Evidence map›Paper›PMID 23297260›Full record

ReviewClinical microbiology reviews2013

The "silent" global burden of congenital cytomegalovirus.

Sheetal Manicklal, Vincent C Emery, Tiziana Lazzarotto, Suresh B Boppana, Ravindra K Gupta

Registry-linked trialOpen access · bronzeAbstract readReview
In one paragraph

Review in Clinical microbiology reviews, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05630898 (Congenital Cytomegalovirus), which is not on this map. Cited by 512 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
512citing papers in PubMed, 5 pooled it
35.8field-weighted citation impact, top 1% 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.

NCT05630898 unknown statusnot on this mapstarted 2023, after this paper: background citation

Congenital Cytomegalovirus: Prevalence in Buenos Aires City

TypeobservationalSponsorHospital de Niños R. Gutierrez de Buenos AiresRan2023 to 2024Enrolled3,000ConditionsCongenital CytomegalovirusArmsCMV PCR
3 · Its place in the literature

Who cites it

512 citing papers in PubMed, 5 syntheses or guidelines pooled it, 1,029 citations in OpenAlex.

  1. Pooled it
  2. Risk factors associated with late-onset hearing loss in children with congenital cytomegalovirus: a systematic review.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2025
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452 more citing papers are in PubMed but not listed here.

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

5 authors at 4 institutions in 4 countries.

Sheetal ManicklalDivision of Medical Virology, Department of Clinical Laboratory Sciences, National Health Laboratory Service, Groote Schuur Hospital/University of Cape Town, Cape Town, South Africa.
Vincent C Emery
Tiziana Lazzarotto
Suresh B Boppana
Ravindra K Gupta
University College London · GBUniversity of Alabama at Birmingham · USUniversity of Bologna · ITUniversity of Cape Town · ZA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Human cytomegalovirus (CMV) is a leading cause of congenital infections worldwide. In the developed world, following the virtual elimination of circulating rubella, it is the commonest nongenetic cause of childhood hearing loss and an important cause of neurodevelopmental delay. The seroprevalence of CMV in adults and the incidence of congenital CMV infection are highest in developing countries (1 to 5% of births) and are most likely driven by nonprimary maternal infections. However, reliable estimates of prevalence and outcome from developing countries are not available. This is largely due to the dogma that maternal preexisting seroimmunity virtually eliminates the risk for sequelae. However, recent data demonstrating similar rates of sequelae, especially hearing loss, following primary and nonprimary maternal infection have underscored the importance of congenital CMV infection in resource-poor settings. Although a significant proportion of congenital CMV infections are attributable to maternal primary infection in well-resourced settings, the absence of specific interventions for seronegative mothers and uncertainty about fetal prognosis have discouraged routine maternal antibody screening. Despite these challenges, encouraging results from prototype vaccines have been reported, and the first randomized phase III trials of prenatal interventions and prolonged postnatal antiviral therapy are under way. Successful implementation of strategies to prevent or reduce the burden of congenital CMV infection will require heightened global awareness among clinicians and the general population. In this review, we highlight the global epidemiology of congenital CMV and the implications of growing knowledge in areas of prevention, diagnosis, prognosis, and management for both low (50 to 70%)- and high (>70%)-seroprevalence settings.

Indexed as

Antiviral AgentsCytomegalovirus InfectionsCytomegalovirus VaccinesGlobal HealthHearing LossHumansRandomized Controlled Trials as TopicAntiviral AgentsCytomegalovirus Vaccines

Identifiers

PMID23297260
PMCPMC3553672
OpenAlexW2142161841

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.