Seroprevalence of Cytomegalovirus infection among pregnant women in some selected hospitals in Lokoja Metropolis, Kogi State, Nigeria

Bala, H.E.M., Suleiman, A.B., Tijjani, M.B.
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Abstract

Cytomegalovirus is one of the most common viruses which causes congenital defects in babies from infected mothers. Sensoneural hearing loss (SNHL) and neurodevelopmental delay are typical occurrences in childhood resulting from congenital defects which presents no symptoms at birth. The aim of this study was to determine the cytomegalovirus IgM infection among pregnant women attending antenatal clinics at KSSH and FMC in Lokoja metropolis, Kogi State, Nigeria. A total of 184 serum samples were collected and analyzed using CMV IgM ELISA kit diagnostic Automation, INC (USA). The study revealed that out of the 184 samples collected, 40 turned out positive for CMV IgM antibodies giving a prevalence of 21.7% while the negative sample result had a prevalence of 78.3%. a total of 92 samples each was collected from both hospitals; KSSH had 30 CMV IgM positive samples having a percentage 32.6% and FMC with 10 CMV IgM having a percentage of 10.86%. Based on the research, there was no significant association between the risk factors such as marital status, type of marriage, occupation and scarification related to the infection. This could be due to the limited number in sample size. Other socio-economic factors that had statistical significant p value with the infection were education (0.035), hand wash (0.027) and previous history of blood transfusion (0.003). The study has shown the need for sensitization of the populace especially to pregnant women, the need for constant and proper personal hygienic practices be done to reduce the risk of infection and possibly stop its transmission to fetus. In addition, inclusion of screening for cytomegalovirus antibodies among blood donors may be useful tool in preventing transmission of cytomegalovirus to blood recipients.
尼日利亚科吉州洛科贾市一些选定医院孕妇巨细胞病毒感染的血清阳性率
巨细胞病毒是一种最常见的病毒,它会导致受感染母亲的婴儿出现先天性缺陷。感觉神经性听力损失(SNHL)和神经发育迟缓是儿童出生时无症状的先天性缺陷的典型现象。本研究的目的是确定在尼日利亚科吉州Lokoja市KSSH和FMC产前诊所就诊的孕妇巨细胞病毒IgM感染情况。共收集184份血清样本,使用美国诊断自动化公司(diagnostic Automation, INC)的CMV IgM ELISA试剂盒进行分析。研究显示,在收集的184份样本中,40份CMV IgM抗体呈阳性,患病率为21.7%,而阴性样本的患病率为78.3%。两家医院各采集92份样本;KSSH有30例CMV IgM阳性,占32.6%;FMC有10例CMV IgM阳性,占10.86%。研究表明,与感染相关的婚姻状况、婚姻类型、职业和割伤等危险因素之间没有显著关联。这可能是由于样本数量有限。其他影响感染的社会经济因素有教育程度(0.035)、洗手情况(0.027)和输血史(0.003)。这项研究表明,需要提高民众,特别是对孕妇的敏感性,需要经常采取适当的个人卫生习惯,以减少感染的风险,并可能阻止其传播给胎儿。此外,在献血者中纳入巨细胞病毒抗体的筛查可能是防止巨细胞病毒向接受血液者传播的有用工具。
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