Clinical study on diagnosis of intrauterine infection by dynamic quantitative detecting cytomegalovirus antibody
10.3969/j.issn.1000-484X.2025.02.023
- VernacularTitle:动态定量检测巨细胞病毒抗体诊断宫内感染的临床研究
- Author:
Peimian QIU
1
;
Xueyan LIANG
;
Yingmeng WEN
;
Xuemei LI
;
Yanhui LIU
Author Information
1. 惠州市中心人民医院检验中心,惠州 516001;惠州市中心人民医院医学科学院,惠州 516001
- Publication Type:Journal Article
- Keywords:
Cytomegalovirus;
Dynamic quantitative detecting;
Screening during pregnancy;
Intrauterine infection
- From:
Chinese Journal of Immunology
2025;41(2):398-401
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the significance of dynamic quantitative detection of(cytomegalovirus)CMV antibodies in assessing the risk of fetal CMV infection.Methods:A total of 171 pregnant women with positive/weakly positive CMV IgM antibody ELISA screening results from Huizhou Central People's Hospital from August 2019 to March 2022 were selected as the study objects.IgM and IgG levels were measured by electrochemical luminescence(ECLIA),and re-examined 2 to 4 weeks later;at the same time,CMV nucleic acid was detected by real-time PCR fluorescent probe,and the fetal outcome was followed up.Results:In 171 cases,135 CMV IgM antibody ELISA(+)/ECLIA(-)specimens were positive for IgG antibodies and had stable levels after 2～4 weeks,one case was diagnosed with severe β thalassemia at 19+5 weeks,and the remaining fetuses were in good condition.There were 36 cases of IgM antibody ELISA(+)/ECLIA(+)specimens,one was negative for IgG antibody;35 cases had positive IgM antibody and stable IgG antibody level after 2～4 weeks,the fetus was in good condition;one case had IgM antibody level decreased and IgG antibody level increased significantly,urinary CMV DNA level gradually decreased,and was diagnosed as disseminated congenital CMV infection.Conclusion:The false positive rate of CMV IgM antibody detected by ELISA method is significantly higher than that of ECLIA method,and the dynamic quantitative detection can effectively eliminate interference.Maternal women with significant changes in CMV IgM,IgG antibodies and urinary DNA levels are at high risk of intrauterine infection and had a high probability of fetal congeni-tal CMV infection.
