Maternal human immunodeficiency virus infection and congenital transmission of cytomegalovirus

Elaine L. Duryea, Pablo J. Sánchez, Jeanne S. Sheffield, Gregory L. Jackson, George D. Wendel, Barbara S. McElwee, Linda F. Boney, Mary M. Mallory, Kristine E. Owen, Elizabeth K. Stehel

Research output: Contribution to journalArticle

31 Citations (Scopus)

Abstract

Objectives: To determine the frequency of congenital cytomegalovirus (CMV) infection in infants born to human immunodeficiency virus (HIV)-infected mothers and assess risk factors that may facilitate intrauterine transmission of CMV, including the role of perinatal HIV infection. Methods: Retrospective cohort study of infants who were born to HIV-infected mothers at Parkland Memorial Hospital and screened for congenital CMV infection according to a standard nursery protocol between February 1, 1997 and May 31, 2005. Results: During the 8-year study period that included 125,781 live births, there were 367 infants (0.3%) born to 303 HIV-infected mothers. Of 333 HIV-exposed infants who were screened for CMV, 10 (3%) had congenital CMV infection and 6 (60%) of these were identified only because of the CMV screening protocol. Four (1%) infants were infected with HIV, and none of these was CMV-infected. Compared with CMV-uninfected infants, CMV-infected, HIV-exposed newborns had lower mean birth weight (2508 versus 3148 g, P < 0.01), lower gestational age (37 vs. 39 weeks, P < 0.01), and higher median maternal HIV viral load at the start of prenatal care (15,411 vs. 2209 copies/mL, P = 0.02). CMV-infected infants were more likely to be born to mothers who were diagnosed with HIV during the pregnancy or at delivery (P = 0.03). Conclusions: The prevalence of congenital CMV infection among HIV-exposed newborns was 3%. Screening of these infants for CMV would allow identification of infants who are at risk for delayed onset of hearing loss and other neurodevelopmental impairment.

Original languageEnglish (US)
Pages (from-to)915-918
Number of pages4
JournalPediatric Infectious Disease Journal
Volume29
Issue number10
DOIs
StatePublished - Oct 2010

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Infectious Disease Transmission
Virus Diseases
Cytomegalovirus
Mothers
HIV
Cytomegalovirus Infections
Newborn Infant
Prenatal Care
Nurseries
Live Birth
Viral Load
Hearing Loss
Birth Weight
Gestational Age
Cohort Studies
Retrospective Studies
Pregnancy

Keywords

  • congenital cytomegalovirus
  • cytomegalovirus
  • perinatal human immunodeficiency virus

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Infectious Diseases
  • Microbiology (medical)

Cite this

Maternal human immunodeficiency virus infection and congenital transmission of cytomegalovirus. / Duryea, Elaine L.; Sánchez, Pablo J.; Sheffield, Jeanne S.; Jackson, Gregory L.; Wendel, George D.; McElwee, Barbara S.; Boney, Linda F.; Mallory, Mary M.; Owen, Kristine E.; Stehel, Elizabeth K.

In: Pediatric Infectious Disease Journal, Vol. 29, No. 10, 10.2010, p. 915-918.

Research output: Contribution to journalArticle

Duryea, EL, Sánchez, PJ, Sheffield, JS, Jackson, GL, Wendel, GD, McElwee, BS, Boney, LF, Mallory, MM, Owen, KE & Stehel, EK 2010, 'Maternal human immunodeficiency virus infection and congenital transmission of cytomegalovirus', Pediatric Infectious Disease Journal, vol. 29, no. 10, pp. 915-918. https://doi.org/10.1097/INF.0b013e3181e0ce05
Duryea, Elaine L. ; Sánchez, Pablo J. ; Sheffield, Jeanne S. ; Jackson, Gregory L. ; Wendel, George D. ; McElwee, Barbara S. ; Boney, Linda F. ; Mallory, Mary M. ; Owen, Kristine E. ; Stehel, Elizabeth K. / Maternal human immunodeficiency virus infection and congenital transmission of cytomegalovirus. In: Pediatric Infectious Disease Journal. 2010 ; Vol. 29, No. 10. pp. 915-918.
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abstract = "Objectives: To determine the frequency of congenital cytomegalovirus (CMV) infection in infants born to human immunodeficiency virus (HIV)-infected mothers and assess risk factors that may facilitate intrauterine transmission of CMV, including the role of perinatal HIV infection. Methods: Retrospective cohort study of infants who were born to HIV-infected mothers at Parkland Memorial Hospital and screened for congenital CMV infection according to a standard nursery protocol between February 1, 1997 and May 31, 2005. Results: During the 8-year study period that included 125,781 live births, there were 367 infants (0.3{\%}) born to 303 HIV-infected mothers. Of 333 HIV-exposed infants who were screened for CMV, 10 (3{\%}) had congenital CMV infection and 6 (60{\%}) of these were identified only because of the CMV screening protocol. Four (1{\%}) infants were infected with HIV, and none of these was CMV-infected. Compared with CMV-uninfected infants, CMV-infected, HIV-exposed newborns had lower mean birth weight (2508 versus 3148 g, P < 0.01), lower gestational age (37 vs. 39 weeks, P < 0.01), and higher median maternal HIV viral load at the start of prenatal care (15,411 vs. 2209 copies/mL, P = 0.02). CMV-infected infants were more likely to be born to mothers who were diagnosed with HIV during the pregnancy or at delivery (P = 0.03). Conclusions: The prevalence of congenital CMV infection among HIV-exposed newborns was 3{\%}. Screening of these infants for CMV would allow identification of infants who are at risk for delayed onset of hearing loss and other neurodevelopmental impairment.",
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AU - Sánchez, Pablo J.

AU - Sheffield, Jeanne S.

AU - Jackson, Gregory L.

AU - Wendel, George D.

AU - McElwee, Barbara S.

AU - Boney, Linda F.

AU - Mallory, Mary M.

AU - Owen, Kristine E.

AU - Stehel, Elizabeth K.

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N2 - Objectives: To determine the frequency of congenital cytomegalovirus (CMV) infection in infants born to human immunodeficiency virus (HIV)-infected mothers and assess risk factors that may facilitate intrauterine transmission of CMV, including the role of perinatal HIV infection. Methods: Retrospective cohort study of infants who were born to HIV-infected mothers at Parkland Memorial Hospital and screened for congenital CMV infection according to a standard nursery protocol between February 1, 1997 and May 31, 2005. Results: During the 8-year study period that included 125,781 live births, there were 367 infants (0.3%) born to 303 HIV-infected mothers. Of 333 HIV-exposed infants who were screened for CMV, 10 (3%) had congenital CMV infection and 6 (60%) of these were identified only because of the CMV screening protocol. Four (1%) infants were infected with HIV, and none of these was CMV-infected. Compared with CMV-uninfected infants, CMV-infected, HIV-exposed newborns had lower mean birth weight (2508 versus 3148 g, P < 0.01), lower gestational age (37 vs. 39 weeks, P < 0.01), and higher median maternal HIV viral load at the start of prenatal care (15,411 vs. 2209 copies/mL, P = 0.02). CMV-infected infants were more likely to be born to mothers who were diagnosed with HIV during the pregnancy or at delivery (P = 0.03). Conclusions: The prevalence of congenital CMV infection among HIV-exposed newborns was 3%. Screening of these infants for CMV would allow identification of infants who are at risk for delayed onset of hearing loss and other neurodevelopmental impairment.

AB - Objectives: To determine the frequency of congenital cytomegalovirus (CMV) infection in infants born to human immunodeficiency virus (HIV)-infected mothers and assess risk factors that may facilitate intrauterine transmission of CMV, including the role of perinatal HIV infection. Methods: Retrospective cohort study of infants who were born to HIV-infected mothers at Parkland Memorial Hospital and screened for congenital CMV infection according to a standard nursery protocol between February 1, 1997 and May 31, 2005. Results: During the 8-year study period that included 125,781 live births, there were 367 infants (0.3%) born to 303 HIV-infected mothers. Of 333 HIV-exposed infants who were screened for CMV, 10 (3%) had congenital CMV infection and 6 (60%) of these were identified only because of the CMV screening protocol. Four (1%) infants were infected with HIV, and none of these was CMV-infected. Compared with CMV-uninfected infants, CMV-infected, HIV-exposed newborns had lower mean birth weight (2508 versus 3148 g, P < 0.01), lower gestational age (37 vs. 39 weeks, P < 0.01), and higher median maternal HIV viral load at the start of prenatal care (15,411 vs. 2209 copies/mL, P = 0.02). CMV-infected infants were more likely to be born to mothers who were diagnosed with HIV during the pregnancy or at delivery (P = 0.03). Conclusions: The prevalence of congenital CMV infection among HIV-exposed newborns was 3%. Screening of these infants for CMV would allow identification of infants who are at risk for delayed onset of hearing loss and other neurodevelopmental impairment.

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