Evidence map›Paper›PMID 17551573›Full record

ArticlePloS one2007

Risk factors for and clinical outcome of congenital cytomegalovirus infection in a peri-urban West-African birth cohort.

Marianne A B van der Sande, Steve Kaye, David J C Miles, Pauline Waight, David J Jeffries, Olubukola O Ojuola, Melba Palmero, Margaret Pinder, Jamila Ismaili, Katie L Flanagan and 6 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 2 pooled it
2.5field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

45 citing papers in PubMed, 2 syntheses or guidelines pooled it, 88 citations in OpenAlex.

  1. Pooled it
  2. Systematic review of the birth prevalence of congenital cytomegalovirus infection in developing countries.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2014
    Pooled it
  3. Congenital Cytomegalovirus and HIV Perinatal Transmission.The Pediatric infectious disease journal · 2018
    Trial
  4. Cytomegalovirus Urinary Shedding in HIV-infected Pregnant Women and Congenital Cytomegalovirus Infection.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2017
    Trial
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Frequency of CMV testing during pregnancy-a retrospective study.Archives of gynecology and obstetrics · 2025
    Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Congenital Cytomegalovirus Infections Mother-Newborn Pair Study in Southern Ethiopia.The Canadian journal of infectious diseases & medical microbiology = Journal canadien des maladies infectieuses et de la microbiologie medicale · 2021
    Article
  17. Article
  18. Review
  19. The impact of maternal HIV and malaria infection on the prevalence of congenital cytomegalovirus infection in Western Kenya.Journal of clinical virology : the official publication of the Pan American Society for Clinical Virology · 2019
    Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors at 1 institution in 1 country.

Marianne A B van der SandeMedical Research Council Laboratories, Fajara, Gambia. Marianne.van.der.Sande@rivm.nl
Steve Kaye
David J C Miles
Pauline Waight
David J Jeffries
Olubukola O Ojuola
Melba Palmero
Margaret Pinder
Jamila Ismaili
Katie L Flanagan
Akum A Aveika
Akram Zaman
Sarah Rowland-Jones
Samuel J McConkey
Hilton C Whittle
Arnaud Marchant
MRC Unit the Gambia · GM

Funding

Medical Research Council MC_U190081978Medical Research Council MC_U190085854Medical Research Council MC_U190088483
6 · The paper itself

Abstract

backgroundCongenital cytomegalovirus (CMV) infection is the most prevalent congenital infection worldwide. Epidemiology and clinical outcomes are known to vary with socio-economic background, but few data are available from developing countries, where the overall burden of infectious diseases is frequently high. METHODOLOGY/PRINCIPAL

findingsAs part of an ongoing birth cohort study in The Gambia among term infants, urine samples were collected at birth and tested by PCR for the presence of CMV DNA. Risk factors for transmission and clinical outcome were assessed, including placental malaria infection. Babies were followed up at home monthly for morbidity and anthropometry, and at one year of age a clinical evaluation was performed. The prevalence of congenital CMV infection was 5.4% (40/741). A higher prevalence of hepatomegaly was the only significant clinical difference at birth. Congenitally infected children were more often first born babies (adjusted odds ratio (OR) 5.3, 95% confidence interval (CI) 2.0-13.7), more frequently born in crowded compounds (adjusted OR 2.9, 95%CI 1.0-8.3) and active placental malaria was more prevalent (adjusted OR 2.9, 95%CI 1.0-8.4). These associations were corrected for maternal age, bed net use and season of birth. During the first year of follow up, mothers of congenitally infected children reported more health complaints for their child. CONCLUSIONS/SIGNIFICANCE: In this study, the prevalence of congenital CMV among healthy neonates was much higher than previously reported in industrialised countries, and was associated with active placental malaria infection. There were no obvious clinical implications during the first year of life. The effect of early life CMV on the developing infant in the Gambia could be mitigated by environmental factors, such as the high burden of other infections.

Indexed as

AdultCohort StudiesCytomegalovirusCytomegalovirus InfectionsFemaleFollow-Up StudiesGambiaHumansInfantInfant, NewbornInfant, Newborn, DiseasesMalePrognosisRisk FactorsUrban PopulationYoung Adult

Identifiers

PMID17551573
PMCPMC1876257
OpenAlexW2135098955

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.