比利时法语区网络中孕妇、共同抚养者和医疗保健专业人员对先天性巨细胞病毒的认知空白：一项横断面调查
Knowledge gaps regarding congenital cytomegalovirus among pregnant women, co-parents and healthcare professionals in a French-speaking network in Belgium: a cross-sectional survey.
文献信息
| PMID | 42753565 |
|---|---|
| 原文 | 在 PubMed 查看原文 ↗ |
| 发表日期 | 2026 |
| 作者 | De Coninck Caroline |
| 作者单位 | Hôpital Universitaire de Bruxelles (H.U.B.), CUB Hôpital Erasme, Department of Obstetrics and Gynecology, Brussels, Belgium. Electronic address: caroline.deconinck@hubruxelles.be. |
| 期刊 | European journal of obstetrics, gynecology, and reproductive biology |
| SCI 分区 | Q2 |
| IF | 2.5 |
| 研究类型 | 临床研究 · 临床 |
| 所属专科 | 耳科 |
中文摘要
背景： 先天性巨细胞病毒（CMV）感染是一种常见的先天性感染，也是感音神经性听力损失和神经发育障碍的病因。由于尚无有效疫苗或广泛推荐的筛查，预防依赖于卫生措施和教育。
目的： 评估比利时法语区医疗保健专业人员、孕妇和共同抚养者对CMV的知识、认知和沟通情况。
研究设计： 一项多中心横断面调查纳入了医疗保健专业人员（妇科医生和助产士）、孕妇和共同抚养者。医疗保健专业人员完成在线问卷，孕妇和共同抚养者在孕中期超声检查时完成问卷。进行了描述性和逻辑回归分析。
结果： 共有186名医疗保健专业人员、184名孕妇和125名共同抚养者参与。尽管91.2%的医疗保健专业人员报告提供了CMV信息，但仅有54.3%（100/184）的孕妇和39.0%（48/123份可用回复）的共同抚养者报告收到了该信息，尽管分别有90.2%和86.4%希望被告知。医疗保健专业人员中仍存在知识空白：57.7%正确估计了垂直传播风险，39.2%正确指出宫内治疗可降低垂直传播。在孕妇中，64.7%正确识别了传播途径，48.9%正确识别了预防性卫生措施。未发现CMV认知与产次或接触3岁以下儿童之间存在显著关联。
结论： 在该比利时法语区网络中，医疗保健专业人员、孕妇和共同抚养者中仍存在CMV知识和沟通空白。医疗保健专业人员报告提供咨询与参与者报告收到CMV信息之间的组间差异表明，预防信息的有效传递和留存仍具挑战性。针对性的教育策略，包括针对有既往子女或接触幼儿的女性，可能加强先天性CMV的预防。
英文摘要
BACKGROUND: Congenital cytomegalovirus (CMV) infection is a common congenital infection and cause of sensorineural hearing loss and neurodevelopmental impairment. Without an effective vaccine or widely recommended screening, prevention relies on hygiene measures and education.
OBJECTIVE: To assess CMV knowledge, awareness, and communication among healthcare professionals, pregnant women, and co-parents in French-speaking Belgium.
STUDY DESIGN: A multicenter cross-sectional survey included healthcare professionals (gynaecologists and midwives), pregnant women, and co-parents. Healthcare professionals completed an online questionnaire, pregnant women and co-parents completed questionnaires at second-trimester scans. Descriptive and logistic regression analyses were performed.
RESULTS: A total of 186 healthcare professionals, 184 pregnant women, and 125 co-parents participated. Although 91.2 % of healthcare professionals reported providing CMV information, only 54.3 % (100/184) of pregnant women and 39.0 % (48/123 available responses) of co-parents reported receiving it, despite 90.2 % and 86.4 %, respectively, wishing to be informed. Knowledge gaps persisted among healthcare professionals: 57.7 % correctly estimated vertical transmission risk and 39.2 % correctly indicated that in-utero treatment can reduce vertical transmission. Among pregnant women, 64.7 % correctly identified transmission routes and 48.9 % preventive hygiene measures. No significant association was found between CMV awareness and parity or exposure to children younger than 3 years.
CONCLUSION: CMV knowledge and communication gaps persist among healthcare professionals, pregnant women, and co-parents in this French-speaking Belgian network. The group-level difference between healthcare professionals' reported counselling and participants' reported receipt of CMV information suggests that effective delivery and retention of preventive information remain challenging. Targeted educational strategies, including for women with previous children or exposure to young children, may strengthen congenital CMV prevention.