2019, Cilt 49, Sayı 3, Sayfa(lar) 154-161 |
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Investigation of Cytomegalovirus and Rubella Seroprevalence and Age Related Distribution in Pregnant Women |
Yasemin Derya Gülseren, Fatma Esenkaya Taşbent, Mehmet Özdemir |
Necmettin Erbakan Üniversitesi, Meram Tıp Fakültesi, Tıbbi Mikrobiyoloji Anabilim Dalı, Konya |
Keywords: CMV, rubella, pregnancy |
Objective: The aim of this study was to determine the seroprevalence of Rubella and Cytomegalovirus
(CMV) in pregnant women and to investigate their relationship with age groups.
Method: Rubella, CMV antibodies and CMV avidity tests performed by the enzyme-linked
fluorescent assay method in sera of pregnant women under 20th gestational week at a University
Hospital Central Microbiology Laboratory between January 2016 and January 2019 were
retrospectively analyzed.
Results: The mean age of the pregnant women was 28.2±5.6 years. In this three-year period
seroprevalence test results related to 4236 rubella IgM, 720 rubella IgG, 3793 CMV IgM and 148
CMV IgG antibodies were examined. Rubella IgM seropositivity was detected in 21 (0.49%) and
borderline results in 30 (0.7%) cases. Rubella IgG seropositivity was detected in 692 (96.1%) and
borderline results in 24 (3.3%) cases. CMV IgM seropositivity was detected in 10 (0.2%) and
borderline results in 20 (0.52%) cases. CMV IgG seropositivity was detected in all (n=148)
patients. Rubella IgG levels decreased and CMV IgG levels increased with age.
Conclusion: The seropositivity rate of rubella was found as 96.1% in pregnant women and the
seroprevalence of CMV as 100%. Due to high seroprevalence, routine screening for both seems
unnecessary. But the decrease in Rubella IgG levels with age should be taken into consideration
in especially advanced age pregnancies. In addition, it is thought that rubella will gain importance
in the following years due to the anti-vaccination tendency which has increased in the society in
recent years. Seropositivity for CMV found in all patients scanned in the study indicates a low
socio-economic level.
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