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A Randomized Trial of Hyperimmune Globulin to Prevent Congenital Cytomegalovirus
Ist Teil von
The New England journal of medicine, 2014-04, Vol.370 (14), p.1316-1326
Ort / Verlag
Waltham, MA: Massachusetts Medical Society
Erscheinungsjahr
2014
Quelle
MEDLINE
Beschreibungen/Notizen
Congenital infection with cytomegalovirus is a major cause of morbidity in neonates. In this phase 2, placebo-controlled trial, hyperimmune globulin given to mothers with primary CMV infection at 5 to 26 weeks of gestation did not significantly alter the course of infection.
Every year, approximately 0.6% of all newborns in the United States and the European Union are congenitally infected with human cytomegalovirus (CMV).
1
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Approximately 20% of these infected newborns are symptomatic at birth or will have sequelae such as sensorineural hearing loss, cognitive defects, and motor defects.
3
Primary CMV infection that develops in a woman during pregnancy confers the highest risk of congenital infection and disease.
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Identification of pregnant women with primary CMV infection is feasible by means of detection of virus-specific IgM and low IgG avidity. However, the unavailability of a therapeutic intervention of proven efficacy in the case . . .