Value of immunoglobulin G avidity for primary cytomegalovirus diagnosis in pregnant women compared to nested polymerase chain reaction

Abstract

SummaryPrimary human cytomegalovirus (HCMV) infection in pregnancy especially in the first term carries high risks to foetus. Diagnosis depends mainly on laboratory tools as clinical diagnosis is non specific. The aim of the present study was to detect recent infection with HCMV in cohort pregnant Egyptian women in the first trimester by serological detection of specific IgM, IgG and IgG avidity test compared to nested PCR method. This study was performed on consecutive pregnant women. Blood samples were obtained and sera were separated from 120 pregnant women in their first trimester of pregnancy and were screened for anti-CMV IgG, IgM and IgG avidity by ELISA and for HCMV-DNA by PCR.