Evidence map›Paper›PMID 25268349›Full record

ArticlePloS one2014

Genotype distribution, viral load and clinical characteristics of infants with postnatal or congenital cytomegalovirus infection.

Joppe Nijman, Femke S Mandemaker, Malgorzata A Verboon-Maciolek, Susan C Aitken, Anton M van Loon, Linda S de Vries, Rob Schuurman

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
2.1field-weighted citation impact, top 14% 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

19 citing papers in PubMed, 30 citations in OpenAlex.

  1. Review
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  4. Article
  5. Human cytomegalovirus and neonatal infection.Current research in microbial sciences · 2024
    Review
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  12. Genotyping of Cytomegalovirus from Symptomatic Infected Neonates in Iraq.The American journal of tropical medicine and hygiene · 2019
    Article
  13. Article
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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

7 authors at 1 institution in 1 country.

Joppe NijmanDepartment of Neonatology, University Medical Center, Utrecht, The Netherlands.
Femke S MandemakerDepartment of Virology, University Medical Center, Utrecht, The Netherlands.
Malgorzata A Verboon-MaciolekDepartment of Neonatology, University Medical Center, Utrecht, The Netherlands.
Susan C AitkenDepartment of Virology, University Medical Center, Utrecht, The Netherlands.
Anton M van LoonDepartment of Virology, University Medical Center, Utrecht, The Netherlands.
Linda S de VriesDepartment of Neonatology, University Medical Center, Utrecht, The Netherlands.
Rob SchuurmanDepartment of Virology, University Medical Center, Utrecht, The Netherlands.
University Medical Center Utrecht · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCongenital cytomegalovirus infection is a leading cause of long-term sequelae. Cytomegalovirus is also frequently transmitted to preterm infants postnatally, but these infections are mostly asymptomatic. A correlation between cytomegalovirus genotypes and clinical manifestations has been reported previously in infants with congenital infection, but not in preterm infants with postnatal infection.

objectivesThe main objective of this study was to investigate cytomegalovirus genotype distribution in postnatal and congenital cytomegalovirus infection and its association with disease severity.

methodsInfants admitted to the neonatal intensive care unit of the University Medical Center Utrecht, The Netherlands between 2003-2010 and diagnosed with postnatal or congenital cytomegalovirus infection were included. Classification of cytomegalovirus isolates in genotypes was performed upon amplification and sequencing of the cytomegalovirus UL55 (gB) and UL144 genes. Clinical data, cerebral abnormalities, neurodevelopmental outcome and viral load were studied in relation to genotype distribution.

resultsGenotyping results were obtained from 58 preterm infants with postnatal cytomegalovirus infection and 13 infants with congenital cytomegalovirus infection. Postnatal disease was mild in all preterm infants and all had favourable outcome. Infants with congenital infection were significantly more severely affected than infants with postnatal infection. Seventy-seven percent of these infants were symptomatic at birth, 2/13 died and 3/13 developed long-term sequelae (median follow-up 6 (range 2-8) years). The distribution of cytomegalovirus genotypes was comparable for postnatal and congenital infection. UL55 genotype 1 and UL144 genotype 3 were predominant genotypes in both groups.

conclusionsDistribution of UL55 and UL144 genotypes was similar in asymptomatic postnatal and severe congenital CMV infection suggesting that other factors rather than cytomegalovirus UL55 and UL144 genotype are responsible for the development of severe disease.

Indexed as

GenotypeChildChild, PreschoolCross InfectionCytomegalovirusCytomegalovirus InfectionsFemaleHumansInfantInfant, NewbornInfant, PrematureLongitudinal StudiesMaleMembrane GlycoproteinsNetherlandsSeverity of Illness IndexMembrane GlycoproteinsUL144 ORF protein, Human herpesvirus 5UL55 protein, human cytomegalovirusViral Envelope ProteinsViral Proteins

Identifiers

PMID25268349
PMCPMC4182318
OpenAlexW1996892471

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LicenceCC BY
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Registered trials

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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.