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<Articles><Article><Journal><PublisherName></PublisherName><JournalTitle>International Journal of Preventive Medicine (Int J Prev Med)</JournalTitle><Issn>2008-7802</Issn><Volume>0</Volume><Issue>0</Issue><PubDate PubStatus="epublish"><Year>2015</Year><Month>04</Month><Day>11</Day></PubDate></Journal><title locale="en_US">Cytomegalovirus, Toxoplasma gondii and Rubella Vertical Transmission Rates According to Mid‑trimester Amniocentesis: A Retrospective Study</title><FirstPage>1499</FirstPage><LastPage>1499</LastPage><Language>EN</Language><AuthorList><Author/><Author/><Author/><Author/><Author/><Author/><Author/><Author/></AuthorList><History><PubDate PubStatus="received"><Year>2015</Year><Month>04</Month><Day>11</Day></PubDate></History><abstract locale="en_US">&lt;strong&gt;Objective:&lt;/strong&gt; To examine vertical transmission rates of Cytomegalovirus, Toxoplasma Gondii and Rubella infections according to amniotic fluid PCR analysis.&lt;br /&gt;&lt;strong&gt;Methods:&lt;/strong&gt; A retrospective analysis of mid-trimester amniocenteses performed in in pregnancies with diagnosed maternal infection by Cytomegavirus (CMV), Rubella or Toxoplasma gondii during 1994-2008 was performed. Vertical transmission rates were observed according to the presence of&lt;br /&gt;the infectious agent&amp;rsquo;s DNA in the amniotic fluid. A univariate regression model was also performed to investigate possible correlations between transmission and epidemiological parameters.&lt;br /&gt;&lt;strong&gt;Results:&lt;/strong&gt; Overall, 7033 amniocenteses were performed during study&amp;rsquo;s period, of which 166 (2.4%) with the indication of maternal infection by CMV, Rubella or Toxoplasma. Mean maternal age was 27.4 &amp;plusmn; 2.5 years and the mean gestational age at amniocentesis was 18.7 &amp;plusmn; 2.5 weeks. Vertical&lt;br /&gt;transmission was observed in 21 cases (12.7%). Transmission rate was 17.3% in cases with infection from CMV, 9.5% from Toxoplasma gondii and 7.8% from Rubella (P = .05). Maternal age was the only parameter being significantly associated with increased risk for vertical transmission (P = .04).&lt;br /&gt;&lt;strong&gt;Conclusions:&lt;/strong&gt; According to our results, overall vertical transmission rate marginally exceeds 10%. CMV infection is characterized by relatively higher transplacental transmission rate, while increased maternal age appears to be associated with a higher risk for vertical transmission&lt;br /&gt;&lt;strong&gt;Keywords:&lt;/strong&gt; Amniocentesis, cytomegalovirus, infection, rubella, toxoplasma, vertical transmission</abstract><web_url>http://ijpm.mui.ac.ir/index.php/ijpm/article/view/1499</web_url><pdf_url>http://ijpm.mui.ac.ir/index.php/ijpm/article/download/1499/1781</pdf_url></Article></Articles>
