Cytomegalovirus urinary excretion and long term outcome in children with congenital cytomegalovirus infection

Daniel E. Noyola, Gail J. Demmler, W. Daniel Williamson, Carol Griesser, Sherry Sellers, Antolin Llorente, Thomas Littman, Susan Williams, Latasha Jarrett, Martha D. Yow

Research output: Contribution to journalArticle

82 Citations (Scopus)

Abstract

Background. Cytomegalovirus (CMV) is the most frequent cause of congenital infection, and both symptomatic and asymptomatic infants may have long term sequelae. Children with congenital CMV infection are chronically infected and excrete CMV in the urine for prolonged periods. However, the effect of prolonged viral replication on the long term outcome of these children is unknown. Objective. To determine whether duration of CMV excretion is associated with outcome at 6 years of life in symptomatic and asymptomatic congenitally infected children. Methods. Longitudinal cohort study. Children congenitally infected with CMV were identified at birth and followed prospectively in a study of long term effects of congenital CMV infection. The relationship between duration of CMV urinary excretion and growth, neurodevelopment and presence and progression of sensorineural hearing loss (SNHL) at 6 years of age was determined. Results. There was no significant difference in the duration of viral urinary excretion between children born with asymptomatic (median, 4.55 years) and symptomatic (median, 2.97 years) congenital CMV infection (P = 0.11). Furthermore there was no association between long term growth or cognitive outcome and duration of viral excretion. However, a significantly greater proportion of children who excreted CMV for <4 years had SNHL and progressive SNHL compared with children with CMV excretion >4 years (P = 0.019, P = 0.009, respectively). Conclusions. Children congenitally infected with CMV are chronically infected for years, but the duration of CMV urinary excretion is not associated with abnormalities of growth, or neurodevelopmental deficits. However, SNHL and progressive SNHL were associated with a shorter duration of CMV excretion.

Original languageEnglish (US)
Pages (from-to)505-510
Number of pages6
JournalPediatric Infectious Disease Journal
Volume19
Issue number6
DOIs
StatePublished - Jun 1 2000

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Cytomegalovirus Infections
Cytomegalovirus
Sensorineural Hearing Loss
Growth
Longitudinal Studies
Cohort Studies
Urine
Parturition
Infection

All Science Journal Classification (ASJC) codes

  • Pediatrics, Perinatology, and Child Health
  • Microbiology (medical)
  • Infectious Diseases

Cite this

Noyola, Daniel E. ; Demmler, Gail J. ; Williamson, W. Daniel ; Griesser, Carol ; Sellers, Sherry ; Llorente, Antolin ; Littman, Thomas ; Williams, Susan ; Jarrett, Latasha ; Yow, Martha D. / Cytomegalovirus urinary excretion and long term outcome in children with congenital cytomegalovirus infection. In: Pediatric Infectious Disease Journal. 2000 ; Vol. 19, No. 6. pp. 505-510.
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abstract = "Background. Cytomegalovirus (CMV) is the most frequent cause of congenital infection, and both symptomatic and asymptomatic infants may have long term sequelae. Children with congenital CMV infection are chronically infected and excrete CMV in the urine for prolonged periods. However, the effect of prolonged viral replication on the long term outcome of these children is unknown. Objective. To determine whether duration of CMV excretion is associated with outcome at 6 years of life in symptomatic and asymptomatic congenitally infected children. Methods. Longitudinal cohort study. Children congenitally infected with CMV were identified at birth and followed prospectively in a study of long term effects of congenital CMV infection. The relationship between duration of CMV urinary excretion and growth, neurodevelopment and presence and progression of sensorineural hearing loss (SNHL) at 6 years of age was determined. Results. There was no significant difference in the duration of viral urinary excretion between children born with asymptomatic (median, 4.55 years) and symptomatic (median, 2.97 years) congenital CMV infection (P = 0.11). Furthermore there was no association between long term growth or cognitive outcome and duration of viral excretion. However, a significantly greater proportion of children who excreted CMV for <4 years had SNHL and progressive SNHL compared with children with CMV excretion >4 years (P = 0.019, P = 0.009, respectively). Conclusions. Children congenitally infected with CMV are chronically infected for years, but the duration of CMV urinary excretion is not associated with abnormalities of growth, or neurodevelopmental deficits. However, SNHL and progressive SNHL were associated with a shorter duration of CMV excretion.",
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Noyola, DE, Demmler, GJ, Williamson, WD, Griesser, C, Sellers, S, Llorente, A, Littman, T, Williams, S, Jarrett, L & Yow, MD 2000, 'Cytomegalovirus urinary excretion and long term outcome in children with congenital cytomegalovirus infection', Pediatric Infectious Disease Journal, vol. 19, no. 6, pp. 505-510. https://doi.org/10.1097/00006454-200006000-00003

Cytomegalovirus urinary excretion and long term outcome in children with congenital cytomegalovirus infection. / Noyola, Daniel E.; Demmler, Gail J.; Williamson, W. Daniel; Griesser, Carol; Sellers, Sherry; Llorente, Antolin; Littman, Thomas; Williams, Susan; Jarrett, Latasha; Yow, Martha D.

In: Pediatric Infectious Disease Journal, Vol. 19, No. 6, 01.06.2000, p. 505-510.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Cytomegalovirus urinary excretion and long term outcome in children with congenital cytomegalovirus infection

AU - Noyola, Daniel E.

AU - Demmler, Gail J.

AU - Williamson, W. Daniel

AU - Griesser, Carol

AU - Sellers, Sherry

AU - Llorente, Antolin

AU - Littman, Thomas

AU - Williams, Susan

AU - Jarrett, Latasha

AU - Yow, Martha D.

PY - 2000/6/1

Y1 - 2000/6/1

N2 - Background. Cytomegalovirus (CMV) is the most frequent cause of congenital infection, and both symptomatic and asymptomatic infants may have long term sequelae. Children with congenital CMV infection are chronically infected and excrete CMV in the urine for prolonged periods. However, the effect of prolonged viral replication on the long term outcome of these children is unknown. Objective. To determine whether duration of CMV excretion is associated with outcome at 6 years of life in symptomatic and asymptomatic congenitally infected children. Methods. Longitudinal cohort study. Children congenitally infected with CMV were identified at birth and followed prospectively in a study of long term effects of congenital CMV infection. The relationship between duration of CMV urinary excretion and growth, neurodevelopment and presence and progression of sensorineural hearing loss (SNHL) at 6 years of age was determined. Results. There was no significant difference in the duration of viral urinary excretion between children born with asymptomatic (median, 4.55 years) and symptomatic (median, 2.97 years) congenital CMV infection (P = 0.11). Furthermore there was no association between long term growth or cognitive outcome and duration of viral excretion. However, a significantly greater proportion of children who excreted CMV for <4 years had SNHL and progressive SNHL compared with children with CMV excretion >4 years (P = 0.019, P = 0.009, respectively). Conclusions. Children congenitally infected with CMV are chronically infected for years, but the duration of CMV urinary excretion is not associated with abnormalities of growth, or neurodevelopmental deficits. However, SNHL and progressive SNHL were associated with a shorter duration of CMV excretion.

AB - Background. Cytomegalovirus (CMV) is the most frequent cause of congenital infection, and both symptomatic and asymptomatic infants may have long term sequelae. Children with congenital CMV infection are chronically infected and excrete CMV in the urine for prolonged periods. However, the effect of prolonged viral replication on the long term outcome of these children is unknown. Objective. To determine whether duration of CMV excretion is associated with outcome at 6 years of life in symptomatic and asymptomatic congenitally infected children. Methods. Longitudinal cohort study. Children congenitally infected with CMV were identified at birth and followed prospectively in a study of long term effects of congenital CMV infection. The relationship between duration of CMV urinary excretion and growth, neurodevelopment and presence and progression of sensorineural hearing loss (SNHL) at 6 years of age was determined. Results. There was no significant difference in the duration of viral urinary excretion between children born with asymptomatic (median, 4.55 years) and symptomatic (median, 2.97 years) congenital CMV infection (P = 0.11). Furthermore there was no association between long term growth or cognitive outcome and duration of viral excretion. However, a significantly greater proportion of children who excreted CMV for <4 years had SNHL and progressive SNHL compared with children with CMV excretion >4 years (P = 0.019, P = 0.009, respectively). Conclusions. Children congenitally infected with CMV are chronically infected for years, but the duration of CMV urinary excretion is not associated with abnormalities of growth, or neurodevelopmental deficits. However, SNHL and progressive SNHL were associated with a shorter duration of CMV excretion.

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