Kenarkoohi Azra, Ghiasi Fatemeh, Azadi Hamed, Bahrami Yadollah, Bastaminejad Saiyad, Rezaee Sara, Noori Effat, Rezaee Delsuz, Falahi Shahab
Zoonotic Diseases Research Center, Ilam University of Medical Sciences, Ilam, Iran.
Department of Microbiology, Faculty of Medicine, Ilam University of Medical Sciences, Ilam, Iran.
Indian J Occup Environ Med. 2025 Apr-Jun;29(2):141-144. doi: 10.4103/ijoem.ijoem_124_24. Epub 2025 Jun 13.
Cytomegalovirus (CMV) is the leading cause of congenital and perinatal infections, often presenting as asymptomatic at birth but later resulting in disabilities, and articular neurological disorders.
The current study aims to assess the prevalence of asymptomatic CMV infection among healthcare workers at Ilam Gynecology and Obstetrics Hospital in Iran, as well as investigate the potential nosocomial transmission of CMV infection and identify any potential risk factors associated with neonatal CMV infection.
This study involved 100 employees at Ilam Gynecology and Obstetrics Hospital who underwent blood and nasal swab CMV DNA testing using the real-time PCR technique.
The average age of the patients was 33.87 years, ranging from 24 to 52 years. Among the 100 samples, CMV DNA was detected in three blood samples (3%) (ages 26, 31, and 38 years) and one swab sample (1%) (age 31). To confirm the molecular results, the PCR products were purified and sequenced, and one case was confirmed to be an asymptomatic carrier of CMV.
We did not find any significant correlation between CMV positivity and occupational groups. Despite the relatively low incidence of CMV DNA, especially in swab samples and the absence of evidence suggesting nosocomial transmission of CMV to the hospital staff or neonates, it is crucial to pay significant attention to primary CMV infection among healthcare workers.
巨细胞病毒(CMV)是先天性和围产期感染的主要原因,通常在出生时无症状,但随后会导致残疾和关节神经系统疾病。
本研究旨在评估伊朗伊拉姆妇产科医院医护人员中无症状CMV感染的患病率,调查CMV感染的潜在医院内传播情况,并确定与新生儿CMV感染相关的任何潜在危险因素。
本研究纳入了伊拉姆妇产科医院的100名员工,他们使用实时PCR技术进行了血液和鼻拭子CMV DNA检测。
患者的平均年龄为33.87岁,年龄范围为24至52岁。在100个样本中,在3份血液样本(3%)(年龄分别为26岁、31岁和38岁)和1份拭子样本(1%)(年龄31岁)中检测到CMV DNA。为了确认分子结果,对PCR产物进行了纯化和测序,其中1例被确认为CMV无症状携带者。
我们未发现CMV阳性与职业群体之间存在任何显著相关性。尽管CMV DNA的发生率相对较低,尤其是在拭子样本中,且没有证据表明CMV在医院工作人员或新生儿中发生医院内传播,但医护人员原发性CMV感染问题仍需引起高度重视。