Hostname: page-component-cd9895bd7-fscjk Total loading time: 0 Render date: 2024-12-22T16:48:24.119Z Has data issue: false hasContentIssue false

Prevalence of cytomegalovirus infection in Italy

Published online by Cambridge University Press:  15 May 2009

D. De Mattia
Affiliation:
Department of Pediatrics, University of Bari;
T. Stroffolini*
Affiliation:
Laboratory of Epidemiology, I.S.S., Rome;
S. Arista
Affiliation:
Department of Hygiene and Microbiology, University of Palermo;
D. Pistoia
Affiliation:
Department of Hygiene and Microbiology, University of Palermo;
A. Giammanco
Affiliation:
Department of Hygiene and Microbiology, University of Palermo;
M. Maggio
Affiliation:
Department of Hygiene and Microbiology, University of Palermo;
M. Chiaramonte
Affiliation:
Departments of Gastroenterology, University of Padua;
M. E. Moschen
Affiliation:
Departments of Hygiene, University of Padua;
I. Mura
Affiliation:
Department of Hygiene, University of Sassari;
G. Rigo
Affiliation:
Health District of Udine;
B. Scarpa
Affiliation:
Department of Hygiene, University of Cagliari
*
*Tommaso Stroffolini, M.D., Laboratory of Epidemology, I.S.S., Viala Regina Elena 299, 00161 Rome, Italy.
Rights & Permissions [Opens in a new window]

Summary

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

Between 1987 and 1989, the prevalence of antibody to cytomegalovirus (CMV) was determined, by the ELISA method, in serum samples from 1494 apparently healthy subjects, 3–18 years old. Subjects were selected by a systematic cluster sampling from five geographical areas in Italy. The overall prevalence of antibody was 64·2%, increasing from 54·4% in 4–6-year-olds to 73·3% in subjects 17–18 years old (P < 0·01). Prevalence of antibody was significantly higher in females (P < 0·05) and in subjects residing in the South of Italy (P < 0·01). A significant association was found with sociodemographic factors. Subjects belonging to a household with six or more persons had a 1·5-fold risk (C.I. 95% = 1·11–2·04) and subjects whose fathers had less than 6 years of schooling had a 1·4-fold risk (C.I. 95% = 1·1–1·87) of previous exposure to CMV infection. The high prevalence (74·4%) of young women who are naturally immune when entering childbearing years does not guarantee that there will be a low risk of fetal infection.

Type
Research Article
Copyright
Copyright © Cambridge University Press 1991

References

REFERENCES

1.Krech, V, Tobin, J. A collaborative study of cytomegalovirus antibodies in mothers and young children in 19 countries. Bull WHO 1981; 59: 605–10.Google Scholar
2.Onorato, IM, Morens, DM, Martone, WJ, Stansfield, SK. Epidemiology of eytomegaloviral infections: recommendations for prevention and control. Rev Infect Dis 1985: 7: 479–97.Google Scholar
3.Pass, RF. Epidemiology and transmission of cytomegalovirus. J Infect Dis 1985: 152: 243–8.Google Scholar
4.Abramson, JH. Survey methods in community medicine. Edinburgh: Churchill Livingstone. 1979: 5865.Google Scholar
5.Kahn, HA. An introduction to epidemiologic methods. New York: Oxford University Press. 1983: 25–8.Google Scholar
6.Kahn, HA, Sempos, CT. Statistical method in epidemiology. New York: Oxford University Press. 1989: 56–8.Google Scholar
7.Stagno, S, Reynolds, DW, Pass, RF, Alford, CA. Breast milk and risk of cytomegalovirusinfection. N Engl J Med 1980; 302: 1073–6.CrossRefGoogle Scholar
8.Pass, RF, Hutto, SC, Reynolds, DW, Polhill, RB. Increased frequency of cytomegalovirusinfection in children in group day care. Pediatrics 1984; 74: 121–6.Google Scholar
9.Yow, MD, White, NH, Tober, LH, et al. Acquisition of cytomegalovirus infection from birth to 10 years: a longitudinal serologic study. J Ped 1987: 110: 3742.CrossRefGoogle Scholar
10Alford, CA, Stagno, S, Pass, RF, Huang, ES. Epidemiology of cytomegalovirus. In: Nahmias, A, Dowdle, W, Schinazi, R. eds. The human herpes virus. Amsterdam: Elsevier, 1980: 159–71.Google Scholar
11.Liu, Z, Wang, E, Tavlor, W, et al. Prevalence survey of cytomegalovirus infection in children in Chengdu. Am J Epidemiol 1990; 131: 143–50.Google Scholar
12.White, NH, Yow, MD, Demmler, GJ, et al. , Prevalence of cytomegalovirus antibody in subjects between the ages of 6 and 22 years. J Infect Dis 1989: 159: 1013–17.Google Scholar
13.Stagno, S, Reynolds, DW, Huang, ES, et al. Congenital cytomegalovirus infection: occurrence in an immune population. N Eng J Med 1977; 296: 1254–8.CrossRefGoogle Scholar
14.Ahlfors, K, Harris, S, Ivarsson, S, Svanberg, L. Secondary maternal cytomegalovirus infection causing symptomatic congenital infection. N Engl J Med 1981; 305: 284.Google Scholar
15.Rutter, D, Griffiths, P, Trompeter, RS. Cytomegalic inclusion disease after recurrent maternal infection. Lancet 1985; ii: 1182.Google Scholar
16.Stagno, S, Pass, RF, Dworsky, ME, et al. Congenital cytomegalovirus infection: the relative importance of primary and recurrent maternal infection. N Engl J Med 1982; 306: 945–9.CrossRefGoogle ScholarPubMed
17.Stern, H, Tucher, SN. Prospective study of cytomegalovirus infection in pregnancy. Br Med J 1973: 2: 268–70.Google Scholar
18.Stagno, S, Pass, RF, Gretchen, C, et al. Primary cytomegalovirus infection in pregnancy. Incidence, transmission to fetus, and clinical outcome. JAMA 1986; 256; 1904–8.Google Scholar