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Diagnostik af kongenit cytomegalovirusinfektion i Danmark
Engelsk titel: Diagnostics of congenital cytomegalovirus in Denmark Läs online Författare: Vestergaard, Hanne Thang ; Kragh Thomsen, Marianne ; Nielsen, Lene ; Panum, Inge Språk: Dan Antal referenser: 26 Dokumenttyp: Översikt UI-nummer: 19120258

Tidskrift

Ugeskrift for Laeger 2019;181(20)1865-9 ISSN 0041-5782 E-ISSN 1603-6824 KIBs bestånd av denna tidskrift Denna tidskrift är expertgranskad (Peer-Reviewed)

Sammanfattning

Congenital cytomegalovirus (cCMV) is the most common infectious cause of congenital malformations in Denmark. The disease is not notifiable, and there are no national data. A regional Danish prospective study from the 1970s found a cCMV incidence of 0.4%. We propose three algorithms for microbiological diagnosing: 1) Testing of pregnant women should only be applied, when symptoms compatible with CMV infection are present, and no other diagnoses are found. 2) In children less than three weeks of age urine is the preferred sample. 3) Retrospectively, cCMV may be diagnosed on dried blood spots, if the mother is CMV IgG-positive.