Neurodevelopment in Children Exposed to Antenatal CMV Viremia in a High HIV Prevalence Area



Evans, Ceri ORCID: 0000-0001-9122-9748, Chandna, Jaya, Mutasa, Kuda, Rukobo, Sandra, Govha, Margaret, Mushayanembwa, Patience, Chasekwa, Bernard, Majo, Florence D, Kandawasvika, Gwendoline, Mutasa, Batsirai
et al (show 5 more authors) (2026) Neurodevelopment in Children Exposed to Antenatal CMV Viremia in a High HIV Prevalence Area JOURNAL OF INFECTIOUS DISEASES. jiag214-. ISSN 0022-1899, 1537-6613

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Abstract

We compared neurodevelopment at age 24-months among children born to mothers with or without CMV viraemia in the third trimester of pregnancy in rural Zimbabwe, using the Malawi Developmental Assessment Tool (MDAT) for gross motor, fine motor, language and social development. Among 209 children, 49 (23%) were exposed to third trimester CMV viraemia. The mean total MDAT score was 91.0 (SD 9.4) in CMV-exposed children versus 94.1 (8.8) in CMV-unexposed children (adjusted difference -4.02 points (95% confidence interval -7.01, -1.04, P=0.008). CMV exposure in utero, without evidence of congenital infection, may impair child neurodevelopment, providing a potential antenatal intervention target.

Item Type: Article
Uncontrolled Keywords: Africa, HIV-exposed uninfected, co-infection, CMV, pregnancy
Divisions: Faculty of Health & Life Sciences
Faculty of Health & Life Sciences > Inst. Life Courses & Medical Sciences
Faculty of Health & Life Sciences > Inst. Life Courses & Medical Sciences > Inst. Life Courses & Medical Sciences (T&R staff)
Faculty of Health & Life Sciences > Inst. Life Courses & Medical Sciences > Women's & Children's Health
Faculty of Health & Life Sciences > Inst. Infection, Vet & Ecological Sciences
Faculty of Health & Life Sciences > Inst. Infection, Vet & Ecological Sciences > Inst. Infection, Vet & Ecological Sciences (T&R Staff)
Faculty of Health & Life Sciences > Inst. Infection, Vet & Ecological Sciences > Clinical Infection, Microbiology & Immunology
Depositing User: Symplectic Admin
Date Deposited: 20 Apr 2026 13:17
Last Modified: 23 May 2026 11:14
DOI: 10.1093/infdis/jiag214
Open Access URL: https://academic.oup.com/jid/advance-article/doi/1...
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URI: https://livrepository.liverpool.ac.uk/id/eprint/3198061
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