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Download het volledig rapport (302 p.) - KCE

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<strong>KCE</strong> reports vol. 6A Prenatale zorg 112<br />

us<br />

women<br />

from a<br />

populatio<br />

n with a<br />

high rate<br />

of<br />

congenital<br />

CMV<br />

infection<br />

screened<br />

for<br />

congenital<br />

CMV<br />

infection<br />

between<br />

1993 and<br />

1998 and<br />

their cord<br />

serum<br />

specimen<br />

from a<br />

previous<br />

delivery<br />

could be<br />

retrieved<br />

and tested<br />

for<br />

antibodies<br />

to CMV<br />

infection<br />

according<br />

to<br />

maternal<br />

immune<br />

status,<br />

age, race,<br />

parity and<br />

socioeconomic<br />

status<br />

18/604 (3.0%)<br />

Prevalence of congenital infections in the group of newborns born to<br />

immune mothers:<br />

29/2857 (1.0%)<br />

Two protective factors against congenital CMVinfection:<br />

- Preconception maternal immunity (adjusted risk ratio 0.31;<br />

95%CI 0.17 to 0.58)<br />

- Maternal age of 25 years or older (adjusted risk ratio 0.19;<br />

95%CI 0.07 to 0.49)<br />

Natural acquired immunity results in a 69% reduction in the risk of<br />

congenital CMV infection in future pregnancies.

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