Diagnosis of Congenital Cytomegalovirus Infection in Newborn With Particular Risk

Central Hospital, Nancy, France479 enrolled

Overview

Congenital CMV infection is the leading cause of non-genetic deafness and neurodevelopmental disorders. Its prevalence in France is estimated between 0.3% and 1% of births depending on the study. Congenital infection is symptomatic in 10% of cases with a large clinical spectrum with different degree of severity. These sequelae develop progressively and fluctuate, which justifies prolonged follow-up of children for several years, even if they are asymptomatic at birth. There is yet no treatment with AMM in neonates or pregnant women. In France, screening for congenital CMV infection is widely debated. It remains oriented to certain newborns considered at risk or depending on their symptoms and varies with the practices of each Neonatology or Maternity Hospital. In the Regional Maternity of Nancy, a new screening protocol for congenital CMV infection was implemented from early 2019. It is based on screening by non-invasive salivary test (CMV PCR) in newborns at particular risk who are included in a registry open for this screening. The aim of this research was to assess the relevance of the proposed criteria in the Protocol for defining a population at risk of congenital CMV infection thus qualifying for CMV screening. The secondary endpoints are the modalities of the screening test, the evaluation of each risk factor for infection, and the study of affected patients (symptoms, therapeutic intervention, neurological and auditory outcome).

Study Type

OBSERVATIONAL

Enrollment

479

Conditions

Congenital Cytomegalovirus Infection

Eligibility

Sex: ALLMax age: 3 Weeks

Medical Language ↔ Plain English

Inclusion Criteria: * Newborn born between Bebruary 2019 and December 2021 in the Regional Maternity Hospital of Nancy * Patients who were screened for congenital CMV infection by salivary PCR Exclusion Criteria: * No one

Outcomes

Primary Outcomes

Relevance of the Protocol for defining a population at risk

Comparison between Prevalence in the targeted population and Prevalence in the general Population

Time frame: baseline

Secondary Outcomes

Modalities of realisation of screening test

Test by PCR in saliva and appropriate indications

Time frame: baseline

Maternal CMV infection as a Risk Factor for Congenital CMV Infection

Association between Maternal infection and Neonatal CMV infection

Time frame: baseline

Hypotrophy as a Risk Factor for Congenital CMV Infection

Association of a Neonatal weight below the 10th centile and Neonatal CMV infection

Time frame: baseline

Microcephaly as a Risk Factor for Congenital CMV Infection

Association of a Neonatal head circumference below the 10th centile and Neonatal CMV infection

Time frame: baseline

Any foetal ultrasound abnormality as a Risk Factor for Congenital CMV Infection

Association of any abnormality at fetal ultrasound examination and Neonatal CMV infection

Time frame: baseline

Presence of Hepatomegaly or splenomegaly as a Risk Factor for Congenital CMV Infection

Association of hepatomegaly or splenomegaly and Neonatal CMV infection

Time frame: baseline

Any neurological abnormality as a Risk Factor for Congenital CMV Infection

Any neurological abnormality at clinical examination as a Risk Factor for Congenital CMV Infection

Time frame: baseline

Any blood count cell abnormality as a Risk Factor for Congenital CMV Infection

Any blood count cell abnormality at biological check up as a Risk Factor for Congenital CMV Infection

Time frame: baseline

Biological hepatic abnormality as a Risk Factor for Congenital CMV Infection

Any biological hepatic abnormality at biological check up as a Risk Factor for Congenital

Time frame: baseline

Hearing abnormality as a Risk Factor for Congenital CMV Infection

Failure at hearing screening as a Risk Factor for Congenital CMV Infection

Time frame: baseline

Hypotrophy as a consequence of diagnosed Congenital CMV Infection

Association of a birth weight below the 10th centile with a diagnosed Neonatal CMV infection

Time frame: baseline

Microcephaly as a consequence of diagnosed Congenital CMV Infection

Association of a Neonatal head circumference below the 10th centile with a diagnosed Neonatal CMV infection

Time frame: baseline

Presence of Hepatomegaly or splenomegaly as a Risk Factor for Congenital CMV Infection

Association of an hepatomegaly or spenomegly with a diagnosed Neonatal CMV infection

Time frame: Baseline

Any neurological abnormality as a consequence of Congenital CMV Infection

Association of a neurological abnormality at clinical examniation with a diagnosed Neonatal CMV infection

Time frame: baseline

Any blood count cell abnormality as a consequence of Congenital CMV Infection

Association of any blood count cell abnormality with a diagnosed Neonatal CMV infection

Time frame: baseline

Biological hepatic abnormality as a consequence of Congenital CMV Infection

Association of any biological hepatic abnormality with a diagnosed Neonatal CMV infection

Time frame: baseline

Hearing abnormality as a consequence of Congenital CMV Infection

Association of failure at hearing screening with a diagnosed Neonatal CMV infection

Time frame: baseline

Diagnosis of Congenital Cytomegalovirus Infection in Newborn With Particular Risk

Overview

Conditions

Eligibility

Locations (1)

Outcomes

Primary Outcomes

Secondary Outcomes