Wang H Y
Capital Institute of Pediatrics, Beijing.
Zhonghua Yi Xue Za Zhi. 1993 Oct;73(10):584-6, 636.
HCMV infection among mothers and their infants was studied prospectively with methods of high specificity and sensitivity, such as detection of HCMV specific IgM antibody captured by anti-mu chain antibody, rapid detection of HCMV early antigens from tissue cultures, etc. The data indicated that 94.6% of the pregnant women had been infected before their pregnancy. The rate of primary infection during pregnancy was only 0.13% according to the seroconversion of HCMV-IgG, suggesting that most of the active infection in pregnant women are due to reactivation of the virus. The congenital infection rate was 6.2%. Most of the women infected were asymptomatic and closely related to the maternal HCMV-IgM. It seems that most of the congenital infections are the result of recurrent infection of their mothers and maternal antibodies do protect the fetus. The presence of HCMV in mother's genital tracts was associated with perinatal infection but not congenital infections.
采用高特异性和高灵敏度的方法,如抗μ链抗体捕获检测人巨细胞病毒(HCMV)特异性IgM抗体、从组织培养物中快速检测HCMV早期抗原等,对母亲及其婴儿中的HCMV感染进行了前瞻性研究。数据表明,94.6%的孕妇在怀孕前已被感染。根据HCMV-IgG的血清转化情况,孕期原发性感染率仅为0.13%,这表明孕妇中的大多数活动性感染是由病毒再激活引起的。先天性感染率为6.2%。大多数感染的女性无症状,且与母亲的HCMV-IgM密切相关。看来大多数先天性感染是其母亲反复感染的结果,母亲的抗体确实能保护胎儿。母亲生殖道中HCMV的存在与围产期感染有关,但与先天性感染无关。