Evidence map›Paper›PMID 38793653›Full record

ArticleViruses2024

Universal and Expanded Screening Strategy for Congenital Cytomegalovirus Infection: Is Pool Testing by a Rapid Molecular Test in Saliva a New Choice in Developing Countries?

Giannina Izquierdo, Carolina Guerra, Roberto Reyes, Leslie Araya, Belén Sepulveda, Camila Cabrera, Pamela Medina, Eledier Mardones, Leonel Villavicencio, Luisa Montecinos and 6 more

Abstract read
In one paragraph

Article in Viruses, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

2 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
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

16 authors.

Giannina IzquierdoDepartment of Pediatrics, Faculty of Medicine, University of Chile, Santiago 8820808, Chile.ORCID 0000-0002-1513-0161
Carolina GuerraNeonatal Intensive Care Unit, Hospital Barros Luco Trudeau, Santiago, Chile.
Roberto ReyesNeonatal Intensive Care Unit, Hospital Barros Luco Trudeau, Santiago, Chile.
Leslie ArayaDepartment of Pediatrics, Faculty of Medicine, University of Chile, Santiago 8820808, Chile.
Belén SepulvedaNeonatal Intensive Care Unit, Hospital Barros Luco Trudeau, Santiago, Chile.
Camila CabreraNeonatal Intensive Care Unit, Hospital Barros Luco Trudeau, Santiago, Chile.
Pamela MedinaNeonatal Intensive Care Unit, Hospital Barros Luco Trudeau, Santiago, Chile.
Eledier MardonesNeonatal Intensive Care Unit, Hospital Barros Luco Trudeau, Santiago, Chile.
Leonel VillavicencioMolecular Biology Laboratory, Hospital Lucio Córdova, Santiago, Chile.
Luisa MontecinosMolecular Biology Laboratory, Hospital Lucio Córdova, Santiago, Chile.
Felipe TarqueMolecular Biology Laboratory, Hospital Lucio Córdova, Santiago, Chile.
William AcevedoMolecular Biology Laboratory, Hospital Lucio Córdova, Santiago, Chile.
Marlon BarrazaPharmacy Unit Santiago, Hospital Luis Calvo Mackenna, Santiago, Chile.
Mauricio FarfánMolecular Biology Laboratory, Hospital Luis Calvo Mackenna, Santiago, Chile.
Jocelyn MendezMolecular Biology Laboratory, Hospital Luis Calvo Mackenna, Santiago, Chile.
Juan Pablo TorresDepartment of Pediatrics, Faculty of Medicine, University of Chile, Santiago 8820808, Chile.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSeveral screening strategies for identifying congenital CMV (cCMV) have been proposed; however, the optimal solution has yet to be determined. We aimed to determine the prevalence of cCMV by universal screening with saliva pool testing and to identify the clinical variables associated with a higher risk of cCMV to optimize an expanded screening strategy.

methodsWe carried out a prospective universal cCMV screening (September/2022 to August/2023) of 2186 newborns, analyzing saliva samples in pools of five (Alethia-LAMP-CMV

resultsWe identified 10 infants with cCMV (prevalence: 0.46%, 95% CI 0.22-0.84), with significantly higher rates (2.1%, 95% CI 0.58-5.3) in the high-risk group (

conclusionsFor low-prevalence diseases such as cCMV, universal screening with pool testing in saliva represents an optimal and cost-effective approach to enhance diagnosis in asymptomatic patients. An expanded screening strategy considering maternal nationality could be beneficial in resource-limited settings.

Indexed as

CytomegalovirusCytomegalovirus InfectionsDeveloping CountriesNeonatal ScreeningSalivaFemaleHumansInfant, NewbornMaleMass ScreeningMolecular Diagnostic TechniquesPregnancyPrevalenceProspective StudiesRisk FactorsSensitivity and Specificitycongenital cytomegalovirusexpanded screeningpool testingsalivauniversal screening

Identifiers

PMID38793653
PMCPMC11125597

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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.