CMV Serovirulance in Mothers and Their Very Low Birth Weight (<1,500) Neonates in Tehran City, Iran, in a Year

Document Type : Original Article

Authors

1 Neonatal Health Research Center, Research Institute for Children's Health, Mofid Children Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran

2 Department of Neonatal Health Institute. Mahdieh Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran

3 Department of Pediatric Gastroenterology, Hepatology and Nutrition Research Center, Research Institute for Children's Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran

4 Department of Pediatric Neurology Research Center, Research Institute for Children's Health, Mofid Children Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran

Abstract

Background: Cytomegalovirus (CMV) is a pathogenic virus that is found everywhere. The serovirulance of this virus varies widely among different communities. The present study was conducted to investigate the frequency of CMV serovirulance in mothers and their very low birth weight (<1,500 g) neonates.
Methods: This descriptive cross-sectional study was conducted on 234 serum samples (117 maternal and 117 neonatal samples) for 12 months in Mahdieh Hospital, Tehran, Iran, from March 2019 to March 2020. The enzyme-linked Immunosorbent assay technique was used to evaluate specific antibodies (i.e., immunoglobulin G [IgG] and immunoglobulin M [IgM]) of CMV. Statistical analysis was conducted in SPSS (version 23).
Results: Based on the results, the seroprevalence of CMV IgG was 98.2% (115 cases) in mothers and 84.6% (99 cases) in neonates. The seropositivity rate of CMV IgM was reported at 1.8% (2 cases) in mothers and 0.9% (1 case) in neonates. It was found that the relationship between the mean scores of maternal CMV IgG and the number of live births was statistically significant (P=0.002). However, there was no statistically significant relationship between some maternal factors (e.g., age, occupation, living place, number of pregnancies, deliveries, abortions, and education) and maternal CMV IgM seropositivity. Furthermore, neonatal gender and gestational age showed no statistically significant relationship with maternal and neonatal CMV IgG and IgM seropositivity.
Conclusion: According to our findings, the serovirulance of CMV in mothers and their neonates was significant, whereas active CMV infection in both groups was highly unusual. Additionally, the transmission rate of CMV IgG and CMV IgM from the mother to her neonate was incomplete.
 
 

Keywords


  1. Marsico C, Kimberlin D. Congenital Cytomegalovirus infection: advances and challenges in diagnosis, prevention and treatment. Ital J Pediatr. 2017; 43:38.
  2. Jahan M, Sultana N, Asma R, Tabassum S, Islam MN. Birth prevalence of congenital cytomegalovirus (CMV) infection in a cohort of pregnant women in Bangladesh. Bangladesh Med Res Counc Bull. 2017; 43(2):77–81.
  3. Fanaroff& Martin, S. Neonatal-Perinatal Medicine, Diseases of Fetus and Infant. Eleventh Edition; 2020.
  4. Cloherty and Stark, S Manual of Neonatal Care. Eight Edition. 2017.
  5. Malm G, Engman M. Congenital cytomegalovirus infections. Semin Fetal Neonatal Med. 2007;
    12(3):154-9.
  6. Rawlinson WD, Boppana SB, Fowler KB, Kimberlin DW, Lazzarotto T, Alain S, et al. Congenital cytomegalovirus infection in pregnancy and
    the neonate: consensus recommendations for prevention, diagnosis, and therapy. Lancet. 2017;17(6):e177–88.
  7. Marisa M. Mussi-Pinhata, Aparecida Y. Yamamoto, et al. Britt. Birth prevalence and natural history of congenital cytomegalovirus infection in a highly seroimmune population. Clin Infect Dis. 2009;
    49(4):522-8.
  8. Vaudry W, Rosychuk R, Lee BE, Cheung PY, Pang XL, Preiksaitis JK. Congenital cytomegalovirus infection in high risk Canadian infants: Report of a pilot screening study. Can J Infect Dis Med Microbiol. 2010; 21(1):e12-e19.
  9. Ocak S, Zeteroglu S, Ozer C, Dolapcioglu K, Gungoren A. Seroprevalence of Toxoplasma gondii, rubella and cytomegalovirus among pregnant women in southern Turkey. Scand J Infect Dis. 2007; 39(3):231-4.
  10. Arabzadeh AM, Mosavat SA, Eftekhari N. Seroepidemiology of Human Cytomegalovirus in Pregnant Women and their Neonates in Kerman City during 2005. J. Kerman Univ. Med. 2007;14(4): 279-288.
  11. Gorun F, Motoi S, Malita D, et al. Cytomegalovirus seroprevalence in pregnant women in the western region of Romania: A large-scale study. EXP Ther Med. 2020;20(3):2439-2443.
  12. Leruez-Ville M, Magny M J, Couderc S, Pichon C, et al. Risk factors for congenital cytomegalovirus infection following primary and non primary maternal infection: a prospective neonatal screening study using polymerase chain reaction in saliva. Clin Infect Dis. 2017; 65(3):398-404.
  13. Kharrazi M, Hyde T, Young S, Amin MM, Cannon MJ, Dollard SC. Use of screening dried blood spots for estimation of prevalence, risk factors, and birth outcomes of congenital cytomegalovirus infection. J Pediatr. 2010;157(2):191–7.
  14. Mirzaie F, Arabzadeh S.A.M, et al. Comparison of the frequency of CMV and Parvo B19 infections in Intrauterine Fetal Death and normal Pregnancy. J Kerman Univ Med. 2008; 15(4): 273-281.
  15. Sanjideh M, Naeimi S, Morady Nasab M, Moradi R, Vahdat K. Cytomegalovirus infection in NICU admitted neonates in Boushehr. ISMJ 2016;
    18(6):1171-1178.
  16. Gaytant MA, Galama JM, Semmekrot BA, Melchers WJ, Sporken JM, Oosterbaan HP et al. The incidence of congenital cytomegalovirus infections in The Netherlands. J Med Virol. 2005;76(1):59-71.
  17. Ahlfors K, Iverson SA, Harris S. Report on a long-term study of maternal and congenital cytomegalovirus infection in Sweden. Review of prospective studies available in the literature. Scand J Infect Dis. 1999;31(5):443-57.
  18. Barlinn R, Dudman S G, Trogstad L, Gibory M, Muller F, Magnus P, Rollag H. Maternal and congenital cytomegalovirus infections in a population-based pregnancy cohort study. APMIS. 2018;126(12):899-906.
  19. Enders G, Bäder U, Bartelt U, Daiminger A. Cytomegalovirus (CMV) prevalence and frequency of CMV primary infections in pregnant women. Pol J Microbiol. 2003; 46:426-32.
  20. Ross, S.A, Novak Z, Pati S, Boppana SP. Diagnosis of Cytomegalovirus Infections. Infect Disord Drug Targets. 2011:11(5):466-474.