Evidence map›Paper›PMID 27158582›Full record

ArticleGMS hygiene and infection control2016

Are female daycare workers at greater risk of cytomegalovirus infection? A secondary data analysis of CMV seroprevalence between 2010 and 2013 in Hamburg, Germany.

Johanna Stranzinger, Agnessa Kozak, Benjamin Schilgen, Diana Paris, Thomas Nießen, Lutz Schmidt, Andreas Wille, Norbert L Wagner, Albert Nienhaus

Open access · greenAbstract read
In one paragraph

Article in GMS hygiene and infection control, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 2 pooled it
1.2field-weighted citation impact, top 20% 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

7 citing papers in PubMed, 2 syntheses or guidelines pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. The risk of cytomegalovirus infection in daycare workers: a systematic review and meta-analysis.International archives of occupational and environmental health · 2020
    Pooled it
  3. Article
  4. Infections in Healthcare Workers in Germany-22-Year Time Trends.International journal of environmental research and public health · 2018
    Article
  5. Article
  6. Protecting the Health of Pregnant Women.Deutsches Arzteblatt international · 2017
    Article
  7. Article
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

9 authors at 7 institutions in 3 countries.

Johanna StranzingerInstitute for Statutory Accident Insurance and Prevention in the Health and Welfare Services, Hamburg, Germany.
Agnessa KozakUniversity Medical Center Hamburg-Eppendorf, Institute for Health Services Research in Dermatology and Nursing, Hamburg, Germany.
Benjamin SchilgenUniversity Medical Center Hamburg-Eppendorf, Institute for Health Services Research in Dermatology and Nursing, Hamburg, Germany.
Diana ParisDepartment for Occupational Health Service of the Administration of Hamburg, Hamburg, Germany.
Thomas NießenCentral Institute for Transfusion Medicine, Hamburg, Germany.
Lutz SchmidtCentral Institute for Transfusion Medicine, Hamburg, Germany.
Andreas WilleState Institute for Food Safety, Health and Environment, Hamburg, Germany.
Norbert L WagnerSaw Swee Hock School of Public Health, National University of Singapore, Singapore.
Albert NienhausInstitute for Statutory Accident Insurance and Prevention in the Health and Welfare Services, Hamburg, Germany; University Medical Center Hamburg-Eppendorf, Institute for Health Services Research in Dermatology and Nursing, Hamburg, Germany.
Institute for Transfusion Medicine · USUniversity Medical Center Hamburg-Eppendorf · DEEducation and Training Service for Hamburg Businesses · DELower Saxony State Office for Consumer Protection and Food Safety · DENational Association of Statutory Health Insurance Physicians · DENational University Health System · SGUniversität Hamburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundClose contact with asymptomatic children younger than three years is a risk factor for a primary cytomegalovirus (CMV) infection. In pregnant women, such primary infection increases the risk of CMV-induced feto- or embryopathy. Daycare providers have therefore implemented working restrictions for pregnant daycare workers (DCWs) in accordance with legislation and guidelines for maternity protection. However, little is known about the infection risk for DCWs. We therefore compared the prevalence of CMV antibodies of pregnant DCWs to that of female blood donors (BDs).

methodIn a secondary data analysis, the prevalence of anti-CMV IgG among pregnant DCWs (N=509) in daycare centers (DCCs) was compared to the prevalence of female first-time BDs (N=14,358) from the greater region of Hamburg, Germany. Data collection took place between 2010 and 2013. The influence of other risk factors such as age, pregnancies and place of residence was evaluated using logistic regression models.

resultsThe prevalence of CMV antibodies in pregnant DCWs was higher than in female BDs (54.6 vs 41.5%; OR 1.6; 95%CI 1.3-1.9). The subgroup of BDs who had given birth to at least one child and who lived in the city of Hamburg (N=2,591) had a prevalence of CMV antibodies similar to the prevalence in pregnant DCWs (53.9 vs 54.6%; OR 0.9; 95%CI 0.8-1.2). Age, pregnancy history and living in the center of Hamburg were risk factors for CMV infections.

conclusionThe comparison of pregnant DCWs to the best-matching subgroup of female first-time BDs with past pregnancies and living in the city of Hamburg does not indicate an elevated risk of CMV infection among DCWs. However, as two secondary data sets from convenience samples were used, a more detailed investigation of the risk factors other than place of residence, age and maternity was not possible. Therefore, the CMV infection risk in DCWs should be further studied by taking into consideration the potential preventive effect of hygiene measures.

Indexed as

CMV infectiondaycare providersdaycare workers (DCWs)female blood donorsnursery educators

Identifiers

PMID27158582
PMCPMC4844919
OpenAlexW2418493861

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.