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孕期巨细胞病毒(CMV)和风疹病毒感染。对2014名孕妇进行巨细胞病毒和风疹病毒抗体研究以及对有宫内巨细胞病毒感染风险的婴儿进行随访研究。

Cytomegalovirus (CMV) and rubella virus infection during pregnancy. A study of CMV and rubella virus antibodies in 2014 pregnant women and follow-up studies of infants at risk for intrauterine CMV infections.

作者信息

Haukenes G, Finne P H, Bertnes E, Orstavik I, Tjøtta E, Haneberg B, Aarseth P

出版信息

Acta Obstet Gynecol Scand. 1984;63(5):431-5. doi: 10.3109/00016348409156698.

Abstract

Two blood samples, one in the first and one in the third trimester, were collected from 2014 pregnant women. Serological tests for CMV and rubella antibodies were performed in the paired samples. Seroconversion by the CF test for CMV antibodies was demonstrated in 15 women. However, seroconversion also by the IF test was found in only one of these. A rise in titer during pregnancy by the CF test was found in 16 woman. None of these specimens contained specific IgM. High CMV-CF antibody titer (greater than 128) in the first serum sample was found in 28 women, but none of the sera contained specific IgM. It is concluded that no single serological test can serve at present as a screening test for the diagnosis of CMV infection during pregnancy. In children thought to be at risk contracting congenital CMV infection, no case with CNS malfunction that could be attributed to a congenital CMV infection could be demonstrated at the age of 7-8 years. One case of seroconversion in the examination for rubella antibodies was found. The infant of this mother showed no clinical signs of rubella infection.

摘要

从2014名孕妇身上采集了两份血样,一份在孕早期,一份在孕晚期。对配对样本进行了巨细胞病毒(CMV)和风疹抗体的血清学检测。15名女性通过CMV抗体的补体结合试验(CF试验)显示血清转化。然而,在这些人中只有1人也通过间接荧光试验(IF试验)显示血清转化。16名女性通过CF试验发现孕期抗体滴度升高。这些样本中均未含有特异性IgM。28名女性的第一份血清样本中发现高CMV - CF抗体滴度(大于128),但所有血清中均未含有特异性IgM。结论是,目前没有单一的血清学检测可作为孕期CMV感染诊断的筛查试验。在被认为有感染先天性CMV风险的儿童中,在7 - 8岁时未发现任何可归因于先天性CMV感染的中枢神经系统功能障碍病例。在风疹抗体检测中发现1例血清转化。该母亲的婴儿未表现出风疹感染的临床症状。

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