全球新生儿先天性细胞巨化病毒查的理由
Sarah M Sánchez1, Margaret Kettler2, Rakhi Gupta Basuray3
1Division of Neonatal-Perinatal Medicine, Department of Pediatrics, The Regional Perinatal Center, New York Medical College, Maria Fareri Children's Hospital at Westchester Medical Center, Valhalla, NY, USA.
在儿童中,先天性细胞大脑病毒 (CMV) 感染会导致听力损失和发育问题. 使用婴儿唾液进行的普遍查为早期检测和护理提供了一种敏感且具有成本效益的诊断方法.
科学领域:
- 儿童医学
- 传染性疾病
- 公共卫生
背景情况:
- 遗传性细胞大脑病毒 (CMV) 是导致儿童感官神经听力损失和神经发育障碍的主要原因.
- 早期诊断先天性CMV感染,最好是在出生后21天内,对于干预至关重要.
- 目前的诊断方法,如对干血斑点的聚合酶链反应 (PCR),具有低于最佳的灵敏度.
研究的目的:
- 评估不同先天性CMV查策略的敏感性和成本效益.
- 倡导实施全民先天性CMV查.
主要方法:
- 对先天性CMV的诊断方法的审查,包括新生儿干血点PCR和婴儿唾液测试.
- 针对性与普遍性CMV查计划的成本效益分析.
主要成果:
- 液体运输介质中的婴儿唾液样本对CMV检测具有很好的灵敏度.
- 针对性和普遍的CMV查均具有成本效益.
- 普遍查可以节省更多的资金,并最大限度地提高针对性护理的机会.
结论:
- 由于其敏感性和成本效益,强烈建议进行全方位的先天性CMV查.
- 实施普遍查对于早期发现和治疗先天性CMV至关重要.
- 全球性先天性CMV查的最佳时间是立即.
更多相关视频
08:08qPCR Is a Sensitive and Rapid Method for Detection of Cytomegaloviral DNA in Formalin-fixed, Paraffin-embedded Biopsy Tissue
Published on: July 9, 2014
05:51Intracerebroventricular and Intravascular Injection of Viral Particles and Fluorescent Microbeads into the Neonatal Brain
Published on: July 24, 2016
相关概念视频
Development of Immunocompetence
The initial cells that migrate from the fetal thymus settle within the skin and epithelial tissues lining the mouth, digestive tract, and in females, the uterus and vagina. These cells, including skin-based dendritic cells, serve as antigen-presenting cells, playing a key role in T cell activation.
Subsequent T...
Development of Human Microbiota
Development of the Oral Microbiota
Viral Meningitis
Cytomegalovirus Disease
