Evidence map›Paper›PMID 27599701›Full record

ArticleWiener klinische Wochenschrift2017

Seroepidemiology of cytomegalovirus infections in Croatia.

Tatjana Vilibic-Cavlek, Branko Kolaric, Natasa Beader, Izabela Vrtar, Irena Tabain, Gordana Mlinaric-Galinovic

Abstract read
PubMed Publisher
In one paragraph

Article in Wiener klinische Wochenschrift, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 17% 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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.

  1. Pooled it
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  6. Article
  7. Advancements in Cytomegalovirus Management Among Solid Organ Transplant Recipients: Insights From the ESOT CMV Workshop 2023.Transplant international : official journal of the European Society for Organ Transplantation · 2025
    Article
  8. Article
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  12. Simultaneous Seroprevalence toMedicina (Kaunas, Lithuania) · 2021
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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

6 authors at 2 institutions in 1 country.

Tatjana Vilibic-CavlekDepartment of Virology, Croatian National Institute of Public Health, Rockefellerova 12, 10000, Zagreb, Croatia. tatjana.vilibic-cavlek@hzjz.hr.
Branko KolaricDepartment of Epidemiology, Andrija Stampar Teaching Institute of Public Health, Zagreb, Croatia.
Natasa BeaderSchool of Medicine University of Zagreb, Zagreb, Croatia.
Izabela VrtarDepartment of Virology, Croatian National Institute of Public Health, Rockefellerova 12, 10000, Zagreb, Croatia.
Irena TabainDepartment of Virology, Croatian National Institute of Public Health, Rockefellerova 12, 10000, Zagreb, Croatia.
Gordana Mlinaric-GalinovicDepartment of Virology, Croatian National Institute of Public Health, Rockefellerova 12, 10000, Zagreb, Croatia.
University of Zagreb · HRAndrija Stampar Teaching Institute of Public Health · HR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCytomegalovirus (CMV) is endemic worldwide, with marked differences in the seroprevalence rates between countries. The aim of this study was to analyze the seroprevalence of CMV infections in Croatia.

methodsDuring a 3-year period (2013-2015) 2438 consecutive serum samples collected from Croatian residents were tested for the presence of CMV IgM and IgG antibodies using enzyme-linked immunoassay. The IgM/IgG positive samples were further tested for IgG avidity.

resultsThe overall seroprevalence rates for CMV IgG and IgM antibodies were 74.4 % and 4.3 %, respectively. The IgG seroprevalence showed significant differences between population groups: children/adolescents 54.6 %, general adult population 77.2 %, hemodialysis patients 91.4 % (p < 0.001). Seropositivity of CMV was strongly age-dependent with prevalences ranging from 53.0 % in children less than 10 years old to 93.8 % in persons above 60 years (p < 0.001). There was no difference in the prevalence rate between women with normal pregnancy and women with poor obstetric history. Gender and place of residence were not associated with CMV seropositivity. Using IgG avidity, current/recent primary CMV infection was confirmed by a low/borderline avidity index (AI) in 46.7 % participants, while in 53.3 % a high AI indicated CMV reactivation or reinfection. Primary infections were detected mainly in children and adolescents (83.2 % and 70.5 %, respectively), while reactivation/reinfection was common in persons older than 40 (77.0-100 %). Reactivation/reinfection was most commonly detected in hemodialysis patients (92.3 %). Logistic regression showed that older age and being on hemodialysis were significant predictors of CMV seropositivity.

conclusionInfections with CMV are widespread in the Croatian population. Older age and being on hemodialysis appear to be the main risk factors for CMV infection.

Indexed as

AdolescentAdultAgedAged, 80 and overAge DistributionAntibodies, ViralChildChild, PreschoolCroatiaCytomegalovirusCytomegalovirus InfectionsFemaleHumansImmunoglobulin GImmunoglobulin MInfantAntibodies, ViralImmunoglobulin GImmunoglobulin MCroatiaCytomegalovirusEpidemiologySeroprevalence

Identifiers

PMID27599701
OpenAlexW2507432094

What OpenQuestion holds

Textmetadata
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.