMV IgG was detected in 170 (92.4%) of the blood specimens, and IgM was detected in 29/93 (31.2%). There was a significant relationship between the history of miscarriage and the presence of IgG and IgM with a -value = 0.001 and between HCMV IgM and gestational stage (-value = 0.028). The study found a strikingly high seroprevalence of HCMV infections among pregnant women in the investigated States. This high percentage of illiterate housewives living in rural areas makes it possible to reduce the incidence of HCMV infection in pregnant women by improving their knowledge, attitude, and practice regarding the route of viral transmission, which may reflect in lowering the rate of congenital diseases in their infants.

摘要

人巨细胞病毒(HCMV)是与死产和先天畸形相关的主要医疗保健问题。确定 HCMV 感染的血清流行率和可能的相关危险因素可能是预防其并发症的基石。本横断面研究在卡萨拉和尼罗河州进行,旨在确定孕妇中 HCMV 感染的血清流行率和相关危险因素。2018 年 2 月至 2020 年 1 月期间,从孕妇中采集了 184 份(n=184)血样。采用酶联免疫吸附试验(ELISA)检测 HCMV 特异性 IgG 和 IgM 抗体。使用结构化问卷收集了妇女的社会人口统计学特征。结果显示,在 184 份血样中,170 份(92.4%)检测到 HCMV IgG,29 份(31.2%)检测到 IgM。流产史与 IgG 和 IgM 的存在之间存在显著关系(-值=0.001),与 HCMV IgM 和妊娠阶段之间存在显著关系(-值=0.028)。研究发现,在所调查的州中,孕妇中 HCMV 感染的血清流行率极高。这一高比例的农村地区文盲家庭主妇表明,通过提高她们对病毒传播途径的知识、态度和实践,可以降低孕妇 HCMV 感染的发生率,从而可能降低其婴儿先天性疾病的发生率。

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