Evidence map›Paper›PMID 34696327›Full record

ArticleViruses2021

Clinical, Virologic and Immunologic Correlates of Breast Milk Acquired Cytomegalovirus (CMV) Infections in Very Low Birth Weight (VLBW) Infants in a Newborn Intensive Care Unit (NICU) Setting.

Nelmary Hernandez-Alvarado, Ryan Shanley, Mark R Schleiss, Jensina Ericksen, Jenna Wassenaar, Lulua Webo, Katherine Bodin, Katelyn Parsons, Erin A Osterholm

Open access · goldAbstract read
In one paragraph

Article in Viruses, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
2.3field-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

15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 24 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Observational
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Viruses and Human Milk: Transmission or Protection?Advances in nutrition (Bethesda, Md.) · 2023
    Review
  12. Article
  13. Article
  14. An Overview of Cytomegalovirus Infection in Pregnancy.Diagnostics (Basel, Switzerland) · 2022
    Review
  15. 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 2 institutions in 1 country.

Nelmary Hernandez-AlvaradoDepartment of Pediatrics, University of Minnesota Medical School, Minneapolis, MN 55454, USA.
Ryan ShanleyBiostatistical Design and Analysis Center, University of Minnesota Medical School, Minneapolis, MN 55414, USA.
Mark R SchleissDepartment of Pediatrics, University of Minnesota Medical School, Minneapolis, MN 55454, USA.ORCID 0000-0002-2108-9433
Jensina EricksenDepartment of Pediatrics, University of Minnesota Medical School, Minneapolis, MN 55454, USA.
Jenna WassenaarDepartment of Pediatrics, University of Minnesota Medical School, Minneapolis, MN 55454, USA.
Lulua WeboDepartment of Pediatrics, University of Minnesota Medical School, Minneapolis, MN 55454, USA.
Katherine BodinDepartment of Pediatrics, University of Minnesota Medical School, Minneapolis, MN 55454, USA.
Katelyn ParsonsDepartment of Pediatrics, University of Minnesota Medical School, Minneapolis, MN 55454, USA.
Erin A OsterholmDepartment of Pediatrics, University of Minnesota Medical School, Minneapolis, MN 55454, USA.
University of Minnesota Medical Center · USUniversity of Minnesota · US

Funding

University of Minnesota Clinical and Translational Science Institute (UMN CTSI)UL1TR002494 · NCATS · UNIVERSITY OF MINNESOTA · PI BLAZAR, BRUCE R, WEISDORF, DANIEL J · 2018 to 2022
$34.9M
CDC HHS 6U19DD001218NCATS NIH HHS UL1TR002494NCBDD CDC HHS U19 DD001218
6 · The paper itself

Abstract

Cytomegalovirus (CMV) infections acquired by very-low-birthweight (VLBW) infants are incompletely characterized. To examine CMV transmission in VLBW infants, we evaluated maternal DNAlactia, infant DNAemia, and presence of clinical disease in a blinded study in VLBW infants in our newborn intensive care unit (NICU). To examine these issues, 200 VLBW infants were enrolled in a surveillance study, with weekly breast milk and infant whole blood samples collected, as available. Virologic (breast milk and infant whole blood real time PCR) and immunologic (IgG, IgM, and IgG avidity) correlates were evaluated. A chart review examined whether infants had symptoms compatible with CMV disease. DNAlactia was identified in 65/150 (43%) of lactating mothers. Nine CMV infections were identified in 9/75 CMV-exposed infants (12% of exposed infants). A higher median breast milk viral load (DNAlactia) correlated with an increased likelihood of DNAemia (

Indexed as

CytomegalovirusCytomegalovirus InfectionsDNA, ViralFemaleHumansImmunoglobulin GInfant, NewbornInfant, Very Low Birth WeightInfectious Disease Transmission, VerticalIntensive Care Units, NeonatalLactationMilk, HumanMothersPregnancyPregnancy Complications, InfectiousRetrospective StudiesDNA, ViralImmunoglobulin Gbreast milkCMV antiviralscytomegalovirus (CMV)post-natal CMV

Identifiers

PMID34696327
PMCPMC8539954
OpenAlexW3198926944

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.