Diagnosing CMV

Laboratory diagnosis of congenital CMV infection is accomplished by isolation(viral-culture) or molecular detection(PCR) of CMV from urine or saliva samples collected within the first three weeks of life. Both viral culture and polymerase chain reaction (PCR) tests have high sensitivity and specificity for detection of CMV in infected neonates. Serology should not be used for the routine diagnosis of congenital CMV infection.  Sensorineural hearing loss is the most common sequelae of congenital CMV infection. The newborn hearing screen is a valuable tool for  detecting otherwise asymptomatic infants with CMV infection.

Antibiotic prophylaxis in Injury

Routine usage of antibiotics for cuts & lacerations is not needed. Wash the wound with soap & water. However consider the use of antibiotics in the following situations Wounds in close proximity to a bone or joint (including prosthetic joints)Wounds in areas of underlying venous and/or lymphatic compromise (including vascular grafts)Wounds in immunocompromised hosts (including diabetes)Deep puncture wounds or laceration &…