AustralieFrV1, Main, Exploration, bibRecord, 000F30

Congenital cytomegalovirus infection in pregnancy and the neonate: consensus recommendations for prevention, diagnosis, and therapy.

Identifieur interne : 000F30 ( Main/Exploration ); précédent : 000F29; suivant : 000F31

Congenital cytomegalovirus infection in pregnancy and the neonate: consensus recommendations for prevention, diagnosis, and therapy.

Auteurs : William D. Rawlinson [Australie] ; Suresh B. Boppana [États-Unis] ; Karen B. Fowler [États-Unis] ; David W. Kimberlin [États-Unis] ; Tiziana Lazzarotto [Italie] ; Sophie Alain [France] ; Kate Daly [Australie] ; Sara Doutré [États-Unis] ; Laura Gibson [États-Unis] ; Michelle L. Giles [Australie] ; Janelle Greenlee [États-Unis] ; Stuart T. Hamilton [Australie] ; Gail J. Harrison [États-Unis] ; Lisa Hui [Australie] ; Cheryl A. Jones [Australie] ; Pamela Palasanthiran [Australie] ; Mark R. Schleiss [États-Unis] ; Antonia W. Shand [Australie] ; Wendy J. Van Zuylen [Australie]

Source :

The Lancet. Infectious diseases [ 1474-4457 ] ; 2017.

RBID : pubmed:28291720

Descripteurs français

English descriptors

KwdEn :
- Congenital Abnormalities (diagnosis), Congenital Abnormalities (prevention & control), Congenital Abnormalities (virology), Consensus, Cytomegalovirus (isolation & purification), Cytomegalovirus Infections (congenital), Cytomegalovirus Infections (diagnosis), Cytomegalovirus Infections (prevention & control), Cytomegalovirus Infections (therapy), Cytomegalovirus Infections (transmission), Developmental Disabilities (prevention & control), Female, Hearing Loss, Sensorineural (congenital), Hearing Loss, Sensorineural (diagnosis), Hearing Loss, Sensorineural (prevention & control), Hearing Loss, Sensorineural (virology), Humans, Infant, Newborn, Infectious Disease Transmission, Vertical (prevention & control), Mothers, Pregnancy, Pregnancy Complications, Infectious (diagnosis), Pregnancy Complications, Infectious (prevention & control).
MESH :
- congenital : Cytomegalovirus Infections, Hearing Loss, Sensorineural.
- diagnosis : Congenital Abnormalities, Cytomegalovirus Infections, Hearing Loss, Sensorineural, Pregnancy Complications, Infectious.
- isolation & purification : Cytomegalovirus.
- prevention & control : Congenital Abnormalities, Cytomegalovirus Infections, Developmental Disabilities, Hearing Loss, Sensorineural, Infectious Disease Transmission, Vertical, Pregnancy Complications, Infectious.
- therapy : Cytomegalovirus Infections.
- transmission : Cytomegalovirus Infections.
- virology : Congenital Abnormalities, Hearing Loss, Sensorineural.
- Consensus, Female, Humans, Infant, Newborn, Mothers, Pregnancy.

Abstract

Congenital cytomegalovirus is the most frequent, yet under-recognised, infectious cause of newborn malformation in developed countries. Despite its clinical and public health importance, questions remain regarding the best diagnostic methods for identifying maternal and neonatal infection, and regarding optimal prevention and therapeutic strategies for infected mothers and neonates. The absence of guidelines impairs global efforts to decrease the effect of congenital cytomegalovirus. Data in the literature suggest that congenital cytomegalovirus infection remains a research priority, but data are yet to be translated into clinical practice. An informal International Congenital Cytomegalovirus Recommendations Group was convened in 2015 to address these questions and to provide recommendations for prevention, diagnosis, and treatment. On the basis of consensus discussions and a review of the literature, we do not support universal screening of mothers and the routine use of cytomegalovirus immunoglobulin for prophylaxis or treatment of infected mothers. However, treatment guidelines for infected neonates were recommended. Consideration must be given to universal neonatal screening for cytomegalovirus to facilitate early detection and intervention for sensorineural hearing loss and developmental delay, where appropriate. The group agreed that education and prevention strategies for mothers were beneficial, and that recommendations will need continual updating as further data become available.

DOI: 10.1016/S1473-3099(17)30143-3
PubMed: 28291720

Affiliations:

Le document en format XML

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<author><name sortKey="Jones, Cheryl A" sort="Jones, Cheryl A" uniqKey="Jones C" first="Cheryl A" last="Jones">Cheryl A. Jones</name>
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<author><name sortKey="Gibson, Laura" sort="Gibson, Laura" uniqKey="Gibson L" first="Laura" last="Gibson">Laura Gibson</name>
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<author><name sortKey="Giles, Michelle L" sort="Giles, Michelle L" uniqKey="Giles M" first="Michelle L" last="Giles">Michelle L. Giles</name>
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<country xml:lang="fr">Australie</country>
<wicri:regionArea>Department of Obstetrics and Gynaecology and Department of Infectious Diseases, Monash University, VIC</wicri:regionArea>
<wicri:noRegion>VIC</wicri:noRegion>
</affiliation>
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<author><name sortKey="Greenlee, Janelle" sort="Greenlee, Janelle" uniqKey="Greenlee J" first="Janelle" last="Greenlee">Janelle Greenlee</name>
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<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>National Cytomegalovirus Foundation, Tampa, FL</wicri:regionArea>
<placeName><region type="state">Floride</region>
</placeName>
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<author><name sortKey="Hamilton, Stuart T" sort="Hamilton, Stuart T" uniqKey="Hamilton S" first="Stuart T" last="Hamilton">Stuart T. Hamilton</name>
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<country xml:lang="fr">Australie</country>
<wicri:regionArea>Serology & Virology Division, SEALS Microbiology, Prince of Wales Hospital, Sydney, NSW</wicri:regionArea>
<wicri:noRegion>NSW</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Harrison, Gail J" sort="Harrison, Gail J" uniqKey="Harrison G" first="Gail J" last="Harrison">Gail J. Harrison</name>
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<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Pediatrics and Pathology & Immunology, Baylor College of Medicine, TX</wicri:regionArea>
<placeName><region type="state">Texas</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Hui, Lisa" sort="Hui, Lisa" uniqKey="Hui L" first="Lisa" last="Hui">Lisa Hui</name>
<affiliation wicri:level="4"><nlm:affiliation>Department of Perinatal Medicine, Mercy Hospital for Women, Heidelberg, VIC, Australia; Department of Obstetrics and Gynaecology, University of Melbourne, VIC, Australia.</nlm:affiliation>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Department of Perinatal Medicine, Mercy Hospital for Women, Heidelberg, VIC, Australia; Department of Obstetrics and Gynaecology, University of Melbourne, VIC</wicri:regionArea>
<orgName type="university">Université de Melbourne</orgName>
<placeName><settlement type="city">Melbourne</settlement>
<region type="état">Victoria (État)</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Jones, Cheryl A" sort="Jones, Cheryl A" uniqKey="Jones C" first="Cheryl A" last="Jones">Cheryl A. Jones</name>
<affiliation wicri:level="4"><nlm:affiliation>Marie Bashir Institute for Infectious Diseases and Biosecurity, Discipline of Paediatrics and Child Health, University of Sydney, Sydney, NSW, Australia; The Children's Hospital, Westmead, NSW, Australia.</nlm:affiliation>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Marie Bashir Institute for Infectious Diseases and Biosecurity, Discipline of Paediatrics and Child Health, University of Sydney, Sydney, NSW, Australia; The Children's Hospital, Westmead, NSW</wicri:regionArea>
<orgName type="university">Université de Sydney</orgName>
<placeName><settlement type="city">Sydney</settlement>
<region type="état">Nouvelle-Galles du Sud</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Palasanthiran, Pamela" sort="Palasanthiran, Pamela" uniqKey="Palasanthiran P" first="Pamela" last="Palasanthiran">Pamela Palasanthiran</name>
<affiliation wicri:level="1"><nlm:affiliation>School of Women's and Child Health, University of New South Wales, NSW, Australia; Department of Immunology and Infectious Diseases, Sydney Children's Hospital, NSW, Australia.</nlm:affiliation>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>School of Women's and Child Health, University of New South Wales, NSW, Australia; Department of Immunology and Infectious Diseases, Sydney Children's Hospital, NSW</wicri:regionArea>
<wicri:noRegion>NSW</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Schleiss, Mark R" sort="Schleiss, Mark R" uniqKey="Schleiss M" first="Mark R" last="Schleiss">Mark R. Schleiss</name>
<affiliation wicri:level="2"><nlm:affiliation>Center for Infectious Diseases and Microbiology Translational Research, Division of Pediatric Infectious Diseases and Immunology, University of Minnesota Medical School, MN, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Center for Infectious Diseases and Microbiology Translational Research, Division of Pediatric Infectious Diseases and Immunology, University of Minnesota Medical School, MN</wicri:regionArea>
<placeName><region type="state">Minnesota</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Shand, Antonia W" sort="Shand, Antonia W" uniqKey="Shand A" first="Antonia W" last="Shand">Antonia W. Shand</name>
<affiliation wicri:level="4"><nlm:affiliation>Menzies School Health Policy, University of Sydney, Sydney, NSW, Australia; Department of Maternal Fetal Medicine, Royal Hospital for Women, Sydney, NSW, Australia.</nlm:affiliation>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Menzies School Health Policy, University of Sydney, Sydney, NSW, Australia; Department of Maternal Fetal Medicine, Royal Hospital for Women, Sydney, NSW</wicri:regionArea>
<orgName type="university">Université de Sydney</orgName>
<placeName><settlement type="city">Sydney</settlement>
<region type="état">Nouvelle-Galles du Sud</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Van Zuylen, Wendy J" sort="Van Zuylen, Wendy J" uniqKey="Van Zuylen W" first="Wendy J" last="Van Zuylen">Wendy J. Van Zuylen</name>
<affiliation wicri:level="1"><nlm:affiliation>Serology & Virology Division, SEALS Microbiology, Prince of Wales Hospital, Sydney, NSW, Australia; School of Medical Sciences, University of New South Wales, NSW, Australia.</nlm:affiliation>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Serology & Virology Division, SEALS Microbiology, Prince of Wales Hospital, Sydney, NSW, Australia; School of Medical Sciences, University of New South Wales, NSW</wicri:regionArea>
<wicri:noRegion>NSW</wicri:noRegion>
</affiliation>
</author>
</analytic>
<series><title level="j">The Lancet. Infectious diseases</title>
<idno type="eISSN">1474-4457</idno>
<imprint><date when="2017" type="published">2017</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Congenital Abnormalities (diagnosis)</term>
<term>Congenital Abnormalities (prevention & control)</term>
<term>Congenital Abnormalities (virology)</term>
<term>Consensus</term>
<term>Cytomegalovirus (isolation & purification)</term>
<term>Cytomegalovirus Infections (congenital)</term>
<term>Cytomegalovirus Infections (diagnosis)</term>
<term>Cytomegalovirus Infections (prevention & control)</term>
<term>Cytomegalovirus Infections (therapy)</term>
<term>Cytomegalovirus Infections (transmission)</term>
<term>Developmental Disabilities (prevention & control)</term>
<term>Female</term>
<term>Hearing Loss, Sensorineural (congenital)</term>
<term>Hearing Loss, Sensorineural (diagnosis)</term>
<term>Hearing Loss, Sensorineural (prevention & control)</term>
<term>Hearing Loss, Sensorineural (virology)</term>
<term>Humans</term>
<term>Infant, Newborn</term>
<term>Infectious Disease Transmission, Vertical (prevention & control)</term>
<term>Mothers</term>
<term>Pregnancy</term>
<term>Pregnancy Complications, Infectious (diagnosis)</term>
<term>Pregnancy Complications, Infectious (prevention & control)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Complications de la grossesse et maladies infectieuses ()</term>
<term>Complications de la grossesse et maladies infectieuses (diagnostic)</term>
<term>Consensus</term>
<term>Cytomegalovirus (isolement et purification)</term>
<term>Femelle</term>
<term>Grossesse</term>
<term>Humains</term>
<term>Incapacités de développement ()</term>
<term>Infections à cytomégalovirus ()</term>
<term>Infections à cytomégalovirus (diagnostic)</term>
<term>Infections à cytomégalovirus (transmission)</term>
<term>Malformations ()</term>
<term>Malformations (diagnostic)</term>
<term>Malformations (virologie)</term>
<term>Mères</term>
<term>Nouveau-né</term>
<term>Surdité neurosensorielle ()</term>
<term>Surdité neurosensorielle (diagnostic)</term>
<term>Surdité neurosensorielle (virologie)</term>
<term>Transmission verticale de maladie infectieuse ()</term>
</keywords>
<keywords scheme="MESH" qualifier="congenital" xml:lang="en"><term>Cytomegalovirus Infections</term>
<term>Hearing Loss, Sensorineural</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Congenital Abnormalities</term>
<term>Cytomegalovirus Infections</term>
<term>Hearing Loss, Sensorineural</term>
<term>Pregnancy Complications, Infectious</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Complications de la grossesse et maladies infectieuses</term>
<term>Infections à cytomégalovirus</term>
<term>Malformations</term>
<term>Surdité neurosensorielle</term>
</keywords>
<keywords scheme="MESH" qualifier="isolation & purification" xml:lang="en"><term>Cytomegalovirus</term>
</keywords>
<keywords scheme="MESH" qualifier="isolement et purification" xml:lang="fr"><term>Cytomegalovirus</term>
</keywords>
<keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Congenital Abnormalities</term>
<term>Cytomegalovirus Infections</term>
<term>Developmental Disabilities</term>
<term>Hearing Loss, Sensorineural</term>
<term>Infectious Disease Transmission, Vertical</term>
<term>Pregnancy Complications, Infectious</term>
</keywords>
<keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Cytomegalovirus Infections</term>
</keywords>
<keywords scheme="MESH" qualifier="transmission" xml:lang="en"><term>Cytomegalovirus Infections</term>
</keywords>
<keywords scheme="MESH" qualifier="virologie" xml:lang="fr"><term>Malformations</term>
<term>Surdité neurosensorielle</term>
</keywords>
<keywords scheme="MESH" qualifier="virology" xml:lang="en"><term>Congenital Abnormalities</term>
<term>Hearing Loss, Sensorineural</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Consensus</term>
<term>Female</term>
<term>Humans</term>
<term>Infant, Newborn</term>
<term>Mothers</term>
<term>Pregnancy</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Complications de la grossesse et maladies infectieuses</term>
<term>Consensus</term>
<term>Femelle</term>
<term>Grossesse</term>
<term>Humains</term>
<term>Incapacités de développement</term>
<term>Infections à cytomégalovirus</term>
<term>Malformations</term>
<term>Mères</term>
<term>Nouveau-né</term>
<term>Surdité neurosensorielle</term>
<term>Transmission verticale de maladie infectieuse</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en">Congenital cytomegalovirus is the most frequent, yet under-recognised, infectious cause of newborn malformation in developed countries. Despite its clinical and public health importance, questions remain regarding the best diagnostic methods for identifying maternal and neonatal infection, and regarding optimal prevention and therapeutic strategies for infected mothers and neonates. The absence of guidelines impairs global efforts to decrease the effect of congenital cytomegalovirus. Data in the literature suggest that congenital cytomegalovirus infection remains a research priority, but data are yet to be translated into clinical practice. An informal International Congenital Cytomegalovirus Recommendations Group was convened in 2015 to address these questions and to provide recommendations for prevention, diagnosis, and treatment. On the basis of consensus discussions and a review of the literature, we do not support universal screening of mothers and the routine use of cytomegalovirus immunoglobulin for prophylaxis or treatment of infected mothers. However, treatment guidelines for infected neonates were recommended. Consideration must be given to universal neonatal screening for cytomegalovirus to facilitate early detection and intervention for sensorineural hearing loss and developmental delay, where appropriate. The group agreed that education and prevention strategies for mothers were beneficial, and that recommendations will need continual updating as further data become available.</div>
</front>
</TEI>
<affiliations><list><country><li>Australie</li>
<li>France</li>
<li>Italie</li>
<li>États-Unis</li>
</country>
<region><li>Alabama</li>
<li>Floride</li>
<li>Limousin</li>
<li>Massachusetts</li>
<li>Minnesota</li>
<li>Nouvelle-Aquitaine</li>
<li>Nouvelle-Galles du Sud</li>
<li>Texas</li>
<li>Victoria (État)</li>
</region>
<settlement><li>Limoges</li>
<li>Melbourne</li>
<li>Sydney</li>
</settlement>
<orgName><li>Université de Limoges</li>
<li>Université de Melbourne</li>
<li>Université de Sydney</li>
</orgName>
</list>
<tree><country name="Australie"><noRegion><name sortKey="Rawlinson, William D" sort="Rawlinson, William D" uniqKey="Rawlinson W" first="William D" last="Rawlinson">William D. Rawlinson</name>
</noRegion>
<name sortKey="Daly, Kate" sort="Daly, Kate" uniqKey="Daly K" first="Kate" last="Daly">Kate Daly</name>
<name sortKey="Giles, Michelle L" sort="Giles, Michelle L" uniqKey="Giles M" first="Michelle L" last="Giles">Michelle L. Giles</name>
<name sortKey="Hamilton, Stuart T" sort="Hamilton, Stuart T" uniqKey="Hamilton S" first="Stuart T" last="Hamilton">Stuart T. Hamilton</name>
<name sortKey="Hui, Lisa" sort="Hui, Lisa" uniqKey="Hui L" first="Lisa" last="Hui">Lisa Hui</name>
<name sortKey="Jones, Cheryl A" sort="Jones, Cheryl A" uniqKey="Jones C" first="Cheryl A" last="Jones">Cheryl A. Jones</name>
<name sortKey="Palasanthiran, Pamela" sort="Palasanthiran, Pamela" uniqKey="Palasanthiran P" first="Pamela" last="Palasanthiran">Pamela Palasanthiran</name>
<name sortKey="Shand, Antonia W" sort="Shand, Antonia W" uniqKey="Shand A" first="Antonia W" last="Shand">Antonia W. Shand</name>
<name sortKey="Van Zuylen, Wendy J" sort="Van Zuylen, Wendy J" uniqKey="Van Zuylen W" first="Wendy J" last="Van Zuylen">Wendy J. Van Zuylen</name>
</country>
<country name="États-Unis"><region name="Alabama"><name sortKey="Boppana, Suresh B" sort="Boppana, Suresh B" uniqKey="Boppana S" first="Suresh B" last="Boppana">Suresh B. Boppana</name>
</region>
<name sortKey="Doutre, Sara" sort="Doutre, Sara" uniqKey="Doutre S" first="Sara" last="Doutré">Sara Doutré</name>
<name sortKey="Fowler, Karen B" sort="Fowler, Karen B" uniqKey="Fowler K" first="Karen B" last="Fowler">Karen B. Fowler</name>
<name sortKey="Gibson, Laura" sort="Gibson, Laura" uniqKey="Gibson L" first="Laura" last="Gibson">Laura Gibson</name>
<name sortKey="Greenlee, Janelle" sort="Greenlee, Janelle" uniqKey="Greenlee J" first="Janelle" last="Greenlee">Janelle Greenlee</name>
<name sortKey="Harrison, Gail J" sort="Harrison, Gail J" uniqKey="Harrison G" first="Gail J" last="Harrison">Gail J. Harrison</name>
<name sortKey="Kimberlin, David W" sort="Kimberlin, David W" uniqKey="Kimberlin D" first="David W" last="Kimberlin">David W. Kimberlin</name>
<name sortKey="Schleiss, Mark R" sort="Schleiss, Mark R" uniqKey="Schleiss M" first="Mark R" last="Schleiss">Mark R. Schleiss</name>
</country>
<country name="Italie"><noRegion><name sortKey="Lazzarotto, Tiziana" sort="Lazzarotto, Tiziana" uniqKey="Lazzarotto T" first="Tiziana" last="Lazzarotto">Tiziana Lazzarotto</name>
</noRegion>
</country>
<country name="France"><region name="Nouvelle-Aquitaine"><name sortKey="Alain, Sophie" sort="Alain, Sophie" uniqKey="Alain S" first="Sophie" last="Alain">Sophie Alain</name>
</region>
</country>
</tree>
</affiliations>
</record>

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Congenital cytomegalovirus infection in pregnancy and the neonate: consensus recommendations for prevention, diagnosis, and therapy.

Congenital cytomegalovirus infection in pregnancy and the neonate: consensus recommendations for prevention, diagnosis, and therapy.

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