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Seroprevalence of cytomegalovirus and rubella among pregnant women in western Sudan

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AbstractBackgroundMaternal cytomegalovirus (CMV) and rubella infections have adverse neonatal outcomes. Basic epidemiological data concerning CMV and rubella is necessary for health planners and care providers.MethodsA cross sectional study was conducted at El-Rahad hospital, Sudan to investigate seroprevalence of CMV and rubella infections and associated possible risk factors among pregnant women. Structured questionnaires were used to gather socio-demographic data and ELISA was used to detect CMV and rubella infections using IgG and IgM.ResultsOut of 231 pregnant women, 167 (72.2%) and 151 (65.3%) were CMV-IgG and rubella-IgG positive, respectively. Only 6 (2.5%) and 8 women (3.4%) were CMV-IgM and rubella-IgM positive, respectively. While, high parity (OR = 14.7, 95%CI = 1.7 - 123.6;P= 0.01] and illiteracy (OR = 3.0, CI = 1.4 - 6.5;P= 0.004) were significantly associated with seropostive CMV-IgG in multivariate analysis, none of the other obstetrical and medical characteristics were significantly associated with CMV or rubella infections.ConclusionCMV prevalence was 72.2% and rubella susceptibility among pregnant women was 34.6%. Rubella vaccine and routine screening for rubella and CMV should be introduced for pregnant women in this setting. Further research is needed.
Title: Seroprevalence of cytomegalovirus and rubella among pregnant women in western Sudan
Description:
AbstractBackgroundMaternal cytomegalovirus (CMV) and rubella infections have adverse neonatal outcomes.
Basic epidemiological data concerning CMV and rubella is necessary for health planners and care providers.
MethodsA cross sectional study was conducted at El-Rahad hospital, Sudan to investigate seroprevalence of CMV and rubella infections and associated possible risk factors among pregnant women.
Structured questionnaires were used to gather socio-demographic data and ELISA was used to detect CMV and rubella infections using IgG and IgM.
ResultsOut of 231 pregnant women, 167 (72.
2%) and 151 (65.
3%) were CMV-IgG and rubella-IgG positive, respectively.
Only 6 (2.
5%) and 8 women (3.
4%) were CMV-IgM and rubella-IgM positive, respectively.
While, high parity (OR = 14.
7, 95%CI = 1.
7 - 123.
6;P= 0.
01] and illiteracy (OR = 3.
0, CI = 1.
4 - 6.
5;P= 0.
004) were significantly associated with seropostive CMV-IgG in multivariate analysis, none of the other obstetrical and medical characteristics were significantly associated with CMV or rubella infections.
ConclusionCMV prevalence was 72.
2% and rubella susceptibility among pregnant women was 34.
6%.
Rubella vaccine and routine screening for rubella and CMV should be introduced for pregnant women in this setting.
Further research is needed.

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