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先天性巨细胞病毒(cCMV)感染作为儿童听力损失的主要原因:综述

Congenital Cytomegalovirus (cCMV) Infection as a Leading Cause of Pediatric Hearing Loss: Review.

作者信息

Cradeur Amber, Jackson Aaron, Ware Erin, Fourrier Torrey L, Mankekar Gauri

机构信息

School of Medicine, Louisiana State University Health Shreveport, 1501, King's Highway, Shreveport, LA 71103, USA.

Library, Louisiana State University Health Shreveport, 1501, King's Highway, Shreveport, LA 71103, USA.

出版信息

Children (Basel). 2025 May 8;12(5):613. doi: 10.3390/children12050613.

DOI:10.3390/children12050613
PMID:40426792
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12110128/
Abstract

Congenital cytomegalovirus (cCMV) infection is a significant cause of pediatric hearing loss. However, the prevalence and characteristics of cCMV-related hearing loss remain unclear. : A comprehensive search of major databases (PubMed, Scopus, and Web of Science) was conducted to identify studies and reviews published between 2000 and 2024 that investigated cCMV infection, testing for cCMV, and pediatric hearing loss. Studies were included if they reported on the prevalence, characteristics, current policies, and recommendations for universal cCMV testing in newborns. : This review highlights key issues: cCMV is a significant and treatable cause of pediatric hearing loss; most cCMV-related hearing loss cases presented with bilateral and profound hearing impairment; and cCMV testing is performed only for babies who fail newborn hearing screening. : This narrative review highlights the significant association between cCMV infection and pediatric hearing loss. Currently, targeted cCMV testing is recommended for newborns who fail newborn hearing screening. Universal cCMV testing may facilitate early diagnosis and directed intervention and could be cost-effective in the long run.

摘要

先天性巨细胞病毒(cCMV)感染是小儿听力损失的一个重要原因。然而,cCMV相关听力损失的患病率和特征仍不清楚。:对主要数据库(PubMed、Scopus和科学网)进行了全面检索,以确定2000年至2024年间发表的调查cCMV感染、cCMV检测和小儿听力损失的研究及综述。如果研究报告了新生儿普遍进行cCMV检测的患病率、特征、现行政策和建议,则将其纳入。:本综述突出了关键问题:cCMV是小儿听力损失的一个重要且可治疗的原因;大多数cCMV相关听力损失病例表现为双侧严重听力障碍;并且仅对新生儿听力筛查未通过的婴儿进行cCMV检测。:本叙述性综述强调了cCMV感染与小儿听力损失之间的显著关联。目前,建议对新生儿听力筛查未通过的婴儿进行有针对性的cCMV检测。普遍进行cCMV检测可能有助于早期诊断和定向干预,从长远来看可能具有成本效益。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/effa/12110128/244e0f5ea022/children-12-00613-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/effa/12110128/b7b4cac5f600/children-12-00613-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/effa/12110128/244e0f5ea022/children-12-00613-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/effa/12110128/b7b4cac5f600/children-12-00613-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/effa/12110128/244e0f5ea022/children-12-00613-g002.jpg

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本文引用的文献

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Neonatal Cytomegalovirus Infection: Advocacy, Legislation, and Changing Practice.新生儿巨细胞病毒感染:宣传、立法与实践变革
Clin Perinatol. 2025 Mar;52(1):115-132. doi: 10.1016/j.clp.2024.10.008. Epub 2024 Dec 21.
2
Economic evaluation of newborn screening for congenital cytomegalovirus infection: A systematic review.先天性巨细胞病毒感染新生儿筛查的经济学评估:一项系统综述
Eur J Pediatr. 2025 Jan 9;184(1):123. doi: 10.1007/s00431-024-05953-1.
3
National and Regional Trends in Congenital Cytomegalovirus Infection From 1998 to 2019.
1998年至2019年先天性巨细胞病毒感染的国家和地区趋势
Otolaryngol Head Neck Surg. 2025 Apr;172(4):1409-1417. doi: 10.1002/ohn.1107. Epub 2025 Jan 5.
4
Universal newborn screening for congenital cytomegalovirus infection.先天性巨细胞病毒感染的新生儿普遍筛查
Lancet Child Adolesc Health. 2025 Jan;9(1):57-70. doi: 10.1016/S2352-4642(24)00237-2.
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Follow-Up of Neonatal Hearing Screening in the Risk Factor Group for Hearing Loss: Results from a Tertiary Medical Center.听力损失风险因素组新生儿听力筛查的随访:来自三级医疗中心的结果
Children (Basel). 2024 Oct 31;11(11):1336. doi: 10.3390/children11111336.
6
Congenital Cytomegalovirus Infection and Hearing Loss: It's Time to Screen.先天性巨细胞病毒感染与听力损失:是时候进行筛查了。
Otol Neurotol. 2024 Dec 1;45(10):e702-e709. doi: 10.1097/MAO.0000000000004323.
7
Updated National and State-Specific Prevalence of Congenital Cytomegalovirus Infection, United States, 2018-2022.2018 - 2022年美国先天性巨细胞病毒感染的全国及各州特定更新患病率
J Public Health Manag Pract. 2025;31(2):234-243. doi: 10.1097/PHH.0000000000002043. Epub 2024 Sep 3.
8
Long-term outcomes of congenital cytomegalovirus infection in children early identified by extended hearing-targeted screening.通过扩展的听力目标筛查,早期发现的先天性巨细胞病毒感染患儿的长期结局。
Int J Pediatr Otorhinolaryngol. 2024 Sep;184:112070. doi: 10.1016/j.ijporl.2024.112070. Epub 2024 Aug 13.
9
Newborn congenital cytomegalovirus screening and hearing outcomes: a systematic review of current literature.新生儿先天性巨细胞病毒筛查与听力结局:当前文献的系统评价。
Curr Opin Otolaryngol Head Neck Surg. 2024 Oct 1;32(5):329-338. doi: 10.1097/MOO.0000000000000996. Epub 2024 Jul 26.
10
Establishment of the Norwegian hearing register for children.挪威儿童听力登记册的建立。
Front Hum Neurosci. 2024 Jul 29;18:1400005. doi: 10.3389/fnhum.2024.1400005. eCollection 2024.