PMID- 19836301 OWN - NLM STAT- MEDLINE DCOM- 20100223 LR - 20220318 IS - 1873-5967 (Electronic) IS - 1386-6532 (Linking) VI - 46 Suppl 4 DP - 2009 Dec TI - DECIBEL study: Congenital cytomegalovirus infection in young children with permanent bilateral hearing impairment in the Netherlands. PG - S27-31 LID - 10.1016/j.jcv.2009.09.007 [doi] AB - BACKGROUND: A significant number of asymptomatic newborns infected with congenital cytomegalovirus (CMV) will present with permanent childhood hearing impairment (PCHI) during early childhood. OBJECTIVES: To investigate the role of congenital CMV infection in causing PCHI in the Netherlands, and assess the efficacy of two different hearing screening strategies and the developmental outcome following each strategy. STUDY DESIGN: We included 192 children with PCHI at the age of 3-5 years, who were offered hearing screening in their first year of life. Dried blood spots from 171 children were available for CMV detection using real-time PCR. The results of eight previously tested samples were also available. Clinical baseline characteristics were collected from medical records and the Child Development Inventory was used to investigate the developmental outcome. RESULTS: The rate of congenital CMV among the 179 children was 8% (14/179) and 23% (9/39) among children with profound PCHI. Two of eight CMV-positive children with PCHI at the age of 3-5 years had passed the newborn hearing screening (NHS) test. Developmental outcome measures showed a significantly greater delay in language comprehension in children with both PCHI and congenital CMV infection (the largest in symptomatic children) than in the children with PCHI without congenital CMV infection. CONCLUSIONS: Congenital CMV infection is important in the etiology of PCHI. Universal NHS is not a guarantee of normal hearing and development in childhood for children with congenital CMV infection. This is a problem which might be solved by universal congenital CMV screening. FAU - Korver, A M H AU - Korver AM AD - Willem-Alexander Children and Youth Center, Sub-department of Social Pediatrics, Leiden University Medical Center, The Netherlands. a.m.h.korver@lumc.nl FAU - de Vries, J J C AU - de Vries JJ FAU - Konings, S AU - Konings S FAU - de Jong, J W AU - de Jong JW FAU - Dekker, F W AU - Dekker FW FAU - Vossen, A C T M AU - Vossen AC FAU - Frijns, J H M AU - Frijns JH FAU - Oudesluys-Murphy, A M AU - Oudesluys-Murphy AM CN - DECIBEL collaborative study group LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - Netherlands TA - J Clin Virol JT - Journal of clinical virology : the official publication of the Pan American Society for Clinical Virology JID - 9815671 SB - IM MH - Child, Preschool MH - Cytomegalovirus Infections/*complications/congenital/*epidemiology/virology MH - Developmental Disabilities/epidemiology/virology MH - Female MH - Hearing Loss, Bilateral/*epidemiology/*virology MH - Humans MH - Male MH - Netherlands/epidemiology FIR - Oudesluys-Murphy, A M IR - Oudesluys-Murphy AM FIR - Korver, A M H IR - Korver AM FIR - Frijns, J H M IR - Frijns JH FIR - Wever, C C IR - Wever CC FIR - Konings, S IR - Konings S FIR - Beers, M IR - Beers M FIR - Soede, W IR - Soede W FIR - Dekker, F W IR - Dekker FW FIR - Vossen, A C T M IR - Vossen AC FIR - De Vries, J J C IR - De Vries JJ FIR - Kant, S G IR - Kant SG FIR - Van den Akker-van Marle, M E IR - Van den Akker-van Marle ME FIR - Rieffe, C IR - Rieffe C FIR - Ens-Dokkum, M H IR - Ens-Dokkum MH FIR - Van Straaten, H L M IR - Van Straaten HL FIR - Meuwese-Jongejeugd, J IR - Meuwese-Jongejeugd J FIR - Elvers, B IR - Elvers B FIR - Loeber, G IR - Loeber G FIR - Mare, M J IR - Mare MJ FIR - Van Zanten, G A IR - Van Zanten GA FIR - Goedegebure, A IR - Goedegebure A FIR - Coster, F IR - Coster F FIR - De Leeuw, M IR - De Leeuw M FIR - Dijkhuizen, J IR - Dijkhuizen J FIR - Scharloo, M IR - Scharloo M FIR - Hoeben, D IR - Hoeben D FIR - Rijpma, G IR - Rijpma G FIR - Graef, W IR - Graef W FIR - Linschoten, D IR - Linschoten D FIR - Kuijper, J IR - Kuijper J FIR - Hof, N J IR - Hof NJ FIR - Pans, D IR - Pans D FIR - Jorritsma, F IR - Jorritsma F FIR - Van Beurden, M IR - Van Beurden M FIR - Ter Huurne, C T IR - Ter Huurne CT FIR - Brienesse, P IR - Brienesse P FIR - Koldewijn, G J IR - Koldewijn GJ FIR - Letourneur, K G IR - Letourneur KG FIR - Seekles, L IR - Seekles L FIR - De Jong, J W IR - De Jong JW FIR - Thijssen, A IR - Thijssen A FIR - Lievense, A IR - Lievense A FIR - Van Egdom-van der Wind, M IR - Van Egdom-van der Wind M FIR - Theunissen, S C P M IR - Theunissen SC FIR - Mooij, S IR - Mooij S EDAT- 2009/10/20 06:00 MHDA- 2010/02/24 06:00 CRDT- 2009/10/20 06:00 PHST- 2009/03/28 00:00 [received] PHST- 2009/08/13 00:00 [accepted] PHST- 2009/10/20 06:00 [entrez] PHST- 2009/10/20 06:00 [pubmed] PHST- 2010/02/24 06:00 [medline] AID - S1386-6532(09)00423-5 [pii] AID - 10.1016/j.jcv.2009.09.007 [doi] PST - ppublish SO - J Clin Virol. 2009 Dec;46 Suppl 4:S27-31. doi: 10.1016/j.jcv.2009.09.007.