The objectives of this study were to review and improve the CMV diagnosis in pregnancy. Method: 50 pregnant women took part in the study.
They were taken in evidence at the virology counseling office. The reason for the need of viral diagnosis came from the fact that the result of previous routine serological testing came out positive for CMV IgM antibodies Ab. Based dating firestone the test result, the gynecologist may normally indicate the termination of the pregnancy.
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The pregnant women were also tested for pp65 antigenemia. All the rest were negative for pp65 antigemenia. Conclusion: From the 50 women only two needed to terminate their pregnancies.
It is important to test for CMV infection in pregnancy along with other viral, bacterial or parasitic infections, but the indication of pregnancy termination must be taken only after a thorough examination and testing. Obiectivele acestui studiu sunt revizuirea și îmbunătățirea algoritmului de diagnostic în infecția cu CMV din sarcină.
Metode: La studiu au participat 50 de gravide. Au fost luate în evidență la cabinetul de consiliere asociat diagnosticului virusologic. Acest rezultat poate duce la indicație de avort terapeutic.
Două femei au prezentat testul pozitiv. Testele au fost pozitive și pentru Ag pp Concluzii: Dintre cele 50 de femei, doar două aveau indicație de avort terapeutic.
Ar fi folositor dacă testările în cadrul infecției cu CMV sau a celorlalte teste din cadrul panelului TORCH ar intra în lista testărilor decontate de casa de asigurări. CMV causes a latent infection, frequently asymptomatic. The first contact with CMV could be during childhood. It will persist all life in a latent state, without replication, but with possible reactivation.
В городе не было никого, кем не владела бы какая-то всепоглощающая интеллектуальная страсть.
Humans represent the natural source of the infection 1,2. The transmission rate is high in schools and kindergartens with a high excretion rate.
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CMV infection is one of the most common congenital infections and the most frequent cause of mental retardation and non-genetically cause of deafness. Besides mother to child transmission, the transmission is possible by respiratory or sexual route, through saliva droplets, breast feeding, urine, transfusions and organ transplant.
The highest risk of maternal fetal transmission is in the third trimester remington dating diag pregnancy but the children bear no symptoms at birth or later. The lowest risk of maternal fetal transmission is in the first trimester of pregnancy but the children have symptoms that often are incompatible with survival 4,5.
The risk of CMV transmission ranges also according to the level of child development at birth: it is higher for premature babies than for term delivered babies: 2. More recent studies have revealed even a higher risk of mother to child transmission: 3.
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In Romania there is no recent published data on healthy population regarding CMV prevalence but the older studies have revealed a high CMV prevalence 10, The serological diagnosis is based on serological tests that are routinely recommended by general practitioners or specialists in pregnancy. If the patient and the practitioner understand correctly the outcome of the testing, an unnecessary abortion may be avoided.
They were taken in evidence at the virology counseling office as they presented themselves or as they were referred by specialists. The pregnant women were in the first and second pregnancy trimester, the average remington dating diag age was of All pregnant women came to the virology counseling office for CMV diagnosis in pregnancy.
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The reason for viral diagnosis confirmation was the result of previous routine serological testing - positive for CMV IgM antibodies. Based on the test result, the gynecologist would indicate the termination of the pregnancy. The women refused the initial indication and seek for more precise CMV diagnosis.