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Perinatal or early-postnatal cytomegalovirus infection in preterm infants under 34 weeks gestation born to CMV-seropositive mothers within a high-seroprevalence population
In a prospective study, we evaluated the frequency, correlates, and clinical significance of perinatal or early-postnatal cytomegalovirus (CMV) infection in
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| Published in: | The Journal of pediatrics 2004-11, Vol.145 (5), p.685-688 |
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| Main Authors: | , , , , , |
| Format: | Article |
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| cited_by | cdi_FETCH-LOGICAL-c385t-336e933b4cc9d9f2013b656df31c0ebd4f81c3c331bd0be65646d275e4cf02773 |
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| cites | cdi_FETCH-LOGICAL-c385t-336e933b4cc9d9f2013b656df31c0ebd4f81c3c331bd0be65646d275e4cf02773 |
| container_end_page | 688 |
| container_issue | 5 |
| container_start_page | 685 |
| container_title | The Journal of pediatrics |
| container_volume | 145 |
| creator | Mussi-Pinhata, Marisa Márcia Yamamoto, Aparecida Yulie do Carmo Rego, Maria Aparecida Pinto, Patrícia Cristina Gomes da Motta, Márcia Soares Freitas Calixto, Cristina |
| description | In a prospective study, we evaluated the frequency, correlates, and clinical significance of perinatal or early-postnatal cytomegalovirus (CMV) infection in |
| doi_str_mv | 10.1016/j.jpeds.2004.07.025 |
| format | article |
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None had congenital CMV infection. Overall, 21 (22.1%; 95% CI=14.2-31.8) infants were found to be infected; 10 excreted CMV at <60 days, and 11 had later excretion. Blood transfusion, birth weight, and vaginal delivery were not associated factors. Receiving natural breast milk within the first 30 days (OR=4.5, P= .02) or for >30 days (OR=7.9, P <.01) was associated with infection. Only one (4.8%) of the infected infants was symptomatic. For <34-week-gestation infants, frequency of perinatal and early-postnatal CMV infection is high. Early or prolonged exposure to breast milk is an associated factor. However, most infections are asymptomatic, indicating that CMV infection in preterm infants within such a population is a serious problem infrequently.</description><identifier>ISSN: 0022-3476</identifier><identifier>EISSN: 1097-6833</identifier><identifier>DOI: 10.1016/j.jpeds.2004.07.025</identifier><identifier>PMID: 15520780</identifier><identifier>CODEN: JOPDAB</identifier><language>eng</language><publisher>New York, NY: Mosby, Inc</publisher><subject>Antibodies, Viral - blood ; Biological and medical sciences ; Cytomegalovirus - immunology ; Cytomegalovirus Infections - congenital ; Cytomegalovirus Infections - diagnosis ; Cytomegalovirus Infections - transmission ; Female ; General aspects ; Gestational Age ; Humans ; Infant, Newborn ; Infant, Premature ; Infant, Premature, Diseases - diagnosis ; Infant, Premature, Diseases - etiology ; Infectious Disease Transmission, Vertical ; Male ; Medical sciences ; Pregnancy ; Pregnancy Complications, Infectious - diagnosis ; Prospective Studies</subject><ispartof>The Journal of pediatrics, 2004-11, Vol.145 (5), p.685-688</ispartof><rights>2004 Elsevier Inc.</rights><rights>2004 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c385t-336e933b4cc9d9f2013b656df31c0ebd4f81c3c331bd0be65646d275e4cf02773</citedby><cites>FETCH-LOGICAL-c385t-336e933b4cc9d9f2013b656df31c0ebd4f81c3c331bd0be65646d275e4cf02773</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=16278523$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15520780$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mussi-Pinhata, Marisa Márcia</creatorcontrib><creatorcontrib>Yamamoto, Aparecida Yulie</creatorcontrib><creatorcontrib>do Carmo Rego, Maria Aparecida</creatorcontrib><creatorcontrib>Pinto, Patrícia Cristina Gomes</creatorcontrib><creatorcontrib>da Motta, Márcia Soares Freitas</creatorcontrib><creatorcontrib>Calixto, Cristina</creatorcontrib><title>Perinatal or early-postnatal cytomegalovirus infection in preterm infants under 34 weeks gestation born to CMV-seropositive mothers within a high-seroprevalence population</title><title>The Journal of pediatrics</title><addtitle>J Pediatr</addtitle><description>In a prospective study, we evaluated the frequency, correlates, and clinical significance of perinatal or early-postnatal cytomegalovirus (CMV) infection in <34-week-gestation infants (n=95) born to CMV-seropositive mothers. None had congenital CMV infection. Overall, 21 (22.1%; 95% CI=14.2-31.8) infants were found to be infected; 10 excreted CMV at <60 days, and 11 had later excretion. Blood transfusion, birth weight, and vaginal delivery were not associated factors. Receiving natural breast milk within the first 30 days (OR=4.5, P= .02) or for >30 days (OR=7.9, P <.01) was associated with infection. Only one (4.8%) of the infected infants was symptomatic. For <34-week-gestation infants, frequency of perinatal and early-postnatal CMV infection is high. Early or prolonged exposure to breast milk is an associated factor. However, most infections are asymptomatic, indicating that CMV infection in preterm infants within such a population is a serious problem infrequently.</description><subject>Antibodies, Viral - blood</subject><subject>Biological and medical sciences</subject><subject>Cytomegalovirus - immunology</subject><subject>Cytomegalovirus Infections - congenital</subject><subject>Cytomegalovirus Infections - diagnosis</subject><subject>Cytomegalovirus Infections - transmission</subject><subject>Female</subject><subject>General aspects</subject><subject>Gestational Age</subject><subject>Humans</subject><subject>Infant, Newborn</subject><subject>Infant, Premature</subject><subject>Infant, Premature, Diseases - diagnosis</subject><subject>Infant, Premature, Diseases - etiology</subject><subject>Infectious Disease Transmission, Vertical</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Pregnancy</subject><subject>Pregnancy Complications, Infectious - diagnosis</subject><subject>Prospective Studies</subject><issn>0022-3476</issn><issn>1097-6833</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><recordid>eNp9kc-O0zAQhy0EYsvCEyAhX-CWMLaTODlwQBX_pEVwAK6W40xalyQOttNVn4mXxG0q7Y2TrfE3P43nI-Qlg5wBq94e8sOMXcg5QJGDzIGXj8iGQSOzqhbiMdkAcJ6JQlY35FkIBwBoCoCn5IaVJQdZw4b8_Y7eTjrqgTpPUfvhlM0uxLVkTtGNuNODO1q_BGqnHk20bko3OnuM6MdzUU8x0GXq0FNR0HvE34HuMER9YVvnJxod3X79lQX0LuXbaI9IRxf36AO9t3GfAjXd291-RTwe9YCTQTq7eRkuQc_Jk14PAV9cz1vy8-OHH9vP2d23T1-27-8yI-oyZkJU2AjRFsY0XdNzYKKtyqrrBTOAbVf0NTPCCMHaDlpMT0XVcVliYXrgUopb8mbNnb37s6RvqNEGg8OgJ3RLUJUEwZuyTqBYQeNdCB57NXs7an9SDNTZkTqoiyN1dqRAquQodb26xi_tiN1Dz1VKAl5fAR2MHnqvJ2PDA1dxWZdcJO7dymFaxtGiV8HY884665Mm1Tn730H-AYvLtbk</recordid><startdate>20041101</startdate><enddate>20041101</enddate><creator>Mussi-Pinhata, Marisa Márcia</creator><creator>Yamamoto, Aparecida Yulie</creator><creator>do Carmo Rego, Maria Aparecida</creator><creator>Pinto, Patrícia Cristina Gomes</creator><creator>da Motta, Márcia Soares Freitas</creator><creator>Calixto, Cristina</creator><general>Mosby, Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20041101</creationdate><title>Perinatal or early-postnatal cytomegalovirus infection in preterm infants under 34 weeks gestation born to CMV-seropositive mothers within a high-seroprevalence population</title><author>Mussi-Pinhata, Marisa Márcia ; Yamamoto, Aparecida Yulie ; do Carmo Rego, Maria Aparecida ; Pinto, Patrícia Cristina Gomes ; da Motta, Márcia Soares Freitas ; Calixto, Cristina</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c385t-336e933b4cc9d9f2013b656df31c0ebd4f81c3c331bd0be65646d275e4cf02773</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Antibodies, Viral - blood</topic><topic>Biological and medical sciences</topic><topic>Cytomegalovirus - immunology</topic><topic>Cytomegalovirus Infections - congenital</topic><topic>Cytomegalovirus Infections - diagnosis</topic><topic>Cytomegalovirus Infections - transmission</topic><topic>Female</topic><topic>General aspects</topic><topic>Gestational Age</topic><topic>Humans</topic><topic>Infant, Newborn</topic><topic>Infant, Premature</topic><topic>Infant, Premature, Diseases - diagnosis</topic><topic>Infant, Premature, Diseases - etiology</topic><topic>Infectious Disease Transmission, Vertical</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Pregnancy</topic><topic>Pregnancy Complications, Infectious - diagnosis</topic><topic>Prospective Studies</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mussi-Pinhata, Marisa Márcia</creatorcontrib><creatorcontrib>Yamamoto, Aparecida Yulie</creatorcontrib><creatorcontrib>do Carmo Rego, Maria Aparecida</creatorcontrib><creatorcontrib>Pinto, Patrícia Cristina Gomes</creatorcontrib><creatorcontrib>da Motta, Márcia Soares Freitas</creatorcontrib><creatorcontrib>Calixto, Cristina</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of pediatrics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mussi-Pinhata, Marisa Márcia</au><au>Yamamoto, Aparecida Yulie</au><au>do Carmo Rego, Maria Aparecida</au><au>Pinto, Patrícia Cristina Gomes</au><au>da Motta, Márcia Soares Freitas</au><au>Calixto, Cristina</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Perinatal or early-postnatal cytomegalovirus infection in preterm infants under 34 weeks gestation born to CMV-seropositive mothers within a high-seroprevalence population</atitle><jtitle>The Journal of pediatrics</jtitle><addtitle>J Pediatr</addtitle><date>2004-11-01</date><risdate>2004</risdate><volume>145</volume><issue>5</issue><spage>685</spage><epage>688</epage><pages>685-688</pages><issn>0022-3476</issn><eissn>1097-6833</eissn><coden>JOPDAB</coden><abstract>In a prospective study, we evaluated the frequency, correlates, and clinical significance of perinatal or early-postnatal cytomegalovirus (CMV) infection in <34-week-gestation infants (n=95) born to CMV-seropositive mothers. None had congenital CMV infection. Overall, 21 (22.1%; 95% CI=14.2-31.8) infants were found to be infected; 10 excreted CMV at <60 days, and 11 had later excretion. Blood transfusion, birth weight, and vaginal delivery were not associated factors. Receiving natural breast milk within the first 30 days (OR=4.5, P= .02) or for >30 days (OR=7.9, P <.01) was associated with infection. Only one (4.8%) of the infected infants was symptomatic. For <34-week-gestation infants, frequency of perinatal and early-postnatal CMV infection is high. Early or prolonged exposure to breast milk is an associated factor. However, most infections are asymptomatic, indicating that CMV infection in preterm infants within such a population is a serious problem infrequently.</abstract><cop>New York, NY</cop><pub>Mosby, Inc</pub><pmid>15520780</pmid><doi>10.1016/j.jpeds.2004.07.025</doi><tpages>4</tpages></addata></record> |
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| ispartof | The Journal of pediatrics, 2004-11, Vol.145 (5), p.685-688 |
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| source | ScienceDirect Journals |
| subjects | Antibodies, Viral - blood Biological and medical sciences Cytomegalovirus - immunology Cytomegalovirus Infections - congenital Cytomegalovirus Infections - diagnosis Cytomegalovirus Infections - transmission Female General aspects Gestational Age Humans Infant, Newborn Infant, Premature Infant, Premature, Diseases - diagnosis Infant, Premature, Diseases - etiology Infectious Disease Transmission, Vertical Male Medical sciences Pregnancy Pregnancy Complications, Infectious - diagnosis Prospective Studies |
| title | Perinatal or early-postnatal cytomegalovirus infection in preterm infants under 34 weeks gestation born to CMV-seropositive mothers within a high-seroprevalence population |
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