Evidence map›Paper›PMID 41517885›Full record

Observational studyBJOG : an international journal of obstetrics and gynaecology2026

Universal Cytomegalovirus Screening in the First Trimester of Pregnancy: The Multicentre Observational Cohort Study in the Area of Barcelona (CITEMB Study).

María Ángeles Sánchez-Durán, Juliana Esperalba, Elena Scazzocchio, Irene Fernández-Torm, Eva Vázquez-Segura, Olga Gracia-Salazar, Marta Calveiro-Hermo, Jordina Munrós-Feliu, Astrid Francesch-Campi, Laia Alcoverro-Bedos and 12 more

Abstract readObservational StudyMulticenter Study
In one paragraph

Observational study in BJOG : an international journal of obstetrics and gynaecology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. 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

22 authors.

María Ángeles Sánchez-DuránMaternal Fetal Medicine Unit, Department of Obstetrics, Vall D'hebron Barcelona Hospital Campus, Barcelona, Spain.ORCID https://orcid.org/0000-0001-9767-2564
Juliana EsperalbaDepartment of Microbiology, Vall D'hebron Barcelona Hospital Campus, Barcelona, Spain.ORCID https://orcid.org/0000-0003-1326-1341
Elena ScazzocchioAtencio a la Salut Sexual i Reproductiva (ASSIR) Esquerra, Institut Català de la Salut, Barcelona, Spain.ORCID https://orcid.org/0000-0002-3175-4185
Irene Fernández-TormAtencio a la Salut Sexual i Reproductiva (ASSIR) Esquerra, Institut Català de la Salut, Barcelona, Spain.ORCID https://orcid.org/0000-0003-2320-675X
Eva Vázquez-SeguraAtencio a la Salut Sexual i Reproductiva (ASSIR) Esquerra, Institut Català de la Salut, Barcelona, Spain.ORCID https://orcid.org/0000-0002-7832-4721
Olga Gracia-SalazarAtencio a la Salut Sexual i Reproductiva (ASSIR) Muntanya, Institut Català de la Salut, Barcelona, Spain.ORCID https://orcid.org/0000-0001-6486-7875
Marta Calveiro-HermoAtencio a la Salut Sexual i Reproductiva (ASSIR) Muntanya, Institut Català de la Salut, Barcelona, Spain.ORCID https://orcid.org/0000-0001-8636-9519
Jordina Munrós-FeliuAtencio a la Salut Sexual i Reproductiva (ASSIR) Muntanya, Institut Català de la Salut, Barcelona, Spain.ORCID https://orcid.org/0000-0001-6663-0943
Astrid Francesch-CampiAtencio a la Salut Sexual i Reproductiva (ASSIR) Muntanya, Institut Català de la Salut, Barcelona, Spain.ORCID https://orcid.org/0000-0001-7552-9142
Laia Alcoverro-BedosAtencio a la Salut Sexual i Reproductiva (ASSIR) Muntanya, Institut Català de la Salut, Barcelona, Spain.ORCID https://orcid.org/0000-0001-6460-4653
Aleida Ribas-TristanyAtencio a la Salut Sexual i Reproductiva (ASSIR) Sant Adrià, Institut Català de la Salut, Sant Adrià de Besòs, Spain.ORCID https://orcid.org/0000-0003-0263-1458
Cristina Del Viso-LajaraAtencio a la Salut Sexual i Reproductiva (ASSIR) Sant Adrià, Institut Català de la Salut, Sant Adrià de Besòs, Spain.ORCID https://orcid.org/0000-0003-1990-1944
Julia Mitjans-CarrascoGerència D'atenció Primària i Comunitària Barcelonés Nord i Maresme, Atenció a la Salut Sexual i Reproductiva (ASSIR) Santa Coloma, Institut Català de la Salut, Santa Coloma de Gramenet, Spain.ORCID https://orcid.org/0000-0001-5087-8485
Mercedes Guerrero-MartínezGerència D'atenció Primària i Comunitària Barcelonés Nord i Maresme, Atenció a la Salut Sexual i Reproductiva (ASSIR) Santa Coloma, Institut Català de la Salut, Santa Coloma de Gramenet, Spain.ORCID https://orcid.org/0000-0003-3567-4489
Gema Fernández-RivasMicrobiology Department, Clinical Laboratory, North Metropolitan Area, Hospital Universitari Germans Trias i Pujol, Badalona, Spain.ORCID https://orcid.org/0000-0003-4854-5934
Aneta Monika ZientalskaObstetrics Department, Hospital Universitari Germans Trias i Pujol, Badalona, Spain.ORCID https://orcid.org/0009-0004-3698-888X
Liudmila LiutskoUnitat de Suport a la Recerca Metropolitana Nord, Institut Universitari D'investigació en Atenció Primària Jordi Gol (IDIAP Jordi Gol), Mataró, Spain.ORCID https://orcid.org/0000-0002-2569-0760
Gemma Falguera-PuigGRASSIR, Grup Consolidat en Recerca en Atenció a la Salut Sexual i Reproductiva. IDIAP i AGAUR, Barcelona, Spain.ORCID https://orcid.org/0000-0002-6066-3960
Cristina Martínez-BuenoGerència D'atenció Primària i Comunitària Barcelonés Nord i Maresme, Gerència D'atenció Primària i Comunitària Vallés Oriental I Occidental, Institut Català de la Salut, Barcelona, Spain.ORCID https://orcid.org/0000-0001-5437-812X
Nerea MaizMaternal Fetal Medicine Unit, Department of Obstetrics, Vall D'hebron Barcelona Hospital Campus, Barcelona, Spain.ORCID https://orcid.org/0000-0001-8261-6383
Roser GolGRASSIR, Grup Consolidat en Recerca en Atenció a la Salut Sexual i Reproductiva. IDIAP i AGAUR, Barcelona, Spain.ORCID https://orcid.org/0000-0003-0396-7068
CITEMB group

Funding

Departament de Salut, Generalitat de Catalunya
6 · The paper itself

Abstract

objectiveTo determine the CMV seroprevalence among pregnant women and assess the rate of primary CMV infections during the first trimester.

designProspective multicentre observational cohort study.

settingFour primary care centres (ASSIRs) and two tertiary hospitals in Barcelona and its metropolitan area. PUPULATION OR SAMPLE: Pregnant women attending first-trimester antenatal visits between October 2022 and September 2024.

methodsAll participants underwent CMV IgG and IgM serological testing at the first antenatal visit. Women with positive IgM and low or intermediate IgG avidity were diagnosed with primary CMV infection and managed according to local protocols, including treatment with valaciclovir and fetal follow-up.

main outcome measuresCMV screening acceptance rate, seroprevalence, rate of primary infection, fetal infection, and neonatal outcomes up to one year of age.

resultsOf 3 677 pregnant women recruited, 3 357 were included in the final analysis. CMV screening acceptance was high. Seroprevalence was 77.7% (95% CI 76.2%-79.1%), and 743 women (22.1%, 95% CI 20.7%-23.6%) were seronegative. Five cases (0.15%, 95% CI 0.05%-0.37%) of primary CMV infection were identified and treated. No fetal infections were detected by amniocentesis. One newborn tested positive for CMV but remained asymptomatic at birth and at 6 months. Women who were seronegative were generally older, of European origin, and had higher education and employment rates.

conclusionsUniversal first-trimester CMV screening is feasible and well accepted in a public healthcare setting. While the rate of primary infection was low, early identification of seronegative women offers opportunities for preventive counselling and targeted follow-up.

Indexed as

Cytomegalovirus InfectionsPregnancy Complications, InfectiousAdultCytomegalovirusFemaleHumansInfant, NewbornMass ScreeningPregnancyPregnancy Trimester, FirstPrenatal CareProspective StudiesSeroepidemiologic StudiesSpainYoung Adultcongenital infectioncytomegalovirusfetal medicinefirst trimesterinfectious diseasesmaternal medicinepregnancy screeningprenatal diagnosispublic healthseroprevalence

Identifiers

PMID41517885
PMCPMC12972852

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.