Lack of Cytomegalovirus (CMV) knowledge among healthcare professionals has been proven to be the main threat to pregnant women's awareness, preventing them from reducing the risk of infection. The aims of this study were to assess the knowledge and practices of French-speaking Swiss perinatal professionals in terms of CMV prevention, as well as the sociodemographic-professional factors that influence them. This observational study used a cross-sectional design to collect data-via an anonymous electronic questionnaire in French distributed to gynecologists-obstetricians, general practitioners and midwives via various channels: e-mails and social networks of partner centers, professional associations, and conferences. The 41-item questionnaire collected data on sociodemographic and professional characteristics, general CMV knowledge, national recommendation knowledge and prevention practices. Univariable and multivariable analyses were performed. A total of 110 gynecologist-obstetricians, 5 general practitioners and 226 midwives participated in the study. While more than 80% of practitioners were familiar with protective hygiene measures, significant gaps were highlighted concerning the transmission routes, as well as the signs of short- and long-term congenital CMV infection. Regarding practice, 63.3% of participants provided information on CMV to their patients, mainly during the first antenatal visit. Among those who did not, lack of knowledge and forgetfulness were the two main reasons cited. Concerning systematic screening, 45.7% of participants offered it to their patients, and 37.3% only offered it to “at risk” groups. The existence of national guidelines on CMV was known by 62.0% of participants. Multivariable analysis revealed that working as a gynecologist-obstetrician was independently associated with higher score of preventive practices, while performing ultrasound or preconception consultations was independently associated with a higher score of general CMV knowledge, and working in a university hospital was independently associated with a higher score of Swiss recommendation knowledge. A level of training higher than the basic medical or midwifery diploma and participation in fetal medicine symposia both promote a higher score of CMV knowledge and prevention practices in line with current recommendations. This study confirms the significant gaps in CMV knowledge among French-speaking Swiss caregivers along with the heterogeneity of their prevention practices. To raise awareness among pregnant women and reduce the burden of congenital CMV infections, improving professional knowledge through access to specific training and standardizing practices should be a national priority.

中文翻译：

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怀孕期间巨细胞病毒感染：瑞士法语区医疗保健专业人员的知识和预防实践横断面调查

事实证明，医疗保健专业人员缺乏巨细胞病毒（CMV）知识是孕妇意识的主要威胁，阻碍了她们降低感染风险。本研究的目的是评估瑞士法语围产期专业人员在 CMV 预防方面的知识和实践，以及影响他们的社会人口专业因素。这项观察性研究采用横断面设计来收集数据——通过法语匿名电子问卷，通过各种渠道分发给妇产科医生、全科医生和助产士：电子邮件和合作伙伴中心的社交网络、专业协会和会议。这份包含 41 项的调查问卷收集了有关社会人口和职业特征、一般 CMV 知识、国家推荐知识和预防实践的数据。进行了单变量和多变量分析。共有 110 名妇产科医生、5 名全科医生和 226 名助产士参与了这项研究。虽然超过 80% 的从业者熟悉防护卫生措施，但在传播途径以及短期和长期先天性巨细胞病毒感染的迹象方面存在显着差距。在实践方面，63.3% 的参与者向患者提供了有关 CMV 的信息，主要是在第一次产前检查期间。在那些没有这样做的人中，缺乏知识和健忘是两个主要原因。关于系统筛查，45.7% 的参与者将其提供给患者，37.3% 的参与者仅将其提供给“高危”群体。62.0% 的参与者知道存在 CMV 国家指南。多变量分析显示，作为妇产科医生工作与较高的预防实践得分独立相关，而进行超声检查或孕前咨询与较高的一般 CMV 知识得分独立相关，在大学医院工作与较高的 CMV 知识得分独立相关。瑞士推荐知识得分。根据当前的建议，高于基础医学或助产士文凭的培训以及参加胎儿医学研讨会都可以提高 CMV 知识和预防实践的分数。这项研究证实了瑞士法语区护理人员在 CMV 知识方面存在显着差距，而且他们的预防措施也存在差异。为了提高孕妇的认识并减轻先天性巨细胞病毒感染的负担，通过接受特定培训和标准化实践来提高专业知识应成为国家优先事项。