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Seroprevalence of Cytomegalovirus among pregnant women and hospitalized children in Palestine
BACKGROUND: Human Cytomegalovirus (HCMV) is the most common cause of congenital infections. The maternal immune status plays a major role in the likelihood of congenital infection. The aim of this study is to shed light on the seroprevalence of HCMV in pregnant women, hospitalized children and newbo...
Autores principales: | , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2013
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3830538/ https://www.ncbi.nlm.nih.gov/pubmed/24206533 http://dx.doi.org/10.1186/1471-2334-13-528 |
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author | Neirukh, Tahani Qaisi, Ayda Saleh, Niveen Rmaileh, Areej Abu Zahriyeh, Eman Abu Qurei, Lina Dajani, Firas Nusseibeh, Taghreed Khamash, Hatem Baraghithi, Sabri Azzeh, Maysa |
author_facet | Neirukh, Tahani Qaisi, Ayda Saleh, Niveen Rmaileh, Areej Abu Zahriyeh, Eman Abu Qurei, Lina Dajani, Firas Nusseibeh, Taghreed Khamash, Hatem Baraghithi, Sabri Azzeh, Maysa |
author_sort | Neirukh, Tahani |
collection | PubMed |
description | BACKGROUND: Human Cytomegalovirus (HCMV) is the most common cause of congenital infections. The maternal immune status plays a major role in the likelihood of congenital infection. The aim of this study is to shed light on the seroprevalence of HCMV in pregnant women, hospitalized children and newborns including cases of congenital infections in Palestine. METHODS: We analyzed HCMV IgG and IgM test results that had been ordered for pregnant women, hospitalized children and newborns in the years 2006–2012 at Al-Makassed Islamic Charitable Hospital (MICH) in East Jerusalem. Furthermore, we reviewed the medical charts of newborns and HCMV IgM-positive children. RESULTS: HCMV IgG was positive in 96.6% of pregnant women, in 88% of hospitalized children and in 98.4% of hospitalized newborns. HCMV IgM was positive in 11.5% of pregnant women, in 11.7% of hospitalized children and in 2% of hospitalized newborns respectively. The HCMV avidity assay revealed that 95% of IgM-positive pregnant women had high avidity (>60%) indicating that most Palestinian women were undergoing a recurrent HCMV infection. Real time PCR on limited number of cases indicated that 62.5% of infants, mostly born to IgM-positive mothers and 83.3% of HCMV IgM-positive children had detectable HCMV DNA in their urine. Out of the 249 newborns tested during this study period, four (1.6%) were subjected to Gancyclovir treatment because of symptomatic congenital HCMV infection. CONCLUSIONS: This is the first report to provide an insight into HCMV seroprevalence in Palestine. Despite the high rate of seropositivity, the importance of HCMV testing during pregnancy should not be underestimated. A comprehensive study with a long term follow-up examination of offspring born to HCMV IgM-positive mothers would be required to provide estimates of an accurate percentage of symptomatic congenital HCMV infection in Palestine. |
format | Online Article Text |
id | pubmed-3830538 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-38305382013-11-17 Seroprevalence of Cytomegalovirus among pregnant women and hospitalized children in Palestine Neirukh, Tahani Qaisi, Ayda Saleh, Niveen Rmaileh, Areej Abu Zahriyeh, Eman Abu Qurei, Lina Dajani, Firas Nusseibeh, Taghreed Khamash, Hatem Baraghithi, Sabri Azzeh, Maysa BMC Infect Dis Research Article BACKGROUND: Human Cytomegalovirus (HCMV) is the most common cause of congenital infections. The maternal immune status plays a major role in the likelihood of congenital infection. The aim of this study is to shed light on the seroprevalence of HCMV in pregnant women, hospitalized children and newborns including cases of congenital infections in Palestine. METHODS: We analyzed HCMV IgG and IgM test results that had been ordered for pregnant women, hospitalized children and newborns in the years 2006–2012 at Al-Makassed Islamic Charitable Hospital (MICH) in East Jerusalem. Furthermore, we reviewed the medical charts of newborns and HCMV IgM-positive children. RESULTS: HCMV IgG was positive in 96.6% of pregnant women, in 88% of hospitalized children and in 98.4% of hospitalized newborns. HCMV IgM was positive in 11.5% of pregnant women, in 11.7% of hospitalized children and in 2% of hospitalized newborns respectively. The HCMV avidity assay revealed that 95% of IgM-positive pregnant women had high avidity (>60%) indicating that most Palestinian women were undergoing a recurrent HCMV infection. Real time PCR on limited number of cases indicated that 62.5% of infants, mostly born to IgM-positive mothers and 83.3% of HCMV IgM-positive children had detectable HCMV DNA in their urine. Out of the 249 newborns tested during this study period, four (1.6%) were subjected to Gancyclovir treatment because of symptomatic congenital HCMV infection. CONCLUSIONS: This is the first report to provide an insight into HCMV seroprevalence in Palestine. Despite the high rate of seropositivity, the importance of HCMV testing during pregnancy should not be underestimated. A comprehensive study with a long term follow-up examination of offspring born to HCMV IgM-positive mothers would be required to provide estimates of an accurate percentage of symptomatic congenital HCMV infection in Palestine. BioMed Central 2013-11-09 /pmc/articles/PMC3830538/ /pubmed/24206533 http://dx.doi.org/10.1186/1471-2334-13-528 Text en Copyright © 2013 Neirukh et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Article Neirukh, Tahani Qaisi, Ayda Saleh, Niveen Rmaileh, Areej Abu Zahriyeh, Eman Abu Qurei, Lina Dajani, Firas Nusseibeh, Taghreed Khamash, Hatem Baraghithi, Sabri Azzeh, Maysa Seroprevalence of Cytomegalovirus among pregnant women and hospitalized children in Palestine |
title | Seroprevalence of Cytomegalovirus among pregnant women and hospitalized children in Palestine |
title_full | Seroprevalence of Cytomegalovirus among pregnant women and hospitalized children in Palestine |
title_fullStr | Seroprevalence of Cytomegalovirus among pregnant women and hospitalized children in Palestine |
title_full_unstemmed | Seroprevalence of Cytomegalovirus among pregnant women and hospitalized children in Palestine |
title_short | Seroprevalence of Cytomegalovirus among pregnant women and hospitalized children in Palestine |
title_sort | seroprevalence of cytomegalovirus among pregnant women and hospitalized children in palestine |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3830538/ https://www.ncbi.nlm.nih.gov/pubmed/24206533 http://dx.doi.org/10.1186/1471-2334-13-528 |
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