Anca Daniela Pînzaru, C. Mihai, Adina Ungureanu, S. Cambrea
{"title":"The Prevalence of Congenital Malformation Secondary to TORCH Infection in Southeastern Romania","authors":"Anca Daniela Pînzaru, C. Mihai, Adina Ungureanu, S. Cambrea","doi":"10.12974/2311-8687.2022.10.2","DOIUrl":null,"url":null,"abstract":"Introduction: Considered a medical burden due to financial high consumption and leading to human losses the preventable congenital malformation determined by the TORCH system is still encountered in our activity. Purpose: Infant mortality is considered an important medical problem for all countries. Romania has been ranked first in Europe at infant mortality for many years in a row. Looking for strategies to decrease these results is our main purpose. \nMaterial and Method: This study was conducted in the Pediatric Department of the Clinical County Hospital of Constanta. Through a 5-year-period (March 2015- March 2020) 21 patients, aged 1-12 months were retrospectively analyzed. \nResults: According to seroprevalence distribution we gathered CMV - 9 cases, syphilis -7 cases, Hepatitis B -2 cases, congenital rubella -1 case, toxoplasmosis and HIV- 1 case each. As we can notice the higher incidence is determined by cytomegalovirus (CMV), followed by congenital syphilis and hepatitis B virus. Main complains at admission were fever (33,6%), lymphadenopathy (22,6%), seizures (12%), respiratory distress (2.5%), jaundice (5,3%), vomiting (1%), growth deficit (26%), microcephaly (4.3%), rash (15,3%). After the initial physical exam and complementary investigations, it was determined that 38% of the cases had severe neurological impairment. 25.6% were diagnosed with epilepsy. 78.5% were born preterm, and more than half were secondary to CMV infection. \nConclusion: TORCH complex has in important impact on mothers as well as on newborns and later it could affect the future adult life and health.","PeriodicalId":91713,"journal":{"name":"International journal of pediatrics and child health","volume":" ","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2022-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"International journal of pediatrics and child health","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.12974/2311-8687.2022.10.2","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
Introduction: Considered a medical burden due to financial high consumption and leading to human losses the preventable congenital malformation determined by the TORCH system is still encountered in our activity. Purpose: Infant mortality is considered an important medical problem for all countries. Romania has been ranked first in Europe at infant mortality for many years in a row. Looking for strategies to decrease these results is our main purpose.
Material and Method: This study was conducted in the Pediatric Department of the Clinical County Hospital of Constanta. Through a 5-year-period (March 2015- March 2020) 21 patients, aged 1-12 months were retrospectively analyzed.
Results: According to seroprevalence distribution we gathered CMV - 9 cases, syphilis -7 cases, Hepatitis B -2 cases, congenital rubella -1 case, toxoplasmosis and HIV- 1 case each. As we can notice the higher incidence is determined by cytomegalovirus (CMV), followed by congenital syphilis and hepatitis B virus. Main complains at admission were fever (33,6%), lymphadenopathy (22,6%), seizures (12%), respiratory distress (2.5%), jaundice (5,3%), vomiting (1%), growth deficit (26%), microcephaly (4.3%), rash (15,3%). After the initial physical exam and complementary investigations, it was determined that 38% of the cases had severe neurological impairment. 25.6% were diagnosed with epilepsy. 78.5% were born preterm, and more than half were secondary to CMV infection.
Conclusion: TORCH complex has in important impact on mothers as well as on newborns and later it could affect the future adult life and health.