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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">detinf</journal-id><journal-title-group><journal-title xml:lang="ru">ДЕТСКИЕ ИНФЕКЦИИ</journal-title><trans-title-group xml:lang="en"><trans-title>CHILDREN INFECTIONS</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2072-8107</issn><issn pub-type="epub">2618-8139</issn><publisher><publisher-name>Association of Pediatricians and Infection Disease doctors</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.22627/2072-8107-2019-18-4-56-63</article-id><article-id custom-type="elpub" pub-id-type="custom">detinf-460</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ОБЗОР ЛИТЕРАТУРЫ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>REVIEW OF THE LITERATURE</subject></subj-group></article-categories><title-group><article-title>Современный взгляд на проблему врожденной цитомегаловирусной инфекции: диагностика, лечение и профилактика</article-title><trans-title-group xml:lang="en"><trans-title>The modern view of congenital cytomegalovirus infection: diagnosis, treatment and prevention</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-0419-5410</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Холоднова</surname><given-names>Н. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Kholodnova</surname><given-names>N. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Холоднова Наталья Витальевна, врач-неонатолог 8 инфекционного отделения для новорожденных </p><p>Москва</p></bio><bio xml:lang="en"><p>Natalia Kholodnova, neonatologist of 8th infectious diseases department for newborns</p><p>Moscow</p></bio><email xlink:type="simple">kholodnova.natalia@gmail.com</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-0895-6707</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Мазанкова</surname><given-names>Л. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Mazankova</surname><given-names>L. N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Мазанкова Людмила Николаевна, д.м.н., профессор, заведующая кафедрой детских инфекционных болезней</p><p>Москва</p></bio><bio xml:lang="en"><p>Lyudmila Mazankovа</p><p>Moscow</p></bio><email xlink:type="simple">mazankova@list.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-0333-583X</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Вольтер</surname><given-names>А. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Volter</surname><given-names>A. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Вольтер Ангелина Алексеевна, клинический ординатор кафедры факультетской педиатрии</p><p>Москва</p></bio><bio xml:lang="en"><p>Angelina Volter</p><p>Moscow</p></bio><email xlink:type="simple">angelina-volter@yandex.ru</email><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-9030-6131</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Турина</surname><given-names>И. Е.</given-names></name><name name-style="western" xml:lang="en"><surname>Turina</surname><given-names>I. E.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Турина Ирина Евгеньевна, врач-неонатолог, педиатр, к.м.н., доцент кафедры педиатрии и детских инфекционных болезней </p><p>Москва</p></bio><bio xml:lang="en"><p>Irina Turina</p><p>Moscow</p></bio><email xlink:type="simple">turina11@mail.ru</email><xref ref-type="aff" rid="aff-4"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ГБУЗ ДГКБ №9 им. Г.Н. Сперанского Минздрава России</institution></aff><aff xml:lang="en"><institution>G.N. Speransky City Children’s Hospital №9</institution></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>ФГБОУ «Российская медицинская академия непрерывного профессионального образования» МЗ РФ</institution></aff><aff xml:lang="en"><institution>Russian Medical Academy of Post-Graduate Education</institution></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>ФГАОУ ВО РНИМУ им. Н.И. Пирогова Минздрава России</institution></aff><aff xml:lang="en"><institution>Pirogov Russian National Research Medical University</institution></aff></aff-alternatives><aff-alternatives id="aff-4"><aff xml:lang="ru"><institution>ФГАОУ ВО Первый Московский Государственный Медицинский Университет им. И.М. Сеченова Минздрава России (Сеченовский университет)</institution></aff><aff xml:lang="en"><institution>I.M. Sechenov First Moscow State Medical University of the Russian Federation (Sechenov University)</institution></aff></aff-alternatives><pub-date pub-type="collection"><year>2019</year></pub-date><pub-date pub-type="epub"><day>06</day><month>12</month><year>2019</year></pub-date><volume>18</volume><issue>4</issue><fpage>56</fpage><lpage>63</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Холоднова Н.В., Мазанкова Л.Н., Вольтер А.А., Турина И.Е., 2019</copyright-statement><copyright-year>2019</copyright-year><copyright-holder xml:lang="ru">Холоднова Н.В., Мазанкова Л.Н., Вольтер А.А., Турина И.Е.</copyright-holder><copyright-holder xml:lang="en">Kholodnova N.V., Mazankova L.N., Volter A.A., Turina I.E.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://detinf.elpub.ru/jour/article/view/460">https://detinf.elpub.ru/jour/article/view/460</self-uri><abstract><p>Литературный обзор работ зарубежных и отечественных авторов посвящен современным подходам к диагностике, лечению и профилактике врожденной цитомегаловирусной инфекции (ВЦМВИ). Представлены данные международных консенсусов: «Консенсусное заявление европейских экспертов по диагностике и лечению ВЦМВИ», принятого группой по ВЦМВИ от Европейской ассоциации детских инфекционных болезней (ESPID) в Лейпциге (Германия) в 2015 году, и «Врожденная цитомегаловирусная инфекция у беременных и новорожденных: консенсуальные рекомендации по профилактике, диагностике и терапии» неофициальной Интернациональной группой по ВЦМВИ (ICCRG), созданной в Брисбене (Австралия) в 2015 году в рамках 5-й Международной конференции по врожденной цитомегалии, о доказательной базе лечения ВЦМВИ с применением противовирусных препаратов и иммунотерапии. Особое внимание уделено профилактике ЦМВИ как у беременных, так и у новорожденных, а также данные международных исследований о вакцинопрофилактике ЦМВИ.</p></abstract><trans-abstract xml:lang="en"><p>A literature review of the works of foreign and domestic authors is devoted to modern approaches to the diagnosis, treatment and prevention of congenital cytomegalovirus infection (cCMV). The data of international consensuses are presented: «Congenital Cytomegalovirus: A European Expert Consensus Statement on Diagnosis and Management» adopted by the cCMV group from the European society for pediatric infectious diseases (ESPID) in Leipzig, Germany in 2015, and «Congenital cytomegalovirus infection in pregnancy and the neonate: consensus recommendations for prevention, diagnosis, and therapy» by an informal International Congenital Cytomegalovirus Recommendations Group (ICCRG), established in Brisbane, Australia in 2015 as part of the 5th International cCMV Conference about evidence-based treatment cCMV using antiviral drugs and immunotherapy. Particular attention is paid to the prevention of cCMV in both pregnant and newborns, as well as data from international studies on the cytomegalovirus vaccination.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>новорожденные</kwd><kwd>цитомегаловирусная инфекция</kwd><kwd>врожденная инфекция</kwd></kwd-group><kwd-group xml:lang="en"><kwd>newborn</kwd><kwd>cytomegalovirus infection</kwd><kwd>congenital infection</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Каржас Н.В., Малышев Н.А., Рыбалкина Т.Н., Калугина М.Ю., Бошьян Р.Е., Кистенева Л.Б., Мазанкова Л.Н., Выжлова Е.Н., Васильев А.Н. Современные аспекты герпесвирусной инфекции. М.: Спецкнига. 2012:128.</mixed-citation><mixed-citation xml:lang="en">Karzhas N.V., Malyshev N.A., Rybalkina T.N., Kalugina M.YU., Bosh'yan R.E., Kisteneva L.B., Mazankova L.N., Vyzhlova E.N., Vasil'ev A.N. Modern aspects of herpes virus infection. M.: Speckniga. 2012:128. (In Russ.)</mixed-citation></citation-alternatives></ref><ref id="cit2"><label>2</label><citation-alternatives><mixed-citation xml:lang="ru">Guerra B., Simonazzi G., Puccetti C., Lanari M., Farina A., Lazzarotto T., et al. Ultrasound prediction of symptomatic congenital cytomegalovirus infection. Am J Obstet Gynecol. 2008;198:380. doi: 10.1016/j.ajog.2007.09.052.</mixed-citation><mixed-citation xml:lang="en">Guerra B., Simonazzi G., Puccetti C., Lanari M., Farina A., Lazzarotto T., et al. Ultrasound prediction of symptomatic congenital cytomegalovirus infection. Am J Obstet Gynecol. 2008;198:380. doi: 10.1016/j.ajog.2007.09.052.</mixed-citation></citation-alternatives></ref><ref id="cit3"><label>3</label><citation-alternatives><mixed-citation xml:lang="ru">Rawlinson W.D., Boppana S.B., Fowler K.B., Kimberlin D.W., Lazzarotto T., Alain S., Daly K., Doutré S., Gibson L., Giles M.L., Greenlee J., Hamilton S.T., Harrison G.J., Hui L., Jones C.A., Palasanthiran P., Schleiss M.R., Shand A.W., van Zuylen W.J. Congenital cytomegalovirus infection in pregnancy and the neonate: consensus recommendations for prevention, diagnosis, and therapy. Lancet Infect Dis. 2017; 17(6):177—188. https://doi.org/10.1016/S1473-3099(17)30143-3</mixed-citation><mixed-citation xml:lang="en">Rawlinson W.D., Boppana S.B., Fowler K.B., Kimberlin D.W., Lazzarotto T., Alain S., Daly K., Doutré S., Gibson L., Giles M.L., Greenlee J., Hamilton S.T., Harrison G.J., Hui L., Jones C.A., Palasanthiran P., Schleiss M.R., Shand A.W., van Zuylen W.J. Congenital cytomegalovirus infection in pregnancy and the neonate: consensus recommendations for prevention, diagnosis, and therapy. Lancet Infect Dis. 2017; 17(6):177—188. https://doi.org/10.1016/S1473-3099(17)30143-3</mixed-citation></citation-alternatives></ref><ref id="cit4"><label>4</label><citation-alternatives><mixed-citation xml:lang="ru">Joseph B. Cantey. Neonatal Infections. Pathophysiology, Diagnosis, and Management. Springer. 2018:255. https://doi.org/10.1007/978-3-319-90038-4</mixed-citation><mixed-citation xml:lang="en">Joseph B. Cantey. Neonatal Infections. Pathophysiology, Diagnosis, and Management. Springer. 2018:255. https://doi.org/10.1007/978-3-319-90038-4</mixed-citation></citation-alternatives></ref><ref id="cit5"><label>5</label><citation-alternatives><mixed-citation xml:lang="ru">Tanimura K., Yamada H. Maternal and neonatal screening methods for congenital cytomegalovirus infection. J Obstet Gynecol. 2019; 45(3):514—521. doi: 10.1111/jog.13889.</mixed-citation><mixed-citation xml:lang="en">Tanimura K., Yamada H. Maternal and neonatal screening methods for congenital cytomegalovirus infection. J Obstet Gynecol. 2019; 45(3):514—521. doi: 10.1111/jog.13889.</mixed-citation></citation-alternatives></ref><ref id="cit6"><label>6</label><citation-alternatives><mixed-citation xml:lang="ru">Khalil A., Heath P., Jones C., Soe A., Ville Y.G. on behalf of the Royal College of Obstetricians and Gynaecologists. Congenital Cytomegalovirus Infection: Update on Treatment: Scientific Impact Paper No. 56. BJOG. 2018; 125(1):e1-e1. doi: 10.1111/1471-0528.14836</mixed-citation><mixed-citation xml:lang="en">Khalil A., Heath P., Jones C., Soe A., Ville Y.G. on behalf of the Royal College of Obstetricians and Gynaecologists. Congenital Cytomegalovirus Infection: Update on Treatment: Scientific Impact Paper No. 56. BJOG. 2018; 125(1):e1-e1. doi: 10.1111/1471-0528.14836</mixed-citation></citation-alternatives></ref><ref id="cit7"><label>7</label><citation-alternatives><mixed-citation xml:lang="ru">Walston F., Devitt K. Mc., Walter S., Luck S. Clinical Guideline: Diagnosis and Management of Congenital Cytomegalovirus. 2017.</mixed-citation><mixed-citation xml:lang="en">Walston F., Devitt K. Mc., Walter S., Luck S. Clinical Guideline: Diagnosis and Management of Congenital Cytomegalovirus. 2017.</mixed-citation></citation-alternatives></ref><ref id="cit8"><label>8</label><citation-alternatives><mixed-citation xml:lang="ru">Prince H.E., Lape-Nixon M. Role of cytomegalovirus (CMV) IgG avidity testing in diagnosing primary CMV infection during pregnancy. Clin Vaccine Immunol. 2014. 21:1377—1384. doi: 10.1128/CVI.00487-14</mixed-citation><mixed-citation xml:lang="en">Prince H.E., Lape-Nixon M. Role of cytomegalovirus (CMV) IgG avidity testing in diagnosing primary CMV infection during pregnancy. Clin Vaccine Immunol. 2014. 21:1377—1384. doi: 10.1128/CVI.00487-14</mixed-citation></citation-alternatives></ref><ref id="cit9"><label>9</label><citation-alternatives><mixed-citation xml:lang="ru">Tanimura K., Tairaku S., Morioka I. et al. Universal screening with use of immunoglobulin G avidity for congenital cytomegalovirus infection. Clin Infect Dis. 2017; 65:1652—1658. doi: 10.1093/cid/cix621.</mixed-citation><mixed-citation xml:lang="en">Tanimura K., Tairaku S., Morioka I. et al. Universal screening with use of immunoglobulin G avidity for congenital cytomegalovirus infection. Clin Infect Dis. 2017; 65:1652—1658. doi: 10.1093/cid/cix621.</mixed-citation></citation-alternatives></ref><ref id="cit10"><label>10</label><citation-alternatives><mixed-citation xml:lang="ru">Заплатников А.Л., Шахгильдян В.И., Подзолкова Н.М., Ефимов М.С., Шипулина О.Ю., Карасева Л.Н., Подкопаев В.Н., Домонова Э.А., Дементьев А.А., Чабаидзе Ж.Л. Возможно ли предупредить последствия врожденной цитомегаловирусной инфекции? (взгляд акушера-гинеколога, инфекциониста и неонатолога). Русский медицинский журнал. Медицинское обозрение. 2018; 2(10): 45—50.</mixed-citation><mixed-citation xml:lang="en">Zaplatnikov A.L., Shakhgildyan V.I., Podzolkova N.M., Efimov M.S., Shipulina O.Yu., Karaseva L.N., Podkopaev V.N., Domonova E.A., Dementiev A .A., Chabaidze J.L. Is it possible to prevent the consequences of congenital cytomegalovirus infection? (view of an obstetrician-gynecologist, infectious disease specialist and neonatologist). Russkiy Meditsinskiy Zhurnal. Meditsinskoye Obozreniye. 2018; 2 (10):45—50. (in Russ.)</mixed-citation></citation-alternatives></ref><ref id="cit11"><label>11</label><citation-alternatives><mixed-citation xml:lang="ru">Кочкина С.С., Ситникова Е.П. Особенности цитомегаловирусной инфекции: обзор литературы. Доктор.Ру. 2016; 6(123): 62—67.</mixed-citation><mixed-citation xml:lang="en">Kochkina S.S , E.P. Sitnikova. Specific Features of Cytomegalovirus Infection: Literature Review. Doctor.Ru. 2016; 6(123):62—67 (in Russ.)</mixed-citation></citation-alternatives></ref><ref id="cit12"><label>12</label><citation-alternatives><mixed-citation xml:lang="ru">Lim Y., Lyall H. Congenital cytomegalovirus − who, when, what-with and why to treat? Journal of Infection. 2017; 74:S89—S94. doi: 10.1016/S0163-4453(17)30197-42017</mixed-citation><mixed-citation xml:lang="en">Lim Y., Lyall H. Congenital cytomegalovirus − who, when, what-with and why to treat? Journal of Infection. 2017; 74:S89—S94. doi: 10.1016/S0163-4453(17)30197-42017</mixed-citation></citation-alternatives></ref><ref id="cit13"><label>13</label><citation-alternatives><mixed-citation xml:lang="ru">Gantt S., Bitnun A., Renaud C., Kakkar F., Vaudry W. Diagnosis and management of infants with congenital cytomegalovirus infection. Paediatr Child Health. 2017; 22(2):72—74. doi: 10.1093/pch/pxx002.</mixed-citation><mixed-citation xml:lang="en">Gantt S., Bitnun A., Renaud C., Kakkar F., Vaudry W. Diagnosis and management of infants with congenital cytomegalovirus infection. Paediatr Child Health. 2017; 22(2):72—74. doi: 10.1093/pch/pxx002.</mixed-citation></citation-alternatives></ref><ref id="cit14"><label>14</label><citation-alternatives><mixed-citation xml:lang="ru">Folkins A.K., Chisholm K.M., Guo F.P., et al. Diagnosis of congenital CMV using PCR performed on formalin-fixed, paraffin-embedded placenatal tissue. Am J Surg Pathol. 2013; 37(9):1413—20. doi: 10.1097/PAS.0b013e318290f171</mixed-citation><mixed-citation xml:lang="en">Folkins A.K., Chisholm K.M., Guo F.P., et al. Diagnosis of congenital CMV using PCR performed on formalin-fixed, paraffin-embedded placenatal tissue. Am J Surg Pathol. 2013; 37(9):1413—20. doi: 10.1097/PAS.0b013e318290f171</mixed-citation></citation-alternatives></ref><ref id="cit15"><label>15</label><citation-alternatives><mixed-citation xml:lang="ru">Swanson E.C., Schleiss M.R. Congenital Cytomegalovirus Infection: New Prospects for Prevention and Therapy. Pediatr Clin North Am. 2013; 60(2): 335—349. doi: 10.1016/j.pcl.2012.12.008.</mixed-citation><mixed-citation xml:lang="en">Swanson E.C., Schleiss M.R. Congenital Cytomegalovirus Infection: New Prospects for Prevention and Therapy. Pediatr Clin North Am. 2013; 60(2): 335—349. doi: 10.1016/j.pcl.2012.12.008.</mixed-citation></citation-alternatives></ref><ref id="cit16"><label>16</label><citation-alternatives><mixed-citation xml:lang="ru">Townsend C.L., Forsgren M., Ahlfors K., Ivarsson S.A., Tookey P.A., Peckham C.S. Long-term Outcomes of Congenital Cytomegalovirus Infection in Sweden and the United Kingdom. Clinical Infectious Diseases. 2013; 56(9):1232—1239. DOI: 10.1093/cid/cit018.</mixed-citation><mixed-citation xml:lang="en">Townsend C.L., Forsgren M., Ahlfors K., Ivarsson S.A., Tookey P.A., Peckham C.S. Long-term Outcomes of Congenital Cytomegalovirus Infection in Sweden and the United Kingdom. Clinical Infectious Diseases. 2013; 56(9):1232—1239. DOI: 10.1093/cid/cit018.</mixed-citation></citation-alternatives></ref><ref id="cit17"><label>17</label><citation-alternatives><mixed-citation xml:lang="ru">Alarcon A., Martinez-Biarge M., Cabanas F., Hernanz A., Quero J., Garcia-Alix A. Clinical, Biochemical, and Neuroimaging Findings Predict Long-Term Neurodevelopmental Outcome in Symptomatic Congenital Cytomegalovirus Infection. J Pediatr. 2013; 163: 828—834. DOI: 10.1016/j.jpeds.2013.03.014.19.</mixed-citation><mixed-citation xml:lang="en">Alarcon A., Martinez-Biarge M., Cabanas F., Hernanz A., Quero J., Garcia-Alix A. Clinical, Biochemical, and Neuroimaging Findings Predict Long-Term Neurodevelopmental Outcome in Symptomatic Congenital Cytomegalovirus Infection. J Pediatr. 2013; 163: 828—834. DOI: 10.1016/j.jpeds.2013.03.014.19.</mixed-citation></citation-alternatives></ref><ref id="cit18"><label>18</label><citation-alternatives><mixed-citation xml:lang="ru">Duval M., Park A.H. Congenital cytomegalovirus: what the otolaryngologist should know. Curr Opin Otolaryngol Head Neck Surg. 2014; (22):495—500. doi: 10.1097/MOO.0000000000000104.</mixed-citation><mixed-citation xml:lang="en">Duval M., Park A.H. Congenital cytomegalovirus: what the otolaryngologist should know. Curr Opin Otolaryngol Head Neck Surg. 2014; (22):495—500. doi: 10.1097/MOO.0000000000000104.</mixed-citation></citation-alternatives></ref><ref id="cit19"><label>19</label><citation-alternatives><mixed-citation xml:lang="ru">Павлова М.В., Федорова Н.Е., Гаджиева З.С., Адиева А.А., Евстигнеева Ж.В., Щербо С.Н. и др. Алгоритм лабораторной диагностики врожденной цитомегаловирусной инфекции у недоношенных детей и влияние терапии вифероном на течение внутриутробных инфекций. Педиатрия. 2009; 87(2):55—62.</mixed-citation><mixed-citation xml:lang="en">Pavlova M.V., Fedorova N.E., Gadzhieva Z.S., Adieva A.A., Evstigneeva Zh.V., Shherbo S.N. et al. Algorithm of laboratory diagnosis of congenital cytomegalovirus infection in preterm infants and the effect of therapy with viferon intrauterine infections. Pediatrija. 2009; 87(2):55—62. (in Russ)</mixed-citation></citation-alternatives></ref><ref id="cit20"><label>20</label><citation-alternatives><mixed-citation xml:lang="ru">Ross S.A., Ahmed A., Palmer A.L., Michaels M.G., Sánchez P.J., Bernstein D.I. et al. Detection of Congenital Cytomegalovirus Infection by Real-Time Polymerase Chain Reaction Analysis of Saliva or Urine Specimens. The Journal of Infectious Diseases. 2014; 210: 1415—1418. DOI: 10.1093/infdis/jiu263.</mixed-citation><mixed-citation xml:lang="en">Ross S.A., Ahmed A., Palmer A.L., Michaels M.G., Sánchez P.J., Bernstein D.I. et al. Detection of Congenital Cytomegalovirus Infection by Real-Time Polymerase Chain Reaction Analysis of Saliva or Urine Specimens. The Journal of Infectious Diseases. 2014; 210: 1415—1418. DOI: 10.1093/infdis/jiu263.</mixed-citation></citation-alternatives></ref><ref id="cit21"><label>21</label><citation-alternatives><mixed-citation xml:lang="ru">Boppana S.B., Ross S.A., Shimamura M., Palmer A.L., Ahmed A., Michaels M.G. et al. Saliva polymerase-chain-reaction assay for cytomegalovirus screening in newborns. N Engl J Med. 2011; 364:2111—2118. DOI: 10.1056/NEJMoa1006561.</mixed-citation><mixed-citation xml:lang="en">Boppana S.B., Ross S.A., Shimamura M., Palmer A.L., Ahmed A., Michaels M.G. et al. Saliva polymerase-chain-reaction assay for cytomegalovirus screening in newborns. N Engl J Med. 2011; 364:2111—2118. DOI: 10.1056/NEJMoa1006561.</mixed-citation></citation-alternatives></ref><ref id="cit22"><label>22</label><citation-alternatives><mixed-citation xml:lang="ru">Lacker A., Acham A., Alborno T., Moser M., Engele H., Raggam R.B. et al. Effect on hearing of ganciclovir therapy for asymptomatic congenital cytomegalovirus infection: four to 10 year follow up. J Laryngol Otol. 2008; 30:1—6. DOI: 10.1017/S0022215108003162.</mixed-citation><mixed-citation xml:lang="en">Lacker A., Acham A., Alborno T., Moser M., Engele H., Raggam R.B. et al. Effect on hearing of ganciclovir therapy for asymptomatic congenital cytomegalovirus infection: four to 10 year follow up. J Laryngol Otol. 2008; 30:1—6. DOI: 10.1017/S0022215108003162.</mixed-citation></citation-alternatives></ref><ref id="cit23"><label>23</label><citation-alternatives><mixed-citation xml:lang="ru">Boppana S.B., Ross S.A., Fowler K.B. Congenital Cytomegalovirus Infection: Clinical Outcome. Clin Infect Dis. 2013; 57: S4: S178—181. DOI: 10.1093/cid/cit629.</mixed-citation><mixed-citation xml:lang="en">Boppana S.B., Ross S.A., Fowler K.B. Congenital Cytomegalovirus Infection: Clinical Outcome. Clin Infect Dis. 2013; 57: S4: S178—181. DOI: 10.1093/cid/cit629.</mixed-citation></citation-alternatives></ref><ref id="cit24"><label>24</label><citation-alternatives><mixed-citation xml:lang="ru">Koontz D., Baecher K., Amin M., Nikolova S., Gallagher M., Dollard S. Evaluation of DNA extraction methods for the detection of Cytomegalovirus in dried blood spots. J Clin Virol. 2015; 66:95—99. doi: 10.1016/j.jcv.2015.03.015</mixed-citation><mixed-citation xml:lang="en">Koontz D., Baecher K., Amin M., Nikolova S., Gallagher M., Dollard S. Evaluation of DNA extraction methods for the detection of Cytomegalovirus in dried blood spots. J Clin Virol. 2015; 66:95—99. doi: 10.1016/j.jcv.2015.03.015</mixed-citation></citation-alternatives></ref><ref id="cit25"><label>25</label><citation-alternatives><mixed-citation xml:lang="ru">Marsico C., Kimberlin D.W. Congenital Cytomegalovirus infection: advances and challenges in diagnosis, prevention and treatment. Ital J Pediatr. 2017; 43:38. doi: 10.1186/s13052017-0358-8.</mixed-citation><mixed-citation xml:lang="en">Marsico C., Kimberlin D.W. Congenital Cytomegalovirus infection: advances and challenges in diagnosis, prevention and treatment. Ital J Pediatr. 2017; 43:38. doi: 10.1186/s13052017-0358-8.</mixed-citation></citation-alternatives></ref><ref id="cit26"><label>26</label><citation-alternatives><mixed-citation xml:lang="ru">Балашова Е.Н., Баранов И. И., Вайнштейн Н. П., Васильев В.В., Володин Н. Н., Дегтярев Д.Н., Дегтярева М.В., Зубков В.В., Иванова А.А., Игнатко И.B., Ионов О.В., Карпова А.Л., Кузьмин В.Н., Курцер М.А., Лобзин Ю.В., Малютина Л.B., Никонов А.П., Овсянников Д.Ю., Панкратьева Л.Л., Савенкова М.С., Серов В.Н., Сенькевич О.А., Шабалов Н.П., Шахгильдян В.И. Проект клинических рекомендаций «Врожденная цитомегаловирусная инфекция». 2019 г.</mixed-citation><mixed-citation xml:lang="en">Balashova E.N., Baranov I.I., Weinstein N.P., Vasiliev V.V., Volodin N.N., Degtyarev D.N., Degtyareva M.V., Zubkov V.V., Ivanova A.A., Ignatko I.B., Ionov O.V., Karpova A.L., Kuzmin V.N., Kurtser M.A., Lobzin Yu.V., Malyutina L.B., Nikonov A.P., Ovsyannikov D.Yu., Pankratieva L.L., Savenkova M.S., Serov V.N., Senkevich O.A., Shabalov N.P., Shakhgildyan V.I. Draft Clinical Guidelines Congenital Cytomegalovirus Infection. 2019. (in Russ.)</mixed-citation></citation-alternatives></ref><ref id="cit27"><label>27</label><citation-alternatives><mixed-citation xml:lang="ru">Blázquez-Gamero D., Galindo Izquierdo A., Del Rosal T., BaqueroArtigao F., Izquierdo Méndez N., Soriano-Ramos M., Rojo Conejo P., González-Tomé M.I., García-Burguillo A., Pérez Pérez N., Sánchez V., Ramos-Amador J.T., De la Calle M. Prevention and treatment of fetal cytomegalovirus infection with cytomegalovirus hyperimmune globulin: a multicenter study in Madrid. J Matern Fetal Neonatal Med. 2019 Feb; 32(4):617—625. doi: 10.1080/14767058.2017.1387890</mixed-citation><mixed-citation xml:lang="en">Blázquez-Gamero D., Galindo Izquierdo A., Del Rosal T., BaqueroArtigao F., Izquierdo Méndez N., Soriano-Ramos M., Rojo Conejo P., González-Tomé M.I., García-Burguillo A., Pérez Pérez N., Sánchez V., Ramos-Amador J.T., De la Calle M. Prevention and treatment of fetal cytomegalovirus infection with cytomegalovirus hyperimmune globulin: a multicenter study in Madrid. J Matern Fetal Neonatal Med. 2019 Feb; 32(4):617—625. doi: 10.1080/14767058.2017.1387890</mixed-citation></citation-alternatives></ref><ref id="cit28"><label>28</label><citation-alternatives><mixed-citation xml:lang="ru">Revello M.G., Lazzarotto T., Guerra B., et al.,CHIP Study Group. A randomizedtrial of hyperimmune globulin to prevent congenital cytomegalovirus. N Engl JMed. 2014; 370:1316—1326. doi: 10.1056/NEJMoa1310214.</mixed-citation><mixed-citation xml:lang="en">Revello M.G., Lazzarotto T., Guerra B., et al.,CHIP Study Group. A randomizedtrial of hyperimmune globulin to prevent congenital cytomegalovirus. N Engl JMed. 2014; 370:1316—1326. doi: 10.1056/NEJMoa1310214.</mixed-citation></citation-alternatives></ref><ref id="cit29"><label>29</label><citation-alternatives><mixed-citation xml:lang="ru">Khalila A., Jonesb C. and Villec Y. Congenital cytomegalovirus infection: management update. Curr Opin Infect Dis. 2017, 30: 000—000. DOI:10.1097/QCO.0000000000000368</mixed-citation><mixed-citation xml:lang="en">Khalila A., Jonesb C. and Villec Y. Congenital cytomegalovirus infection: management update. Curr Opin Infect Dis. 2017, 30: 000—000. DOI:10.1097/QCO.0000000000000368</mixed-citation></citation-alternatives></ref><ref id="cit30"><label>30</label><citation-alternatives><mixed-citation xml:lang="ru">Coleman J.L., Steele R. Preventing Congenital Cytomegalovirus Infection. Clin Pediatr (Phila). 2017; (12):1085—1094. doi: 10.1177/0009922817724400</mixed-citation><mixed-citation xml:lang="en">Coleman J.L., Steele R. Preventing Congenital Cytomegalovirus Infection. Clin Pediatr (Phila). 2017; (12):1085—1094. doi: 10.1177/0009922817724400</mixed-citation></citation-alternatives></ref><ref id="cit31"><label>31</label><citation-alternatives><mixed-citation xml:lang="ru">Luck S.E., Wieringa J.W., Blázquez-Gamero D., Henneke P., Schuster K., Butler K., Capretti M.G., Cillerelo M.J., Curtis N., Garofoli F., Heath P., Iosifidis E., Klein N., Lombardi G., Lyall H., Nieminen T., Pajkrt D., Papaevangelou V., Posfay-Barbe K., Puhakka L., Roilides E., Rojo P., Saavedra-Lozano J., Shah T., Sharland M., Saxen H., Vossen ACTM; ESPID Congenital CMV Group Meeting. Congenital Cytomegalovirus: A European Expert Consensus Statement on Diagnosis and Management. Pediatr Infect Dis J. 2017 Dec; 36(12):1205—1213. doi: 10.1097/INF.0000000000001763.</mixed-citation><mixed-citation xml:lang="en">Luck S.E., Wieringa J.W., Blázquez-Gamero D., Henneke P., Schuster K., Butler K., Capretti M.G., Cillerelo M.J., Curtis N., Garofoli F., Heath P., Iosifidis E., Klein N., Lombardi G., Lyall H., Nieminen T., Pajkrt D., Papaevangelou V., Posfay-Barbe K., Puhakka L., Roilides E., Rojo P., Saavedra-Lozano J., Shah T., Sharland M., Saxen H., Vossen ACTM; ESPID Congenital CMV Group Meeting. Congenital Cytomegalovirus: A European Expert Consensus Statement on Diagnosis and Management. Pediatr Infect Dis J. 2017 Dec; 36(12):1205—1213. doi: 10.1097/INF.0000000000001763.</mixed-citation></citation-alternatives></ref><ref id="cit32"><label>32</label><citation-alternatives><mixed-citation xml:lang="ru">Capretti M.G., Marsico C., Guidelli Guidi S., Ciardella A., Simonazzi G., Galletti S., Gabrielli L., Lazzarotto T., Faldella G. Neonatal and long-term ophthalmological findings in infants with symptomatic and asymptomatic congenital cytomegalovirus infection. J Clin Virol. 2017; 97:59—63. https://doi.org/10.1016/j.jcv.2017.11.001</mixed-citation><mixed-citation xml:lang="en">Capretti M.G., Marsico C., Guidelli Guidi S., Ciardella A., Simonazzi G., Galletti S., Gabrielli L., Lazzarotto T., Faldella G. Neonatal and long-term ophthalmological findings in infants with symptomatic and asymptomatic congenital cytomegalovirus infection. J Clin Virol. 2017; 97:59—63. https://doi.org/10.1016/j.jcv.2017.11.001</mixed-citation></citation-alternatives></ref><ref id="cit33"><label>33</label><citation-alternatives><mixed-citation xml:lang="ru">Кытикова О.Ю., Новгородцева Т.П., Петрова К.С. Патофизиологические механизмы повреждающего действия цитомегаловирусной инфекции при беременности. Бюллетень. 2017; 66: 98—107.</mixed-citation><mixed-citation xml:lang="en">Kytikova O.Yu., Novgorodtseva T.P., Petrova K.S. Pathophysiological mechanisms of damaging action of cytomegalovirus infection in pregnancy. Byulleten'. 2017; 66:98—107. (in Russ.) doi.org/10.12737/article_5a24deeb62a6d3.05279802</mixed-citation></citation-alternatives></ref><ref id="cit34"><label>34</label><citation-alternatives><mixed-citation xml:lang="ru">Coll O., Benoist G., Ville Y., Weisman L.E., Botet F., Anceschi M.M., Greenough A., Gibbs R.S., Carbonell-Estrany X.; SA Maternal, Neonatal &amp; Gynaecology Community of Practice. South Australian Perinatal Practice Guideline Cytomegalovirus, 2013. WAPM Perinatal Infections Working Group. Guidelines on CMV congenital infection. J Perinat Med. 2009; 37(5):433—45. doi: 10.1515/JPM.2009.127.</mixed-citation><mixed-citation xml:lang="en">Coll O., Benoist G., Ville Y., Weisman L.E., Botet F., Anceschi M.M., Greenough A., Gibbs R.S., Carbonell-Estrany X.; SA Maternal, Neonatal &amp; Gynaecology Community of Practice. South Australian Perinatal Practice Guideline Cytomegalovirus, 2013. WAPM Perinatal Infections Working Group. Guidelines on CMV congenital infection. J Perinat Med. 2009; 37(5):433—45. doi: 10.1515/JPM.2009.127.</mixed-citation></citation-alternatives></ref><ref id="cit35"><label>35</label><citation-alternatives><mixed-citation xml:lang="ru">Coll O., Benoist G., Ville Y., Weisman L.E., Botet F., Anceschi M.M., Greenough A., Gibbs R.S., Carbonell-Estrany X.; WAPM Perinatal Infections Working Group. Guidelines on CMV congenital infection. J Perinat Med. 2009; 37(5):433—45. doi: 10.1515/JPM.2009.127.</mixed-citation><mixed-citation xml:lang="en">Coll O., Benoist G., Ville Y., Weisman L.E., Botet F., Anceschi M.M., Greenough A., Gibbs R.S., Carbonell-Estrany X.; WAPM Perinatal Infections Working Group. Guidelines on CMV congenital infection. J Perinat Med. 2009; 37(5):433—45. doi: 10.1515/JPM.2009.127.</mixed-citation></citation-alternatives></ref><ref id="cit36"><label>36</label><citation-alternatives><mixed-citation xml:lang="ru">John S. Bradley et al. Nelson’s Pediatric Antimicrobial Therapy 25th Edition, 2019.</mixed-citation><mixed-citation xml:lang="en">John S. Bradley et al. Nelson’s Pediatric Antimicrobial Therapy 25th Edition, 2019.</mixed-citation></citation-alternatives></ref><ref id="cit37"><label>37</label><citation-alternatives><mixed-citation xml:lang="ru">Karen B. Fowler, DrPHab, and Suresh B. Boppana, MDac. Congenital cytomegalovirus infection. Seminars in Perinatology. April 2018, 42(3):149—154. https://doi.org/10.1053/j.semperi.2018.02.002</mixed-citation><mixed-citation xml:lang="en">Karen B. Fowler, DrPHab, and Suresh B. Boppana, MDac. Congenital cytomegalovirus infection. Seminars in Perinatology. April 2018, 42(3):149—154. https://doi.org/10.1053/j.semperi.2018.02.002</mixed-citation></citation-alternatives></ref><ref id="cit38"><label>38</label><citation-alternatives><mixed-citation xml:lang="ru">Nigro G. Hyperimmune globulin in pregnancy for the prevention of congenital cytomegalovirus disease. Expert Rev Anti Infect Ther. 2017; 15(11):977—986. https://doi.org/10.1080/14787210.2017.1398081</mixed-citation><mixed-citation xml:lang="en">Nigro G. Hyperimmune globulin in pregnancy for the prevention of congenital cytomegalovirus disease. Expert Rev Anti Infect Ther. 2017; 15(11):977—986. https://doi.org/10.1080/14787210.2017.1398081</mixed-citation></citation-alternatives></ref><ref id="cit39"><label>39</label><citation-alternatives><mixed-citation xml:lang="ru">David W. Kimberlin, MD, FAAP, Michael T. Brady, MD, FAAP, Mary Ann Jackson, MD, FAAP and Sarah S. Long, MD. Red Book, 30th Edition (2015). Report of the Committee on Infectious Diseases, 30th Edition. 2015.</mixed-citation><mixed-citation xml:lang="en">David W. Kimberlin, MD, FAAP, Michael T. Brady, MD, FAAP, Mary Ann Jackson, MD, FAAP and Sarah S. Long, MD. Red Book, 30th Edition (2015). Report of the Committee on Infectious Diseases, 30th Edition. 2015.</mixed-citation></citation-alternatives></ref><ref id="cit40"><label>40</label><citation-alternatives><mixed-citation xml:lang="ru">Yinon Y., Farine D., Yudin MH. Screening, Diagnosis, and Management of Cytomegalovirus Infection in Pregnancy. Obstet Gynecol Surv. 2010; 65(11):736—43. https://doi.org/10.1097/OGX.0b013e31821102b4</mixed-citation><mixed-citation xml:lang="en">Yinon Y., Farine D., Yudin MH. Screening, Diagnosis, and Management of Cytomegalovirus Infection in Pregnancy. Obstet Gynecol Surv. 2010; 65(11):736—43. https://doi.org/10.1097/OGX.0b013e31821102b4</mixed-citation></citation-alternatives></ref><ref id="cit41"><label>41</label><citation-alternatives><mixed-citation xml:lang="ru">Amir J., Attias J., Pardo J. Treatment of late-onset hearing loss in infants with congenital cyto-megalovirus infection. Clin Pediatr (Phila). 2014; 53(5):444—8. doi: 10.1177/0009922813510204</mixed-citation><mixed-citation xml:lang="en">Amir J., Attias J., Pardo J. Treatment of late-onset hearing loss in infants with congenital cyto-megalovirus infection. Clin Pediatr (Phila). 2014; 53(5):444—8. doi: 10.1177/0009922813510204</mixed-citation></citation-alternatives></ref><ref id="cit42"><label>42</label><citation-alternatives><mixed-citation xml:lang="ru">del Rosal T, Baquero-Artigao F, Blázquez D, et al. Treatment of symptomatic congenital cytomeg-alovirus infection beyond the neonatal period. J Clin Virol. 2012; 55(1):72—4. doi: 10.1016/j.jcv.2012.06.001.</mixed-citation><mixed-citation xml:lang="en">del Rosal T, Baquero-Artigao F, Blázquez D, et al. Treatment of symptomatic congenital cytomeg-alovirus infection beyond the neonatal period. J Clin Virol. 2012; 55(1):72—4. doi: 10.1016/j.jcv.2012.06.001.</mixed-citation></citation-alternatives></ref><ref id="cit43"><label>43</label><citation-alternatives><mixed-citation xml:lang="ru">Ohyama S., Morioka I., Fukushima S., Yamana K., Nishida K., Iwatani S., Fujioka K., Matsumoto H., Imanishi T., Nakamachi Y., Deguchi M., Tanimura K., Iijima K., Yamada H. Efficacy of Valganciclovir Treatment Depends on the Severity of Hearing Dysfunction in Symptomatic Infants with Congenital Cytomegalovirus Infection. Int J Mol Sci. 2019; 20(6). doi: 10.3390/ijms20061388.</mixed-citation><mixed-citation xml:lang="en">Ohyama S., Morioka I., Fukushima S., Yamana K., Nishida K., Iwatani S., Fujioka K., Matsumoto H., Imanishi T., Nakamachi Y., Deguchi M., Tanimura K., Iijima K., Yamada H. Efficacy of Valganciclovir Treatment Depends on the Severity of Hearing Dysfunction in Symptomatic Infants with Congenital Cytomegalovirus Infection. Int J Mol Sci. 2019; 20(6). doi: 10.3390/ijms20061388.</mixed-citation></citation-alternatives></ref><ref id="cit44"><label>44</label><citation-alternatives><mixed-citation xml:lang="ru">Kimberlin D.W., Jester P.M., Sanchez P.J., et al. Valganciclovir for symptomatic congenital cytomegalo-virus disease. N Engl J Med. 2015; 372:933-943. Doi: 10.1056/NEJMoa1404599.</mixed-citation><mixed-citation xml:lang="en">Kimberlin D.W., Jester P.M., Sanchez P.J., et al. Valganciclovir for symptomatic congenital cytomegalo-virus disease. N Engl J Med. 2015; 372:933-943. Doi: 10.1056/NEJMoa1404599.</mixed-citation></citation-alternatives></ref><ref id="cit45"><label>45</label><citation-alternatives><mixed-citation xml:lang="ru">Mocarski E.S. Jr., Shenk T., Pass R.F. Cytomegaloviruses. In: Knipe D., Howley P. (eds.) Fields Virology, 5th ed. Philadelphia: Lippincott, Williams &amp; Wilkins. 2007: 2702—2772.</mixed-citation><mixed-citation xml:lang="en">Mocarski E.S. Jr., Shenk T., Pass R.F. Cytomegaloviruses. In: Knipe D., Howley P. (eds.) Fields Virology, 5th ed. Philadelphia: Lippincott, Williams &amp; Wilkins. 2007: 2702—2772.</mixed-citation></citation-alternatives></ref><ref id="cit46"><label>46</label><citation-alternatives><mixed-citation xml:lang="ru">Баранова И.П., Карнеева Ж.Н. Структура поражений нервной системы у детей с врожденной цитомегаловирусной инфекцией и их динамика на фоне противовирусной терапии. The Unity of Science. 2017; 2:111—113.</mixed-citation><mixed-citation xml:lang="en">Baranova I.P., Karneeva Zh.N. The structure of the damage to the nervous system in children with congenital cytomegalovirus infection and their dynamics on the background of antiviral therapy. The Unity of Science. 2017; 2:111—113. (in Russ.)</mixed-citation></citation-alternatives></ref><ref id="cit47"><label>47</label><citation-alternatives><mixed-citation xml:lang="ru">Gerna G., Lilleri D. Human cytomegalovirus (HCMV) infection/reinfection: development of a protective HCMV vaccine. New Microbiol. 2019; 42(1):1—20.</mixed-citation><mixed-citation xml:lang="en">Gerna G., Lilleri D. Human cytomegalovirus (HCMV) infection/reinfection: development of a protective HCMV vaccine. New Microbiol. 2019; 42(1):1—20.</mixed-citation></citation-alternatives></ref><ref id="cit48"><label>48</label><citation-alternatives><mixed-citation xml:lang="ru">Adler SP., Lewis N., Conlon A., Christiansen MP., Al-Ibrahim M., Rupp R., Fu TM., Bautista O., Tang H., Wang D., Fisher A., Culp T., Das R., Beck K., Tamms G., Musey L.; V160-001 Study Group. Phase 1 Clinical Trial of a Conditionally Replication-Defective Human Cytomegalovirus (CMV) Vaccine in CMV-Seronegative Subjects. J Infect Dis. 2019; 2; 220(3):411—419. doi:10.1093/infdis/jiz141</mixed-citation><mixed-citation xml:lang="en">Adler SP., Lewis N., Conlon A., Christiansen MP., Al-Ibrahim M., Rupp R., Fu TM., Bautista O., Tang H., Wang D., Fisher A., Culp T., Das R., Beck K., Tamms G., Musey L.; V160-001 Study Group. Phase 1 Clinical Trial of a Conditionally Replication-Defective Human Cytomegalovirus (CMV) Vaccine in CMV-Seronegative Subjects. J Infect Dis. 2019; 2; 220(3):411—419. doi:10.1093/infdis/jiz141</mixed-citation></citation-alternatives></ref><ref id="cit49"><label>49</label><citation-alternatives><mixed-citation xml:lang="ru">Davis N.L., King C.C., Kourtis A.P. Cytomegalovirus infection in pregnancy. Birth Defects Res. 2017 Mar 15; 109(5):336—346. doi:10.1002/bdra.23601</mixed-citation><mixed-citation xml:lang="en">Davis N.L., King C.C., Kourtis A.P. Cytomegalovirus infection in pregnancy. Birth Defects Res. 2017 Mar 15; 109(5):336—346. doi:10.1002/bdra.23601</mixed-citation></citation-alternatives></ref></ref-list><fn-group><fn fn-type="conflict"><p>The authors declare that there are no conflicts of interest present.</p></fn></fn-group></back></article>
