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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">ppharm</journal-id><journal-title-group><journal-title xml:lang="ru">Педиатрическая фармакология</journal-title><trans-title-group xml:lang="en"><trans-title>Pediatric pharmacology</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1727-5776</issn><issn pub-type="epub">2500-3089</issn><publisher><publisher-name>Издательство «ПедиатрЪ»</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.15690/pf.v22i3.2903</article-id><article-id custom-type="elpub" pub-id-type="custom">ppharm-2652</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ИНФОРМАЦИЯ СОЮЗА ПЕДИАТРОВ РОССИИ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>FROM THE UNION OF PEDIATRICIANS OF RUSSIA</subject></subj-group></article-categories><title-group><article-title>Позиция экспертов Объединенного комитета по слуху у детей по тугоухости, ассоциированной с врожденной цитомегаловирусной инфекцией</article-title><trans-title-group xml:lang="en"><trans-title>Position Statement of the Joint Committee on Children’s Hearing on Hearing Loss Associated with Congenital Cytomegalovirus Infection</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-6809-7764</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Туфатулин</surname><given-names>Г. Ш.</given-names></name><name name-style="western" xml:lang="en"><surname>Tufatulin</surname><given-names>Gaziz Sh.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Туфатулин Газиз Шарифович, доктор медицинских наук, главный врач Санкт-Петербургского Детского городского сурдологического центра, доцент кафедры оториноларингологии Северо-Западного государственного медицинского университета им. И.И. Мечникова, советник директора Санкт-Петербургского научно-исследовательского института уха, горла, носа и речи.</p><p>194356, Санкт-Петербург, ул. Есенина, д. 26, корп. 4, тел.: +7 (812) 246-47-07, +7 (981) 745-35-55</p></bio><bio xml:lang="en"><p>MD, PhD.</p><p>26, Esenina str., building 4, St Petersburg, 194356</p></bio><email xlink:type="simple">dr.tufatulin@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-7224-2939</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Вихнина</surname><given-names>С. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Vikhnina</surname><given-names>Sofya M.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Вихнина Софья Модестовна - к.м.н.</p><p>Санкт-Петербург</p></bio><bio xml:lang="en"><p>MD, PhD.</p><p>St Petersburg</p></bio><email xlink:type="simple">almaarot@mail.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-3197-2879</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Пашков</surname><given-names>А. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Pashkov</surname><given-names>Aleksandr V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Пашков Александр Владимирович - д.м.н.</p></bio><bio xml:lang="en"><p>MD, PhD.</p><p>Moscow</p></bio><email xlink:type="simple">avpashkov@yandex.ru</email><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-9535-6063</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Гарбарук</surname><given-names>Е. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Garbaruk</surname><given-names>Ekaterina S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Гарбарук Екатерина Сергеевна - к.б.н.</p><p>Санкт-Петербург</p></bio><bio xml:lang="en"><p>PhD.</p><p>St Petersburg</p></bio><email xlink:type="simple">kgarbaruk@mail.ru</email><xref ref-type="aff" rid="aff-4"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-3930-7750</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Бахшинян</surname><given-names>В. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Bakhshinyan</surname><given-names>Vigen V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Бахшинян Виген Владимирович - к.м.н.</p><p>Санкт-Петербург, Москва</p></bio><bio xml:lang="en"><p>MD, PhD.</p><p>St Petersburg, Moscow</p></bio><email xlink:type="simple">BahshinjanVV@rmapo.ru</email><xref ref-type="aff" rid="aff-5"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-0925-7596</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Дворянчиков</surname><given-names>В. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Dvoryanchikov</surname><given-names>Vladimir V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Дворянчиков Владимир Владимирович - д.м.н., профессор.</p><p>Санкт-Петербург</p></bio><bio xml:lang="en"><p>MD, PhD, Professor.</p><p>St Petersburg</p></bio><email xlink:type="simple">lornii@mail.ru</email><xref ref-type="aff" rid="aff-6"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-0118-908X</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Таварткиладзе</surname><given-names>Г. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Tavartkiladze</surname><given-names>George A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Таварткиладзе Георгий Абелович - д.м.н., профессор.</p><p>Москва</p></bio><bio xml:lang="en"><p>MD, PhD, Professor.</p><p>Moscow</p></bio><email xlink:type="simple">tavartkiladzeGA@rmapo.ru</email><xref ref-type="aff" rid="aff-7"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-2209-7531</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Намазова-Баранова</surname><given-names>Л. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Namazova-Baranova</surname><given-names>Leyla S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Намазова-Баранова Лейла Сеймуровна - д.м.н., профессор, академик РАН.</p><p>Москва</p></bio><bio xml:lang="en"><p>MD, PhD, Professor, Academician of the RAS.</p><p>Moscow</p></bio><email xlink:type="simple">leyla.s.namazova@gmail.com</email><xref ref-type="aff" rid="aff-8"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-2667-8229</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Володин</surname><given-names>Н. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Volodin</surname><given-names>Nikolay N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Володин Николай Николаевич - д.м.н., профессор, академик РАН.</p><p>Москва</p></bio><bio xml:lang="en"><p>MD, PhD, Professor, Academician of the RAS.</p><p>Moscow</p></bio><email xlink:type="simple">nnvolodin47@gmail.com</email><xref ref-type="aff" rid="aff-9"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Санкт-Петербургский научно-исследовательский институт уха, горла, носа и речи; Детский городской сурдологический центр; Северо-Западный государственный медицинский университет им. И.И. Мечникова; Российская медицинская академия непрерывного последипломного образования</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Saint Petersburg Scientific Research Institute of Ear, Throat, Nose and Speech; Сenter of Pediatric Audiology; North-Western State Medical University named after I.I. Mechnikov; Russian Medical Academy of Continuous Professional Education</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>Первый Санкт-Петербургский государственный медицинский университет им. акад. И.П. Павлова</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Pavlov First Saint Petersburg State Medical University</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>НИИ педиатрии и охраны здоровья детей НКЦ №2 ФГБНУ «РНЦХ им. акад. Б.В. Петровского»; Центральная государственная медицинская академия</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Research Institute of Pediatrics and Children’s Health in Petrovsky National Research Centre of Surgery; Central State Medical Academy</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-4"><aff xml:lang="ru"><institution>Первый Санкт-Петербургский государственный медицинский университет им. акад. И.П. Павлова; Санкт-Петербургский государственный педиатрический медицинский университет</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Pavlov First Saint Petersburg State Medical University; Saint Petersburg State Pediatric Medical University</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-5"><aff xml:lang="ru"><institution>Санкт-Петербургский научно-исследовательский институт уха, горла, носа и речи; Российская медицинская академия непрерывного последипломного образования</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Saint Petersburg Scientific Research Institute of Ear, Throat, Nose and Speech; Russian Medical Academy of Continuous Professional Education</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-6"><aff xml:lang="ru"><institution>Санкт-Петербургский научно-исследовательский институт уха, горла, носа и речи</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Not declared</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-7"><aff xml:lang="ru"><institution>Российская медицинская академия непрерывного последипломного образования</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Russian Medical Academy of Continuous Professional Education</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-8"><aff xml:lang="ru"><institution>НИИ педиатрии и охраны здоровья детей НКЦ №2 ФГБНУ «РНЦХ им. акад. Б.В. Петровского»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Research Institute of Pediatrics and Children’s Health in Petrovsky National Research Centre of Surgery</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-9"><aff xml:lang="ru"><institution>Национальный медицинский исследовательский центр детской гематологии, онкологии и иммунологии им. Дмитрия Рогачева</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Dmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2025</year></pub-date><pub-date pub-type="epub"><day>23</day><month>07</month><year>2025</year></pub-date><volume>22</volume><issue>3</issue><fpage>365</fpage><lpage>371</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Туфатулин Г.Ш., Вихнина С.М., Пашков А.В., Гарбарук Е.С., Бахшинян В.В., Дворянчиков В.В., Таварткиладзе Г.А., Намазова-Баранова Л.С., Володин Н.Н., 2025</copyright-statement><copyright-year>2025</copyright-year><copyright-holder xml:lang="ru">Туфатулин Г.Ш., Вихнина С.М., Пашков А.В., Гарбарук Е.С., Бахшинян В.В., Дворянчиков В.В., Таварткиладзе Г.А., Намазова-Баранова Л.С., Володин Н.Н.</copyright-holder><copyright-holder xml:lang="en">Tufatulin G.S., Vikhnina S.M., Pashkov A.V., Garbaruk E.S., Bakhshinyan V.V., Dvoryanchikov V.V., Tavartkiladze G.A., Namazova-Baranova L.S., Volodin N.N.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.pedpharma.ru/jour/article/view/2652">https://www.pedpharma.ru/jour/article/view/2652</self-uri><abstract><p>Врожденная цитомегаловирусная инфекция (вЦМВИ) может приводить к широкому спектру заболеваний у новорожденных, но наиболее часто ассоциируется с сенсоневральной тугоухостью (СНТ). вЦМВИ — лидирующая причина ненаследственной СНТ (до 25% случаев СНТ у детей обусловлены этим фактором). СНТ может быть как врожденной, так и возникать отсроченно (до 50% случаев), вплоть до достижения детьми школьного возраста, что обусловливает риск ее поздней диагностики. Даже при успешном прохождении первого этапа аудиологического скрининга дети с вЦМВИ должны быть направлены на диагностическое обследование. При нормальных результатах диагностического обследования ребенок остается под динамическим наблюдением врача-сурдолога. Помощь детям с подтвержденной тугоухостью должна включать раннее слухопротезирование, при глубоких степенях нарушения слуха и неэффективности слухопротезирования — кохлеарную имплантацию, регулярные занятия с дефектологами, обучение и информирование родителей.</p></abstract><trans-abstract xml:lang="en"><p>Congenital cytomegalovirus infection (cCMV) can cause a wide range of diseases in newborns, it is most often associated with sensorineural hearing loss (SNHL). cCMV is the leading cause of non-hereditary SNHL (up to 25% of all SNHL cases in). SNHL can be congenital and can have late-onset (up to 50% of cases) up to school age, it determines the risk of its late diagnosis. Children with cCMV should be referred for diagnostic examination even after successfully passed newborn hearing screening. The child remains under the dynamic audiologist’s follow-up, if the diagnostic examination results are normal. Management of children with confirmed hearing loss includes early auditory prosthesis; in cases of severe hearing loss and ineffective auditory prosthesis — cochlear implantation, speech-language therapy, parents training and informing.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>цитомегаловирусная инфекция</kwd><kwd>тугоухость</kwd><kwd>внутриутробная инфекция</kwd></kwd-group><kwd-group xml:lang="en"><kwd>cytomegalovirus infection</kwd><kwd>hearing loss</kwd><kwd>congenital infection</kwd></kwd-group><funding-group><funding-statement xml:lang="ru">Отсутствует</funding-statement><funding-statement xml:lang="en">Not specified</funding-statement></funding-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Марданлы С.Г., Кирпичникова Г.И., Неверов В.А. Цитомегаловирусная инфекция. 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