Primhak R A, Simpson R M
Clin Pediatr (Phila). 1982 Jul;21(7):417-20. doi: 10.1177/000992288202100705.
The widespread practice in newborn nurseries of screening asymptomatic small for gestational age (SGA) babies for TORCH infection has been evaluated. In a retrospective review, we found that, in 1979, in our nursery 23 (35%) of the sixty-six SGA babies were investigated for TORCH infection. No asymptomatic baby was investigated adequately to exclude infection. The two proven cases of congenital infection were both apparent on other clinical grounds, and neither would have been detected by our routine serologic screening. A review of published information on asymptomatic TORCH infections showed that, in the absence of other clinical signs of infection, intrauterine growth retardation is an unusual manifestation. Clinical investigation of TORCH infection should be confined to those babies with other clinical evidence of infection.
对新生儿重症监护室中对无症状的小于胎龄（SGA）婴儿进行TORCH感染筛查的广泛做法进行了评估。在一项回顾性研究中，我们发现，1979年在我们的重症监护室，66例SGA婴儿中有23例（35%）接受了TORCH感染调查。没有对任何无症状婴儿进行充分检查以排除感染。两例确诊的先天性感染病例在其他临床依据上均很明显，且均不会通过我们的常规血清学筛查检测出来。对已发表的关于无症状TORCH感染信息的综述表明，在没有其他感染临床体征的情况下，宫内生长迟缓是一种不常见的表现。TORCH感染的临床调查应仅限于那些有其他感染临床证据的婴儿。
