Journal of IMAB - Annual Proceeding (Scientific Papers)
Publisher: Peytchinski Publishing Ltd.
ISSN:
1312-773X (Online)
Issue:
2019, vol. 25, issue1
Subject Area:
Medicine
-
DOI:
10.5272/jimab.2019251.2323
Published online: 18 January 2019
Original article

J of IMAB. 2019 Jan-Mar;25(1):2323-2326
RISK FACTORS OF CYTOMEGALOVIRUS INFECTION DURING PREGNANCY
Anton G. Petrov1
, Miroslava Dimitrova1
, Elitsa H. Gyokova1
, Yoana G. Ivanova-Yoncheva1
, Jordan D. Popov1
, Milena D. Karcheva2


, Tihomir Rashev3
, Rositsa V. Petrova4
,
1) Department of Obstetrics and Gynaecology, Medical University, Pleven, Bulgaria
2) Department of Epidemiology, Parasitology and tropical medicine, Medical University, Pleven, Bulgaria
3) Department of Anatomy and biology, Medical University, Pleven, Bulgaria
4) Department of Hygiene, medical ecology, occupational diseases and disaster medicine, Medical University, Pleven, Bulgaria.
ABSTRACT:
The aim of this study was to assess the risk of infection by the detection of Cytomegalovirus (CMV) DNA in abortive samples in women with pregnancy loss.
Material/Methods: Cross sectional study was designed to examine women with miscarriage. For six months, an abortive sample of 40 women hospitalized in Clinic of obstetrics and gynecology, University hospital-Pleven, Bulgaria were examined. By DNA-sorb-AM-AmpliSens DNA extraction was performed. The detection of cytomegalovirus DNA was performed by AmpliSens CMV – Eph PCR kit. The demographic data of the patients were collected by a questionnaire. The study protocol was approved by ethics committee of the Medical University - Pleven.
Results: CMV DNA was detected in 16/40 (40%) of the women. In women up to 20 years of age (n=12), two positive samples were found. In women aged between 21 and 30 years of age, (n=12), six positive samples were found. The highest number of positive samples – 8 was found in women over 30 years of age (n=16). In the surveyed group, 18 (45%) were from minority groups, 32 (80%) were pregnant, low social status was found in about 80% of women.
Conclusions: Our results indicate that there is a high frequency of CMV DNA in abortive samples from women who lost their pregnancy. Routine serologic screening for CMV of pregnant women will be advance in understanding of CMV infection among pregnant women and its prevention.
Keywords: CMV DNA, frequency, pregnancy loss, risk factors,
- Download FULL TEXT /PDF 592 KB/
Please cite this article as: Petrov AG, Dimitrova M, Gyokova EH, Ivanova-Yoncheva YG, Popov ID, Karcheva MK, Rashev T, Petrova RV. Risk Factors of Cytomegalovirus Infection During Pregnancy. J of IMAB. 2019 Jan-Mar;25(1):2323-2326. DOI: 10.5272/jimab.2019251.2323
Correspondence to: Assoc. Prof. Dr Milena Karcheva, PhD. Department of Epidemiology, parasitology and tropical medicine, Medical University-Pleven, Pleven, Bulgaria; E-mail: milena_karcheva@abv.bg
REFERENCES:
1. Slyker JA, Lohman-Payne BL, Rowland-Jones SL, Otieno Ph, Maleche-Obimbo E, Richardson B, et al. The detection of cytomegalovirus DNA in maternal plasma is associated with mortality in HIV-1 infected women and their infants. AIDS. 2009 Jan 2;23(1):117-124. [PubMed] [Crossref]
2. Zhou Y, Bian G, Zhou Q, Gao Z, Liao P, Liu Y, et al. Detection of cytomegalovirus, human parvovirus B19, and herpes simplex virus-1/2 in women with first-trimester spontaneous abortions. J Med Virol. 2015 Oct;87(10):1749-53. [PubMed] [Crossref]
3. Nagamori T, Koyano S, Inoue N, Yamada H, Oshima M, Minematsu T, et al. Single cytomegalovirus strain associated with fetal loss and then congenital infection of a subsequent child born to the same mother. J Clin Virol. 2010 Oct;49(2):134-6. [PubMed] [Crossref]
4. Revello MG, Arossa CT, Spinillo A, Klersy C, Ceccarelli M, Gerna G, et al. Prevention of Primary Cytomegalovirus Infection in Pregnancy. EBioMedicine. 2015 Aug 6;2(9):1205-10. [PubMed] [Crossref]
5. Gao YL, Gao Zh, He M, Liao P. Infection status of human parvovirus B19, cytomegalovirus and herpes simplex Virus1/2 in women with first-trimester spontaneous abortions in Chongqing, China. Virol J. 2018 Apr 23;15(1):74. [PubMed] [Crossref]
6. Ivanov IS, Popov NI, Moshe RI, Terzieva DD, Stefanov RS, Panova MV, et al. Prevalence of cytomegalovirus infection in hospitalized infants.Folia Med (Plovdiv). 2012 Oct-Dec;54(4):45-52. [PubMed]
7. Tanaka K, Yamada H, Minami M, Kataoka S, Numazaki K, Minakami H, et al. Screening for vaginal shedding of cytomegalovirus in healthy pregnant women using real-time PCR: correlation of CMV in the vagina and adverse outcome of pregnancy. J Med Virol. 2006 Jun;78(6):757-9. [PubMed] [Crossref]
8. Grammatikopoulou I, Lambropoulou M, Chatzaki E, Deftereou TE, Lambropoulou V, Simopoulou M, et al. Molecular diagnosis of CMV infection in fetal aborted tissues in the region of Thrace. Clin Exp Obstet Gynecol. 2012; 39(1):96-102. [PubMed]
9. Sifakis S, Ergazaki M, Sourvinos G, Koffa M, Koumantakis E, Spandidos DA. Evaluation of Parvo B19, CMV and HPV viruses in human aborted material using the polymerase chain reaction technique. Eur J Obstet Gynecol Reprod Biol. 1998 Feb;76(2):169-73. [PubMed]
10. Stuart P. Adler. Screening for Cytomegalovirus during Pregnancy. Infect Dis Obstet Gynecol. 2011; 2011: 1-9. [PubMed] [Crossref]
11. Cheshik SG, Kisteneva LB. [Human cytomegalovirus infection and spontaneous abortion in pregnant women of I and II trimester.] [in Russian] Vopr Virusol. 2016; 61(2):74-8. [PubMed]
12. Fatima T, Siddiqui H, Ghildiyal S, Baluni M, Singh DV, Zia A, et al. Cytomegalovirus infection in pregnant women and its association with bad obstetric outcomes in Northern India. Microb Pathog. 2017 Dec; 113:282-285. [PubMed] [Crossref]
13. Stoykova Zh, Ivanova LI. Seroprevalence to Cytomegalovirus in the Bulgarian Population, 2003-2015. Fourth National Congress of Virology with International Participation /Days of Virology in Bulgaria Sofia. May, 18-20, 2016. Abstract #9.
14. Stoykova Zh, Ivanova LI, Todorova TT, Kostadinova T, Tsaneva-Damyanova D. Seroprevalence of Cytomegalovirus in the North-Eastern Bulgarian Population, 2003-2015. Acta Microbiologica Bulgarica. 2016 Sep;32(3):27-32.
15. Staykova J, Belovska T, Murad A, Kakid S, Nacheva A, Shikova E. Cervical Viral Infections among Asymptomatic Bulgarian Women. Cent Eur J Public Health. 2016 Sep; 24(3):176-179. [PubMed] [Crossref]
16. Buxmann H, Hamprecht K, Meyer-Wittkopf M, Friese K. Primary Human Cytomegalovirus (HCMV) Infection in Pregnancy. Dtsch Arztebl Int. 2017 Jan 27;114: 45-52. [PubMed] [Crossref].
Received: 03 October 2018
Published online: 18 January 2019
back to Online Journal