Cytomegalovirus seronegativity rate in pregnant women and primary cytomegalovirus infection during pregnancy in rural Germany

Abstract Background Congenital cytomegalovirus (CMV) infection is the most common congenital infection worldwide and one of the leading causes of congenital hearing loss in newborns. The aim of this study was to determine the seroprevalence rate for cytomegalovirus in pregnant women and the rate of...

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Main Authors: Hannah Greye, Thomas Wex, Elina Taneva, Anke Redlich, Serban-Dan Costa, Anke Rissmann
Format: Article
Language:English
Published: BMC 2023-04-01
Series:BMC Pregnancy and Childbirth
Subjects:
Online Access:https://doi.org/10.1186/s12884-023-05612-7
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author Hannah Greye
Thomas Wex
Elina Taneva
Anke Redlich
Serban-Dan Costa
Anke Rissmann
author_facet Hannah Greye
Thomas Wex
Elina Taneva
Anke Redlich
Serban-Dan Costa
Anke Rissmann
author_sort Hannah Greye
collection DOAJ
description Abstract Background Congenital cytomegalovirus (CMV) infection is the most common congenital infection worldwide and one of the leading causes of congenital hearing loss in newborns. The aim of this study was to determine the seroprevalence rate for cytomegalovirus in pregnant women and the rate of CMV serological testing utilised during pregnancy in a rural region in Germany. Methods Retrospective data on the prevalence of CMV IgG and IgM antibodies were obtained from 3,800 women, identified in the study group of 19,511 pregnant women from outpatient settings whose samples were collected between 1 and 2014 and 30 April 2018. In addition, the serological CMV status in regards to various billing methods was further analyzed. Results Serological CMV tests were performed in 3,800 (19.5%) out of 19,511 pregnant women. 2,081 (54.8%) of these women were CMV seronegative. Among those, seroconversion rate of 0.37–1.42% was identified. A proportion of 2,710 (14.7%) of all 18,460 women with statutory health insurance made use of the CMV testing as an individual health service. Conclusions The low uptake of CMV serological testing in the study population covered indicates low risk awareness among pregnant women and their healthcare professionals. Presented seronegativity rates and routine seroconversion rate, demonstrate importance to improve intervention strategy to prevent feto-maternal CMV transmission.
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spelling doaj.art-cc5d44626b774096a18f9b669f60f2f92023-04-30T11:31:08ZengBMCBMC Pregnancy and Childbirth1471-23932023-04-012311910.1186/s12884-023-05612-7Cytomegalovirus seronegativity rate in pregnant women and primary cytomegalovirus infection during pregnancy in rural GermanyHannah Greye0Thomas Wex1Elina Taneva2Anke Redlich3Serban-Dan Costa4Anke Rissmann5Malformation Monitoring Centre Saxony-Anhalt, Medical Faculty Otto-von-Guericke-UniversityMedical Laboratory for Clinical Chemistry, Microbiology, Infectious Diseases and Genetics “Prof. Schenk/Dr. Ansorge & Colleagues”Medical Laboratory for Clinical Chemistry, Microbiology, Infectious Diseases and Genetics “Prof. Schenk/Dr. Ansorge & Colleagues”Department of Obstetrics and Gynaecology, University Hospital MagdeburgDepartment of Obstetrics and Gynaecology, University Hospital MagdeburgMalformation Monitoring Centre Saxony-Anhalt, Medical Faculty Otto-von-Guericke-UniversityAbstract Background Congenital cytomegalovirus (CMV) infection is the most common congenital infection worldwide and one of the leading causes of congenital hearing loss in newborns. The aim of this study was to determine the seroprevalence rate for cytomegalovirus in pregnant women and the rate of CMV serological testing utilised during pregnancy in a rural region in Germany. Methods Retrospective data on the prevalence of CMV IgG and IgM antibodies were obtained from 3,800 women, identified in the study group of 19,511 pregnant women from outpatient settings whose samples were collected between 1 and 2014 and 30 April 2018. In addition, the serological CMV status in regards to various billing methods was further analyzed. Results Serological CMV tests were performed in 3,800 (19.5%) out of 19,511 pregnant women. 2,081 (54.8%) of these women were CMV seronegative. Among those, seroconversion rate of 0.37–1.42% was identified. A proportion of 2,710 (14.7%) of all 18,460 women with statutory health insurance made use of the CMV testing as an individual health service. Conclusions The low uptake of CMV serological testing in the study population covered indicates low risk awareness among pregnant women and their healthcare professionals. Presented seronegativity rates and routine seroconversion rate, demonstrate importance to improve intervention strategy to prevent feto-maternal CMV transmission.https://doi.org/10.1186/s12884-023-05612-7CytomegalovirusCMVCMV seroprevalence ratePrimary cytomegalovirus infectionPregnancySeroconversion
spellingShingle Hannah Greye
Thomas Wex
Elina Taneva
Anke Redlich
Serban-Dan Costa
Anke Rissmann
Cytomegalovirus seronegativity rate in pregnant women and primary cytomegalovirus infection during pregnancy in rural Germany
BMC Pregnancy and Childbirth
Cytomegalovirus
CMV
CMV seroprevalence rate
Primary cytomegalovirus infection
Pregnancy
Seroconversion
title Cytomegalovirus seronegativity rate in pregnant women and primary cytomegalovirus infection during pregnancy in rural Germany
title_full Cytomegalovirus seronegativity rate in pregnant women and primary cytomegalovirus infection during pregnancy in rural Germany
title_fullStr Cytomegalovirus seronegativity rate in pregnant women and primary cytomegalovirus infection during pregnancy in rural Germany
title_full_unstemmed Cytomegalovirus seronegativity rate in pregnant women and primary cytomegalovirus infection during pregnancy in rural Germany
title_short Cytomegalovirus seronegativity rate in pregnant women and primary cytomegalovirus infection during pregnancy in rural Germany
title_sort cytomegalovirus seronegativity rate in pregnant women and primary cytomegalovirus infection during pregnancy in rural germany
topic Cytomegalovirus
CMV
CMV seroprevalence rate
Primary cytomegalovirus infection
Pregnancy
Seroconversion
url https://doi.org/10.1186/s12884-023-05612-7
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