Rutin Tarama Yapılmayan Ülkelerde Konjenital CMV İçin Düzenli ve Sürekli Eğitimin Önemi: Pediatristler Arasında Bir Anket
Abstract
Amaç: CMV en sık görülen konjenital enfeksiyon olmasına rağmen öneminin sağlık profesyonelleri tarafından nasıl anlaşıldığına dair çalışmalar sınırlıdır. Bu araştırma, çocuk doktorlarının konjenital CMV enfeksiyonu (kCMVe) konusundaki bilgi ve farkındalıklarını değerlendirmeyi amaçlamaktadır.
Gereç ve Yöntemler: Çalışmanın hedef grubu Türkiye’deki çocuk doktorlarıydı. Yirmi altı maddelik anonim bir anket geliştirildi ve çevrimiçi olarak uygulandı. Katılımcılar mesleki kıdemlerine göre gruplandırıldı: Grup-I, pediatri asistanları; Grup-II, çocuk doktorları; Grup-III, pediatrinin herhangi bir yan dal uzmanları; Grup-IV, pediatri doçent/profesörleri.
Bulgular: Anket 434 kişi tarafından doldurulmuştur. Ortalama çalışma süresi pediatri asistanları dışındakiler için 11.95±7.3 (1-40) yıl, pediatri asistanları için 31.14±13.1 (1-60) aydı. Katılımcıların %85.9’ u Türkiye’de kCMVe taramasının uygulanmadığını biliyordu ve %89.4’ü daha önce kCMVe şüphesi olan bir hastayı takip etmişti. Bulaş yolları ve tanı yöntemleri ile ilgili yanlış cevaplar asistanlar dışındaki pediatristler tarafından anlamlı olarak daha fazla tercih edilmiştir. En yaygın klinik prezentasyon, görüntüleme modaliteleri, yaygın hastalıkla ilgili sekeller ve tedavi hakkında doğru cevap oranları genel olarak oldukça düşüktü.
Sonuç: Yanıtlar, Türkiye’de pediatristler arasında, özellikle asistanlardan ziyade diğer pediatristler arasında kCMVe hakkında bilgi ve farkındalık eksikliği olduğunu ortaya koydu. Taramanın uygulanmadığı ülkelerde kCMVe hakkında düzenli ve sürekli eğitim verilmesi önemlidir.
Keywords
Farkındalık Bilgi Çocuk Doktoru Konjenital Sitomegalovirüs enfeksiyonu Congenital Cytomegalovirus infection
References
- Pesch MH, Schleiss MR. Emerging Concepts in Congenital Cytomegalovirus. Pediatrics 2022;150:e2021055896.
- Dobbins GC, Patki A, Chen D, Tiwari HK, Hendrickson C, Britt WJ, et al. Association of CMV genomic mutations with symptomatic infection and hearing loss in congenital CMV infection. BMC Infect Dis 2019;19:1046.
- Leruez-Ville M, Ville Y. Is it time for routine prenatal serological screening for congenital cytomegalovirus? Prenat Diagn 2020;40:1671-80.
- Kabani N, Ross SA. Congenital Cytomegalovirus Infection. J Infect Dis 2020;221(Suppl 1):S9-14.
- Ross SA, Kimberlin D. Clinical outcome and the role of antivirals in congenital cytomegalovirus infection. Antiviral Res 2021;191:105083.
- Chiopris G, Veronese P, Cusenza F, Procaccianti M, Perrone S, Daccò V, et al. Congenital Cytomegalovirus Infection: Update on Diagnosis and Treatment. Microorganisms 2020;8:1516.
- Kimberlin DW, Jester PM, Sánchez PJ, Ahmed A, Arav-Boger R, Michaels MG,et al. National Institute of Allergy and Infectious Diseases Collaborative Antiviral Study Group. Valganciclovir for symptomatic congenital cytomegalovirus disease. N Engl J Med 2015;372:933-43.
- Hosseinzadeh Adli A, Karami C, Baghban Rahimi S, Mirarab A, Tabarraei A. What family doctors know about congenital CMV: a regional survey in Iran. Ital J Pediatr 2018;44:31.
- Korver AM, de Vries JJ, de Jong JW, Dekker FW, Vossen AC, Oudesluys-Murphy AM. Awareness of congenital cytomegalovirus among doctors in the Netherlands. J Clin Virol 2009;46:S11-5.
- Fellah T, Sibiude J, Vauloup-Fellous C, Cordier AG, Guitton S, Grangeot-Keros L, et al. Evolution of awareness and knowledge of congenital cytomegalovirus infection among health care providers in France between 2011 and 2018. J Clin Virol 2020;129:104335.
- Okahashi A, Kobayashi M, Okuyama K, Hiraishi N, Morioka I. Survey of physician knowledge of congenital cytomegalovirus infection and clinical practices in Japan: A web-based survey. Medicine (Baltimore) 2021;100:e27589.
- Pesch MH, Anderson C, Mowers E. Improving Obstetric Provider Congenital Cytomegalovirus Knowledge and Practices. Infect Dis Obstet Gynecol 2020;2020:8875494.
- Dedhia K, Tomlinson J, Murray N, Park A. Congenital Cytomegalovirus and Hearing Loss: A Pilot Cross-Sectional Survey of Otologists’ and Pediatric Otolaryngologists’ Knowledge. OTO Open 2019;3:2473974X19849874.
- Şahiner F. Konjenital Sitomegalovirüs Enfeksiyonlarının Tanı ve Yönetiminde Güncel Yaklaşımlar ve Türkiye’deki Durum [Current Approaches in the Diagnosis and Management of Congenital
- Cytomegalovirus Infections and the Situation in Turkey]. Mikrobiyol Bul 2020;54:171-90.
- Coppola T, Mangold JF, Cantrell S, Permar SR. Impact of Maternal Immunity on Congenital Cytomegalovirus Birth Prevalence and Infant Outcomes: A Systematic Review. Vaccines (Basel) 2019;7:129.
- Muldoon KM, Armstrong-Heimsoth A, Thomas J. Knowledge of congenital cytomegalovirus (cCMV) among physical and occupational therapists in the United States. PLoS One 2017;12:e0185635.
- Baer HR, McBride HE, Caviness AC, Demmler-Harrison GJ. Survey of congenital cytomegalovirus (cCMV) knowledge among medical students. J Clin Virol 2014;60:222-42.
- Nicloux M, Peterman L, Parodi M, Magny JF. Outcome and management of newborns with congenital cytomegalovirus infection. Arch Pediatr 2020 ;27:160-5.
- American Academy of Pediatrics. Cytomegalovirus infection. In: Kimberlin DW, Brady MT, Jackson MA, Long SS, (eds). Red Book: 2018 Report of the Committee on Infectious Diseases. 31st ed. American Academy of Pediatrics: Itasca; IL 2018:310.
The Importance of Regular and Ongoing Training For Congenital CMV in Countries Without Routine Screening: A Survey Among Pediatricians
Abstract
Objective: Although CMV is the most common congenital infection, studies on how its importance is understood by healthcare professionals are limited. This research aims to assess awareness and knowledge of pediatricians regarding congenital CMV infection (cCMVi).
Material and Methods: The target group of the study was pediatricians in Turkey. A 26-item anonymous questionnaire was developed, and implemented online. Participants were grouped by their professional seniority: Group-I, pediatric residents; Group-II, pediatricians; Group-III, specialists in any sub-branches of pediatrics; Group-IV, associate professors/professors in pediatrics.
Results: The questionnaire was completed by 434 respondents. The mean duration of practice was 11.95±7.3 (1-40) years for professionals, and 31.14±13.1 (1-60) months for pediatric residents. Of the participants, 85.9% knew that cCMVi screening is not applied in Turkey and 89.4% had previously followed a patient with suspected cCMVi. Incorrect answers regarding transmission routes and diagnosis methods were significantly more preferred by pediatricians other than residents. Correct answer rates about most common clinical presentation, imaging modalities, common disease-related sequelae, and treatment were generally quite low.
Conclusion: The responses revealed a lack of knowledge and awareness about cCMVi in Turkey among pediatricians, especially in professionals rather than residents. It is important to provide regular and ongoing training about cCMVi in countries where screening is not implemented.
References
- Pesch MH, Schleiss MR. Emerging Concepts in Congenital Cytomegalovirus. Pediatrics 2022;150:e2021055896.
- Dobbins GC, Patki A, Chen D, Tiwari HK, Hendrickson C, Britt WJ, et al. Association of CMV genomic mutations with symptomatic infection and hearing loss in congenital CMV infection. BMC Infect Dis 2019;19:1046.
- Leruez-Ville M, Ville Y. Is it time for routine prenatal serological screening for congenital cytomegalovirus? Prenat Diagn 2020;40:1671-80.
- Kabani N, Ross SA. Congenital Cytomegalovirus Infection. J Infect Dis 2020;221(Suppl 1):S9-14.
- Ross SA, Kimberlin D. Clinical outcome and the role of antivirals in congenital cytomegalovirus infection. Antiviral Res 2021;191:105083.
- Chiopris G, Veronese P, Cusenza F, Procaccianti M, Perrone S, Daccò V, et al. Congenital Cytomegalovirus Infection: Update on Diagnosis and Treatment. Microorganisms 2020;8:1516.
- Kimberlin DW, Jester PM, Sánchez PJ, Ahmed A, Arav-Boger R, Michaels MG,et al. National Institute of Allergy and Infectious Diseases Collaborative Antiviral Study Group. Valganciclovir for symptomatic congenital cytomegalovirus disease. N Engl J Med 2015;372:933-43.
- Hosseinzadeh Adli A, Karami C, Baghban Rahimi S, Mirarab A, Tabarraei A. What family doctors know about congenital CMV: a regional survey in Iran. Ital J Pediatr 2018;44:31.
- Korver AM, de Vries JJ, de Jong JW, Dekker FW, Vossen AC, Oudesluys-Murphy AM. Awareness of congenital cytomegalovirus among doctors in the Netherlands. J Clin Virol 2009;46:S11-5.
- Fellah T, Sibiude J, Vauloup-Fellous C, Cordier AG, Guitton S, Grangeot-Keros L, et al. Evolution of awareness and knowledge of congenital cytomegalovirus infection among health care providers in France between 2011 and 2018. J Clin Virol 2020;129:104335.
- Okahashi A, Kobayashi M, Okuyama K, Hiraishi N, Morioka I. Survey of physician knowledge of congenital cytomegalovirus infection and clinical practices in Japan: A web-based survey. Medicine (Baltimore) 2021;100:e27589.
- Pesch MH, Anderson C, Mowers E. Improving Obstetric Provider Congenital Cytomegalovirus Knowledge and Practices. Infect Dis Obstet Gynecol 2020;2020:8875494.
- Dedhia K, Tomlinson J, Murray N, Park A. Congenital Cytomegalovirus and Hearing Loss: A Pilot Cross-Sectional Survey of Otologists’ and Pediatric Otolaryngologists’ Knowledge. OTO Open 2019;3:2473974X19849874.
- Şahiner F. Konjenital Sitomegalovirüs Enfeksiyonlarının Tanı ve Yönetiminde Güncel Yaklaşımlar ve Türkiye’deki Durum [Current Approaches in the Diagnosis and Management of Congenital
- Cytomegalovirus Infections and the Situation in Turkey]. Mikrobiyol Bul 2020;54:171-90.
- Coppola T, Mangold JF, Cantrell S, Permar SR. Impact of Maternal Immunity on Congenital Cytomegalovirus Birth Prevalence and Infant Outcomes: A Systematic Review. Vaccines (Basel) 2019;7:129.
- Muldoon KM, Armstrong-Heimsoth A, Thomas J. Knowledge of congenital cytomegalovirus (cCMV) among physical and occupational therapists in the United States. PLoS One 2017;12:e0185635.
- Baer HR, McBride HE, Caviness AC, Demmler-Harrison GJ. Survey of congenital cytomegalovirus (cCMV) knowledge among medical students. J Clin Virol 2014;60:222-42.
- Nicloux M, Peterman L, Parodi M, Magny JF. Outcome and management of newborns with congenital cytomegalovirus infection. Arch Pediatr 2020 ;27:160-5.
- American Academy of Pediatrics. Cytomegalovirus infection. In: Kimberlin DW, Brady MT, Jackson MA, Long SS, (eds). Red Book: 2018 Report of the Committee on Infectious Diseases. 31st ed. American Academy of Pediatrics: Itasca; IL 2018:310.
Details
| Primary Language | English |
|---|---|
| Subjects | Internal Diseases |
| Journal Section | ORIGINAL ARTICLES |
| Authors | |
| Early Pub Date | May 3, 2023 |
| Publication Date | May 29, 2023 |
| Submission Date | September 20, 2022 |
| Published in Issue | Year 2023 Volume: 17 Issue: 3 |
The publication language of Turkish Journal of Pediatric Disease is English.
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