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Use of In vivo Imaging to Monitor the Progression of Experimental Mouse Cytomegalovirus Infection in Neonates
Published on: July 6, 2013
Optimum treatment of congenital cytomegalovirus infection
Marianne Leruez-Ville1,2, Yves Ville1,3
1a EA 73-28, Université Paris Descartes, Sorbonne Paris Cité , Paris , France.
Insights
Congenital cytomegalovirus (CMV) infection, a leading cause of birth defects, lacks widespread screening. Emerging treatments for neonatal and prenatal congenital CMV infections suggest a proactive management approach is beneficial.
Area of Science:
- Virology
- Maternal-Fetal Medicine
- Neonatology
Background:
- Congenital cytomegalovirus (CMV) infection impacts 0.7% of live births, being the primary cause of infectious congenital neurological disabilities.
- Despite its prevalence, systematic screening for congenital CMV during pregnancy or at birth is not globally implemented.
- This lack of screening is attributed to the absence of an effective vaccine and limited data on congenital CMV treatment.
Purpose of the Study:
- To review recent advancements in the management of congenital cytomegalovirus infections.
- To update on the potential benefits of antiviral therapies and passive immunization strategies.
- To evaluate the efficacy of both neonatal and antenatal treatment approaches for congenital CMV.
Main Methods:
- Systematic literature review of recent studies on congenital cytomegalovirus (CMV) management.
- Analysis of data on antiviral treatments and passive immunization in neonatal and antenatal periods.
- Evaluation of emerging evidence for proactive management strategies.
Main Results:
- Recent data highlight potential benefits of antiviral treatment for congenital CMV.
- Passive immunization strategies show promise in both neonatal and antenatal contexts.
- New findings support a proactive approach to managing congenital CMV infections.
Conclusions:
- Emerging data suggest that antiviral treatment and passive immunization can offer benefits for congenital cytomegalovirus (CMV) infections.
- A proactive management strategy for both neonatal and antenatal congenital CMV is increasingly supported by recent evidence.
- Further research and implementation of screening and treatment protocols are warranted.
Abstract:
Congenital cytomegalovirus infection affects 0.7% of live births and is the leading cause of congenital neurological handicaps of infectious origin. However, systematic screening of this infection has not been implemented in pregnancy or at birth in any country. This apparent paradox has been justified by the unavailability of an efficient vaccine and by the scarcity of data available on the treatment of congenital CMV. However, in the last decade interesting new data on the management of this congenital infection has emerged including new results on both neonatal and postnatal treatments. This review provides an update on the potential benefits of antiviral treatment and on passive immunisation both in the neonatal and the antenatal periods. These suggest a benefit to a proactive approach for neonatal and prenatal congenital infections.
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