What is Cytomegalovirus?

Cytomegalovirus (CMV) is a common virus that can have serious consequences for unborn babies if a pregnant person contracts it for the first time during pregnancy. In early years settings, where close contact with young children is unavoidable, awareness and proper hygiene practices are key to preventing CMV transmission. 

This guide outlines why CMV awareness is essential for early years staff, the risks it poses, and practical steps to reduce transmission. 

Why CMV awareness matters in early years settings 

Preventing CMV Transmission

CMV spreads through bodily fluids such as saliva, urine, and mucus – commonly encountered in nurseries. Many children in early years settings may carry CMV without showing symptoms, making them a significant source of transmission. 

By educating staff on proper hygiene practices, such as frequent handwashing and avoiding direct contact with bodily fluids, the risk of CMV transmission to others – including pregnant staff – can be significantly reduced. 

Protecting pregnant staff and those

planning a pregnancy

Research suggests that the highest risk occurs when CMV is contracted in early pregnancy. Due to their frequent close interactions with young children, pregnant staff in early years settings face a heightened risk of exposure. 

A CMV infection during pregnancy can lead to congenital CMV in the baby, potentially causing serious health complications, including: 

Hearing loss 

Developmental delays 

Vision impairment 

Miscarriage or stillbirth 

Raising awareness allows pregnant staff to take extra precautions, such as avoiding direct contact with children’s saliva and nappies, helping to protect both mother and baby. 

Reducing the long-term impact of Congenital CMV

Early detection and intervention are crucial in managing congenital CMV-related conditions. Staff trained to recognise potential signs of congenital CMV, such as developmental concerns or hearing issues, can play a crucial role in ensuring timely referrals to support services. 

Creating a safer environment

A culture of infection control benefits everyonechildren, staff, and families. Awareness encourages best practices in hygiene, reducing not only CMV transmission but also other infections commonly spread in nurseries. 

Recognising CMV Symptoms 

While many individuals with CMV remain symptom-free, some may experience:

During pregnancy, signs of congenital CMV may be detected through ultrasounds and can include: 

Key hygiene practices to reduce CMV transmission 

Early years staff can take the following steps to lower the risk of CMV transmission: 

How early years providers can create a CMV-safe environment 

Implementing hygiene policies

Providing access to resources

Common CMV misconceptions 

"Children diagnosed with CMV are the main risk to pregnant staff."

False

Any child in an early years setting may carry CMV, and a high proportion will have it before starting school. A child diagnosed at birth is not necessarily the primary risk. 

"Once you’ve had CMV, you can’t get it again."

False

CMV, like other herpes viruses, can remain dormant and reactivate. There are also different strains, so reinfection is possible. 

"CMV only spreads from children who are visibly ill."

False

Many children and adults with CMV do not show symptoms but can still pass on the virus. 

"If a pregnant person contracts CMV, their baby will definitely be affected."

False

The impact on the baby depends on factors like the timing of infection during pregnancy and whether the virus is transmitted to the foetus. 

Conclusions

Raising awareness of CMV among early years staff is crucial for preventing transmission, protecting pregnant employees, and creating a safer environment for everyone. By promoting good hygiene practices and fostering a strong culture of infection control, early years settings can significantly reduce the risk of CMV and support overall health and well-being.

You can find more information about CMV here.

If you have any questions or would like to discuss how to make your workplace CMV-safe, please contact us at info@cmvaction.org.uk.

Click here for CMV Action Resources