首页> 外文期刊>The Internet Journal of Infectious Diseases >Sero-Epidemiological Survey Of Human Cytomegalo Virus Infection Among Expectant Mothers In Bida, Nigeria
【24h】

Sero-Epidemiological Survey Of Human Cytomegalo Virus Infection Among Expectant Mothers In Bida, Nigeria

机译:尼日利亚比达孕妇中人巨细胞病毒感染的血清流行病学调查

获取原文
           

摘要

Human cytomegalovirus (HCMV) is a major public health problem throughout the world. Serological surveys have shown HCMV infection in virtually every population that have been tested. HCMV is a known cause of congenital defects in babies of infected mothers. This work was aimed at determining the seroprevalence of HCMV among pregnant women. The prevalence of HCMV infections among two hundred and fifty three (253) pregnant women attending ante-natal clinic at the Federal Medical Centre, Bida between the months of November, 2004 and January, 2005 was studied. Serological screening for HCMV antibodies was done using Immunocomb® 11 IgG and ImmunoLISA TM CMV IgG. Two hundred and thirteen (213) (84.2%) were positive. Prevalence of HCMV was higher among multigravid women (86.1%) than primigravid women (77.1%). More of the pregnant women who are non-health workers (84.6%) had CMV antibodies in their sera than health workers (25.0%). There was a significant association in HCMV seroprevalence (P0.05) between health workers and non - health workers. The prevalence of HCMV was highest (87.5%) among the Teenage pregnant (TP) women. There were higher seroprevalence of HCMV in second trimester (ST) (86.2%) than the first trimester (FT) (81.4%) and third trimester (TT) (75.9%). It is concluded that there is high seroprevalence of HCMV among pregnant women investigated. It is hereby advocated that relevant vaccines should be made available to protect women of child bearing age and pregnant women. Introduction Cytomegalovirus (CMV) was first described in 1881 when large cytoplasmic inclusion (protozoan-like cells) were seen in the kidney of a still-born infant. The term cytomegalia was introduced in 1921, but the viral aetiology of the disease was confirmed in 1926. CMV is the leading cause of congenital viral infection in developed countries, occurring with a stable incidence of 0.4 to 2.2% of all live births 1. Human cytomegalovirus is an enveloped double-stranded DNA virus 1, 2., a potential killer or a life long silent companion. It is the most common congenital virus in the world 3. Both primary and recurrent infections can result in foetal infection. The signs of the disease include encephalitis, deafness, haematological disorders, neurological abnormalities, hepatomegaly, splenomegaly, Jaundice, periventricular calcification, choriorentinitis and death 3, 4, 5, 6, 7. Congenital CMV infection is described in 30,000 to 40,000 newborns each year in United States. Approximately 9,000 of these children have developed permanent neurological sequelae. The death rate of symptomatic congenital human CMV infection is placed at approximately 30% 3. The screening of newborn infants has been recommended to help in identifying infants at high risk. Seroprevalence of CMV has been documented in many countries including Finland 8, 9, 10, 11. This work was aimed at determining the seroprevalence of HCMV among pregnant women with the objective of creating awareness for its prevention among high risk group in Nigeria. Materials And Methods Study PopulationA total of 253 pregnant women at the antenatal clinic of Federal Medical Centre Bida, Niger State,Nigeria, between the months of November, 2004 and January, 2005 were considered.Study DesignPregnant women in this study were classified according to the following demographic data.AgeThe pregnant women were classified into age group as described by 12, 13, 14. Teenage pregnancy (13 – 19 years), adult pregnancy ( 20 – 34 years) and elderly pregnancy (> 35 years).Gestational AgeWe classified gestational age into first trimester (0-14 weeks) second trimester, (15 – 28 weeks), and third trimester (29 – 42 weeks), 14. Gravidity These pregnant women were further categorized into primigravid if they were carrying pregnancy for the first time and multigravid if they had carried more than one pregnancy13, 14. Ethical Considerations This work was granted ethical clearance by the Ethical committee, Federal Medica
机译:人类巨细胞病毒(HCMV)是全世界的主要公共卫生问题。血清学调查显示,几乎所有接受测试的人群中均存在HCMV感染。 HCMV是感染母亲婴儿先天性缺陷的已知原因。这项工作旨在确定孕妇中HCMV的血清阳性率。研究了2004年11月至2005年1月间在比达联邦医疗中心接受产前检查的253名(253名)孕妇的HCMV感染率。使用11 IgG和ImmunoLISA TM CMV IgG对HCMV抗体进行血清学筛选。 213(213)(84.2%)为阳性。 HCMV的患病率在多重女性中(86.1%)比初重女性(77.1%)高。非卫生工作者的孕妇血清中CMV抗体的比例高于卫生工作者(84.6%)(25.0%)。卫生工作者和非卫生工作者之间的HCMV血清阳性率存在显着相关性(P <0.05)。在少女孕妇中,HCMV的患病率最高(87.5%)。孕中期(ST)(86.2%)的HCMV血清阳性率高于孕中期(FT)(81.4%)和孕晚期(TT)的HCMV血清阳性(75.9%)。结论是,在调查的孕妇中HCMV的血清阳性率很高。在此提倡应提供相关疫苗以保护育龄妇女和孕妇。简介巨细胞病毒(CMV)于1881年首次被描述,当时在死产婴儿的肾脏中发现了较大的细胞质包涵体(原生动物样细胞)。巨细胞病一词于1921年引入,但该病的病毒病因学于1926年得到确认。CMV是发达国家先天性病毒感染的主要原因,其发生率稳定在所有活产婴儿中的0.4到2.2%1.人类巨细胞病毒是一种包膜的双链DNA病毒1、2,是潜在的杀手或终生沉默的伴侣。它是世界上最常见的先天性病毒3。无论是原发性感染还是复发性感染,都可能导致胎儿感染。该病的体征包括脑炎,耳聋,血液系统疾病,神经系统异常,肝肿大,脾肿大,黄疸,脑室钙化,脉络膜炎和死亡3、4、5、6、7。每年在30,000至40,000新生儿中描述有先天性CMV感染在美国。这些儿童中约有9,000人发展为永久性神经系统后遗症。有症状的先天性人巨细胞病毒感染的死亡率约为30%3.建议对新生儿进行筛查,以帮助识别高危婴儿。在包括芬兰8、9、10、11在内的许多国家都有CMV的血清流行病学记录。这项工作旨在确定孕妇中HCMV的血清流行病病史,目的是在尼日利亚的高危人群中提高对其预防的认识。材料和方法研究人群2004年11月至2005年1月,在尼日利亚尼日尔州比达联邦医学中心的产前诊所中共纳入253名孕妇。研究设计根据本研究对孕妇进行分类。根据人口统计数据。年龄孕妇按12、13、14所述分为年龄组。少女怀孕(13 – 19岁),成人怀孕(20 – 34岁)和老年人怀孕(> 35岁)。孕早期(0-14周),孕中期(15-28周)和孕晚期(29-42周)的胎龄分别为14岁。妊娠率如果这些孕妇在第一胎中怀孕,则进一步分为初孕期。时间和多重重力,如果他们已经怀孕超过一次13,14。道德上的考虑联邦医学委员会道德委员会批准了这项工作

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱:kefu@zhangqiaokeyan.com

京公网安备:11010802029741号 ICP备案号:京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有
  • 客服微信

  • 服务号