Evidence map›Paper›PMID 42009896›Full record

ArticleJournal of perinatology : official journal of the California Perinatal Association2026

Anti-cytomegalovirus medications among very low birth weight infants in the United States from 2016 to 2023.

Alvaro Proaño, Matthew Green, Alvaro Zevallos Barboza, Rachel G Greenberg, Karen M Puopolo, Dustin D Flannery

Abstract read
In one paragraph

Article in Journal of perinatology : official journal of the California Perinatal Association, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Alvaro ProañoDivision of Neonatology, Children's Hospital of Philadelphia, Philadelphia, PA, USA. aproanofalconi@uams.edu.ORCID http://orcid.org/0000-0002-4057-7686
Matthew GreenDepartment of Pediatrics, Columbia University Irving Medical Center, New York, NY, USA.
Alvaro Zevallos BarbozaDivision of Neonatology, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Rachel G GreenbergDepartment of Pediatrics, Duke University, Durham, NC, USA.ORCID http://orcid.org/0000-0003-4156-8543
Karen M PuopoloDivision of Neonatology, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Dustin D FlanneryDivision of Neonatology, Children's Hospital of Philadelphia, Philadelphia, PA, USA.ORCID http://orcid.org/0000-0003-2883-4683

Funding

AHRQ HHS K08 HS027468U.S. Department of Health & Human Services | Agency for Healthcare Research and Quality (AHRQ) K08HS027468
6 · The paper itself

Abstract

objectiveVery low birth weight (VLBW) infants are at risk for congenital and postnatally acquired cytomegalovirus (CMV). NICU utilization rates for anti-CMV active medications are unknown. We assessed utilization of these medications among VLBW infants admitted to NICUs across the U.S. over an 8-year period.

methodsRepeated cross-sectional study using data from the Premier Healthcare Database, including inborn VLBW infants admitted to NICUs from 2016 to 2023. Daily pharmacy charge data were used to estimate the annual proportion of infants who received anti-CMV medications at least once.

resultsAmong 75,731 VLBW infants admitted to 498 NICUs, 309 (0.4%) infants from 115 NICUs received anti-CMV medications; 228 infants received valganciclovir, 212 infants received ganciclovir. The proportion of VLBW infants receiving these medications was less than 1% annually. Most administrations started after 4 weeks (n = 261,84.5%).

conclusionUsage of anti-CMV medications among VLBW infants in U.S. NICUs was low and usually administered after 4 weeks.

Indexed as

Antiviral AgentsCytomegalovirus InfectionsInfant, Very Low Birth WeightCross-Sectional StudiesCytomegalovirusFemaleHumansInfant, NewbornIntensive Care Units, NeonatalMaleUnited StatesValganciclovirAntiviral AgentsValganciclovir

Identifiers

PMID42009896
PMCPMC13165104

What OpenQuestion holds

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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.