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麦加孕妇风疹和巨细胞病毒感染的患病率及危险因素:对筛查和疫苗接种计划的启示

Prevalence and Risk Factors of Rubella and Cytomegalovirus Infections Among Pregnant Women in Makkah: Implications for Screening and Vaccination Programs.

作者信息

Mohammed Khalil

机构信息

Epidemiology and Medical Statistics, Faculty of Public Health and Health Informatics, Umm Al-Qura University, Makkah, SAU.

出版信息

Cureus. 2024 Mar 30;16(3):e57269. doi: 10.7759/cureus.57269. eCollection 2024 Mar.

DOI:10.7759/cureus.57269
PMID:38686268
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11057681/
Abstract

Introduction Contracting rubella virus or cytomegalovirus (CMV) while pregnant can lead to severe health issues for both the mother and the unborn child. This study aims to determine the prevalence of these infections in pregnant women and identify associated risk factors. Methods A total of 146 pregnant women consented to participate in this research. Data were collected through a detailed questionnaire and blood samples were obtained from each participant. Blood was drawn into vacutainer tubes, and plasma was separated and stored at -20°C for analysis. We utilized specific enzyme-linked immunosorbent assays (ELISA) for immunoglobulin G (IgG) and Immunoglobulin M (IgM) to detect antibodies against rubella and CMV in the plasma samples. Results The study revealed that the prevalence rates of IgG antibodies for rubella and CMV were 68.5% and 97.3%, respectively. No samples tested positive for IgM antibodies for either disease. A significant relationship was found between chronic rubella infection and women aged 26 to 35 years (p < 0.05). A significant association was also observed between chronic CMV infection and women with lower income (p < 0.05). Conclusion This study confirms the widespread presence of chronic rubella and CMV infections among pregnant women in Makkah. The findings highlight the impact of socioeconomic factors on infection rates and underscore the importance of implementing vaccination programs to mitigate the severity of these infections in pregnant women and protect fetal health.

摘要

引言

孕期感染风疹病毒或巨细胞病毒(CMV)会给母亲和未出生的孩子带来严重的健康问题。本研究旨在确定这些感染在孕妇中的患病率,并识别相关风险因素。

方法

共有146名孕妇同意参与本研究。通过详细问卷收集数据,并从每位参与者采集血样。血液采集到真空管中,分离血浆并储存于-20°C用于分析。我们使用特定的酶联免疫吸附测定(ELISA)检测血浆样本中针对风疹和CMV的免疫球蛋白G(IgG)和免疫球蛋白M(IgM)抗体。

结果

研究显示,风疹和CMV的IgG抗体患病率分别为68.5%和97.3%。两种疾病的IgM抗体检测均无样本呈阳性。发现慢性风疹感染与26至35岁女性之间存在显著关系(p < 0.05)。慢性CMV感染与低收入女性之间也观察到显著关联(p < 0.05)。

结论

本研究证实了麦加孕妇中慢性风疹和CMV感染的广泛存在。研究结果突出了社会经济因素对感染率的影响,并强调了实施疫苗接种计划以减轻孕妇这些感染的严重程度和保护胎儿健康的重要性。

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