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Seroprevalence of cytomegalovirus and rubella among pregnant women in western Sudan

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Abstract Background Maternal cytomegalovirus (CMV) and rubella infections have adverse neonatal outcomes. Basic epidemiological data concerning CMV and rubella is necessary for health planners and care providers. Methods A 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. Results Out 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. Conclusion CMV 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:
Abstract Background Maternal cytomegalovirus (CMV) and rubella infections have adverse neonatal outcomes.
Basic epidemiological data concerning CMV and rubella is necessary for health planners and care providers.
Methods A 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.
Results Out 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.
Conclusion CMV 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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