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OPTIMIZATION OF DIAGNOSIS OF CYTOMEGALOVIRUS INFECTION IN YOUNG CHILDREN

https://doi.org/10.22627/2072-8107-2018-17-3-51-56

Abstract

The results of a laboratory examination of 520 children aged 1—3 years are presented. The examination was conducted to determine the DNA of cytomegalovirus in children with acute cytomegalovirus infection in various biological media by polymerase chain reaction. The differences in the virus shedding  into the blood, saliva, and urine are established: the median of the viral load for saliva is 4.9 lg copies of DNA/ml, the blood 3.4 lg copies of DNA/ml, urine — 3.85 lg copies of DNA/ml. The cut of extreme values of the viral load are determined with the help of mathematical modeling which determine the clinical probability of developing acute CMV infection which allows for more accurate and timely assignment of etiotropic therapy.

About the Authors

A. V. Permyakova
Perm Medical State University named after E.A. Wagner
Russian Federation
Perm.


N. S. Pospelova
Perm Medical State University named after E.A. Wagner
Russian Federation
Perm.


I. I. Lvova
Perm Medical State University named after E.A. Wagner
Russian Federation
Perm.


References

1. Dolgikh, T.I. Dolmatov V.Z., Gashina E.А.Epidemiological aspects of cytomegalovirus infection in children of the first year. Zhurnal Mikrobiologii, Epidemiologii i Immunologii. 2004; 5: 26—3.(In Russ.).

2. Karazhas N.V., Rybalkina T.N., Evseeva L.F. Cytomegalovirus infection in pregnant and newborns. Аktual'nye voprosy ehpidemiologii, dermatologii, infektsionnykh boleznej: collection of scientific papers. 2002; 188—190. (In Russ.).

3. Rubin R. H. The pathogenesis and clinical management of cytomegalovirus infection in the organ transplant recipient: theendofthe «silohypothesis». Curr. Opin. Infect. Dis., 2007, 20(4): 399—407.

4. Legotina N.S., L'vova I.I., Derjusheva A.V. Мethod of estimating efficiency of therapy of chronic cytomegaloviral infection in children. Russian Federation, patent № 2566074.20.10.2015. (In Russ).

5. Karazhas N.V., Malyshev H.A., Rybalkina T.N., Kalugina M.YU, Bosh'yan P.E. Kisteneva L.B., Cheshik S.G., Mazankova L.N. Herpesvirus infections in children (epidemiology, clinic, diagnosis, treatment and prevention): a method. recommendations: M.Speckniga, 2007:28. (In Russ.).

6. Stagno S., Reynolds D.W., Tsiantos A., Fuccillo D.A., Long W., Alford C.A. Comparative serial virologic and serologic studies of symptomatic and subclinical congenitally and natally acquired cytomegalovirus infections. J Infect Dis.1975; 132:568—77.

7. Walter S., Atkinson C., Sharland M., Rice P., Raglan E., Emery V.C. Congenital cytomegalovirus: association between dried blood spot viral load and hearing loss. Arch Dis Child Fetal Neonatal Ed. 2008; 93:280—5. DOI: 1.1136/adc.2007.119230.

8. Manal F., David M., Martha F., Jeffrey M. Severe late-onset multisystem cytomegalovirus infection in a premature neonate previously treated for congenital infection. BMC Pediatrics. 2013; 13: 142.

9. Waters A., Jennings K., Fitzpatrick E., Coughlan S., Molloy E.J., De Gascun C.F. Incidence of congenital cytomegalovirus infection in Ireland: implications for screening and diagnosis. J ClinVirol. 2014; 59:156—160.

10. Nijman J., van Loon A.M., de Vries L.S., Koopman-Esseboom C., Groenendaal F., Uiterwaal C.S.,Verboon-Maciolek M. A.Urine viral load and correlation with disease severity in infants with congenital or postnatal cytomegalovirus infection. J Clin Virol. 2012; 54(2):121—24. DOI:10.1016/j.jcv.2012.02.017.

11. Klimova R.R., Okolisheva N.V., Chochev E.V., Tulenev Y.A., Kisteneva L.B., Malinovskaya V.V., Kusch A.A. The frequency of detection of herpesvirus infections in frequently ill children with acute respiratory infections and their influence on disease severity. Pediatriya. 2014; 93: (1): 44—49. (in Russ).

12. Okolisheva N.V., Kisteneva L.B., Vishlova E.N., Malinovskaya V.V., Cheshik S.G., Parfenov V.V. et al. The influence of viferon therapy on virological and clinico-immunological characteristics in children of early age with acute respiratory viral infection. Ross Vestn Perinatol i Pediatr. 2015; 60: (2): 78—86. (in Russ).

13. Peres Renata M.B., Cláudia R.C. Costa, Paula D. Andrade, Sandra H.A. Bonon, Dulcinéia M. Albuquerque, Cristiane de Oliveira, Vigorito C.A., Aranha Francisco J.P,. Souza A. de Cármino, Costa C.B. Sandra. Surveillance of active human cytomegalovirus infection in hematopoietic stem cell transplantation (HLA sibling identical donor): search for optimal cutoff value by real-time PCR. BMC infectious diseases. 2010;10: 147. DOI: 10,1186/1471-2334-10-147.

14. Martin-Gandul C., Perez-Romero P., Sanchez M., Bernal G., Suárez G., Sobrino M.,Merino L., Cisneros J.M., Cordero E. Determination, validation and standardization of a CMV DNA cut-off value in plasma for preemptive treatment of CMV infection in solid organ transplant recipients at lower risk for CMV infection. J. Clin. Virol. 2013; 56 (1): 13—18. DOI: 10.1016/j.jcv.2012.09.017.


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For citations:


Permyakova A.V., Pospelova N.S., Lvova I.I. OPTIMIZATION OF DIAGNOSIS OF CYTOMEGALOVIRUS INFECTION IN YOUNG CHILDREN. CHILDREN INFECTIONS. 2018;17(3):51-56. (In Russ.) https://doi.org/10.22627/2072-8107-2018-17-3-51-56

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ISSN 2072-8107 (Print)
ISSN 2618-8139 (Online)