Primal Health Databank: Study

Entry No:0862
Title:Long-term cognitive and neurological outcome of preterm infants with postnatally acquired CMV infection through breast milk.
Author(s):Goelz R, Meisner C, et al.
Reference:Arch Dis Child Fetal Neonatal Ed. 2013 Apr 19. [Epub ahead of print]
Place of Study:Germany
Abstract:PATIENTS AND METHODS: All surviving infants <1500 g born in the Department of Neonatology, University Children's Hospital, ,Tuebingen, Germany between 1 June 1995 and 1 June 2000, and with postnatal CMV infection acquired at up to 3 months of corrected age, were eligible for this study; this included neurological and neurocognitive assessment, using the Kaufman Assessment Battery for Children (K-ABC) at the age of >4 years. A blinded and controlled matched-pairs design was used with gestational age, gender and date of birth as matching criteria. RESULTS: Of 50 eligible children, 42 (84%) could be tested. There was no difference in the prevalence of cerebral palsy. Following CMV infection during their hospital stay, infants had significantly lower results in the simultaneous processing scale of the K-ABC (p=0.029) after correction for additional risk factors like socioeconomic status (SES). Results for the sequential and achievement scales were only slightly reduced (p>0.05). CONCLUSIONS: It seems possible that breast milk-acquired CMV infection has a detrimental influence on cognitive development of preterm infants.
Keyword(s):cognitive development, cognitive function, cognitive functions, cytomegalovirus, prematurity
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