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Journal of Perinatal Medicine

Official Journal of the World Association of Perinatal Medicine

Editor-in-Chief: Dudenhausen, Joachim W.

Editorial Board Member: / Bancalari, Eduardo / Greenough, Anne / Genc, Mehmet R. / Chervenak, Frank A. / Chappelle, Joseph / Bergmann, Renate L. / Bernardes, J.F. / Bevilacqua, G. / Blickstein, Isaac / Cabero Roura, Luis / Carbonell-Estrany, Xavier / Carrera, Jose M. / D`Addario, Vincenzo / D'Alton, MD, Mary E. / Dimitrou, G. / Grunebaum, Amos / Hentschel, Roland / Köpcke, W. / Kawabata, Ichiro / Keirse, Marc J.N.C. / Kurjak M.D., Asim / Lee, Ben H. / Levene, Malcolm / Lockwood, Charles J. / Marsal, Karel / Makatsariya, Alexander / Nishida, Hiroshi / Ogata, Edward / Papp, Zoltán / Pejaver, Ranjan Kumar / Pooh, Ritsuko K. / Romero, Roberto / Saugstad, Ola D. / Schenker, Joseph G. / Sen, Cihat / Seri, Istvan / Vetter, Klaus / Winn, Hung N. / Young, Bruce K. / Zimmermann, Roland


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1619-3997
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Seroprevalence and risk factors associated with herpes simplex virus infection among pregnant women

Victoria Arama1 / Radu Vladareanu2 / Raluca Mihailescu3 / Adrian Streinu Cercel4 / Carina Mihai5 / Adriana Hristea6 / Mihaela Iosipenco7 / Sorin Stefan Arama8 / Muriel Rabilloud9

1Department Adults 3 of National Institute of Infectious Diseases “Professor Dr. Matei Bals” Bucharest, Romania

2Department of Obstetrics-Gynecology, Elias University Emergency Hospital, Bucharest, Romania

3Department Adults 3 of National Institute of Infectious Diseases “Professor Dr. Matei Bals” Bucharest, Romania

4Department Adults 2 of National Institute of Infectious Diseases “Professor Dr. Matei Bals” Bucharest, Romania

5University of Medicine and Pharmacy “Carol Davila”, Bucharest, Romania

6Department Adults 3 of National Institute of Infectious Diseases “Professor Dr. Matei Bals” Bucharest, Romania

7Laboratory of Virology, National Institute of Infectious Diseases “Professor Dr. Matei Bals” Bucharest, Romania

8University of Medicine and Pharmacy “Carol Davila”, Bucharest, Romania

9Hospices Civils de Lyon, Service de Biostatistique, Lyon, F-69424, France; Université de Lyon Université Lyon I, Villeurbanne, F-69622, France; CNRS; UMR 5558, Laboratoire Biostatistique Santé, Pierre-Bénite, F-69495, France

Corresponding author: Raluca Mihailescu, MD Bd.Unirii 37 Bucharest 030823 Romania Tel.: +40 721 638 343

Citation Information: Journal of Perinatal Medicine. Volume 36, Issue 3, Pages 206–212, ISSN (Online) 16193997, ISSN (Print) 0300-5577, DOI: 10.1515/JPM.2008.046, May 2008

Publication History

Received:
2007-11-07
Revised:
2008-01-22
Accepted:
2008-02-05
Published Online:
2008-05-19

Abstract

Objectives: To estimate the type-specific seroprevalence and identify the risk factors associated with herpes simplex virus (HSV)-2 infection in pregnant women in Bucharest, Romania.

Methods: A prospective survey was conducted in 452 subjects, aged 15–39 years, at the Elias Hospital, during the years 2004–2005. We evaluated serum IgG anti-bodies to HSV-1 and HSV-2 using the HerpeSelect® ELISA test. All subjects completed an epidemiological questionnaire.

Results: Seroprevalence was 87.3% and 15.1% for HSV-1 and HSV-2, respectively. The risk factors for HSV-2 infection were lower level of education and a greater number of sexual partners. Elementary school and high-school graduates were 6.28 and 2.26 times more exposed than University graduates. Having 2–3 partners and more than three partners was associated with 2.43 and 4.26 times the risk of acquiring HSV-2, compared with having one partner.

Conclusions: In pregnant women, HSV-1 seroprevalence was higher than in Western Europe but similar to that in Eastern Europe. HSV-2 seroprevalence was within European ranges. Both were lower than in the USA. Risk factors for HSV-2 infection may lead to prevention programs.

Keywords: Herpes simplex virus; pregnant women; Romania; seroprevalence

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