Neonatal and long‐term outcomes of infants with congenital cytomegalovirus infection and negative amniocentesis: systematic review and meta‐analysis Article Swipe
Christos Chatzakis
,
Alexandros Sotiriadis
,
Konstantinos Dinas
,
Y. Ville
·
YOU?
·
· 2022
· Open Access
·
· DOI: https://doi.org/10.1002/uog.26128
YOU?
·
· 2022
· Open Access
·
· DOI: https://doi.org/10.1002/uog.26128
Objective Cytomegalovirus (CMV) DNA is detectable in the amniotic fluid collected by amniocentesis in cases in which the fetus has been infected. However, cases of congenital neonatal CMV infection with a negative amniocentesis result have also been reported in the literature. The aim of the present study was to compare pregnancies with a negative amniocentesis result to those with a positive amniocentesis result in terms of incidence of fetal insult and long‐term sequelae. Methods Observational studies that included pregnant women with CMV infection who underwent amniocentesis and that reported their results together with neonatal and/or long‐term outcomes of the offspring were included. The risk of bias in included studies was assessed using the Newcastle–Ottawa Scale. The rate of severe symptoms at birth, defined as neurological symptoms or multiorgan involvement at birth, and the rate of severe sensorineural hearing loss (SNHL) and/or neurodevelopmental impairment at follow‐up were the main outcomes of the study. The secondary outcome was the rate of pregnancy termination due to the presence of CMV‐associated central nervous system (CNS) findings or multiorgan involvement on ultrasound/magnetic resonance imaging (MRI). Results Seven studies were included in the systematic review and meta‐analysis. The pooled false‐negative rate of amniocentesis was 8.0% (95% CI, 5.0–13.0%). The pooled rate of severe symptoms at birth was 0.0% (95% CI, 0.0–1.0%; I 2 = 0%) in fetuses with a negative amniocentesis result and 22.0% (95% CI, 11.0–38.0%; I 2 = 75%) in those with a positive amniocentesis result. The pooled odds ratio (OR) was 0.03 (95% CI, 0.01–0.10; I 2 = 0%). The pooled rate of severe SNHL and/or neurodevelopmental impairment at follow‐up in fetuses with a negative amniocentesis result was 0.0% (95% CI, 0.0–1.0%; I 2 = 0%) and, in those with a positive amniocentesis result, it was 14.0% (95% CI, 7.0–26.0%; I 2 = 64%). The pooled OR was 0.04 (95% CI, 0.01–0.14; I 2 = 0%). The pooled rate of pregnancy termination due to the presence of CMV‐associated CNS findings or multiorgan involvement on ultrasound/MRI was 0.0% (95% CI, 0.0–2.0%; I 2 = 0%) in fetuses with a negative amniocentesis result and 20.0% (95% CI, 10.0–36.0%; I 2 = 82%) in those with a positive amniocentesis result. The pooled OR was 0.03 (95% CI, 0.01–0.08; I 2 = 0%). A subgroup analysis including only pregnancies with primary CMV infection and a sensitivity analysis including only prospective studies were carried out, showing very similar results to those of the main analysis. Conclusion A negative amniocentesis result in pregnant women with CMV infection ensures lack of fetal insult and long‐term sequelae to the child, even if transmission has occurred. © 2022 The Authors. Ultrasound in Obstetrics & Gynecology published by John Wiley & Sons Ltd on behalf of International Society of Ultrasound in Obstetrics and Gynecology.
Related Topics
Concepts
Medicine
Meta-analysis
Cytomegalovirus
Amniocentesis
Term (time)
Obstetrics
Pediatrics
Pregnancy
Fetus
Herpesviridae
Prenatal diagnosis
Internal medicine
Immunology
Virus
Viral disease
Biology
Quantum mechanics
Physics
Genetics
Metadata
- Type
- review
- Language
- en
- Landing Page
- https://doi.org/10.1002/uog.26128
- https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/uog.26128
- OA Status
- hybrid
- Cited By
- 28
- References
- 22
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4309575445
All OpenAlex metadata
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https://openalex.org/W4309575445Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1002/uog.26128Digital Object Identifier
- Title
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Neonatal and long‐term outcomes of infants with congenital cytomegalovirus infection and negative amniocentesis: systematic review and meta‐analysisWork title
- Type
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reviewOpenAlex work type
- Language
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enPrimary language
- Publication year
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2022Year of publication
- Publication date
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2022-11-22Full publication date if available
- Authors
-
Christos Chatzakis, Alexandros Sotiriadis, Konstantinos Dinas, Y. VilleList of authors in order
- Landing page
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https://doi.org/10.1002/uog.26128Publisher landing page
- PDF URL
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https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/uog.26128Direct link to full text PDF
- Open access
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YesWhether a free full text is available
- OA status
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hybridOpen access status per OpenAlex
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https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/uog.26128Direct OA link when available
- Concepts
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Medicine, Meta-analysis, Cytomegalovirus, Amniocentesis, Term (time), Obstetrics, Pediatrics, Pregnancy, Fetus, Herpesviridae, Prenatal diagnosis, Internal medicine, Immunology, Virus, Viral disease, Biology, Quantum mechanics, Physics, GeneticsTop concepts (fields/topics) attached by OpenAlex
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28Total citation count in OpenAlex
- Citations by year (recent)
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2025: 9, 2024: 12, 2023: 7Per-year citation counts (last 5 years)
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22Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.0.0–1.0%; | 215, 279 |
| abstract_inverted_index.0.0–2.0%; | 337 |
| abstract_inverted_index.Gynecology. | 461 |
| abstract_inverted_index.follow‐up | 145, 267 |
| abstract_inverted_index.involvement | 129, 175, 330 |
| abstract_inverted_index.literature. | 41 |
| abstract_inverted_index.long‐term | 72, 96, 425 |
| abstract_inverted_index.pregnancies | 51, 382 |
| abstract_inverted_index.prospective | 393 |
| abstract_inverted_index.sensitivity | 389 |
| abstract_inverted_index.termination | 161, 319 |
| abstract_inverted_index.0.01–0.08; | 372 |
| abstract_inverted_index.0.01–0.10; | 252 |
| abstract_inverted_index.0.01–0.14; | 309 |
| abstract_inverted_index.7.0–26.0%; | 297 |
| abstract_inverted_index.neurological | 125 |
| abstract_inverted_index.transmission | 432 |
| abstract_inverted_index.10.0–36.0%; | 353 |
| abstract_inverted_index.11.0–38.0%; | 231 |
| abstract_inverted_index.5.0–13.0%). | 202 |
| abstract_inverted_index.International | 454 |
| abstract_inverted_index.Observational | 75 |
| abstract_inverted_index.amniocentesis | 13, 33, 55, 62, 86, 197, 225, 241, 273, 290, 347, 363, 411 |
| abstract_inverted_index.sensorineural | 137 |
| abstract_inverted_index.ultrasound/MRI | 332 |
| abstract_inverted_index.Cytomegalovirus | 2 |
| abstract_inverted_index.CMV‐associated | 167, 325 |
| abstract_inverted_index.false‐negative | 194 |
| abstract_inverted_index.meta‐analysis. | 191 |
| abstract_inverted_index.Newcastle–Ottawa | 114 |
| abstract_inverted_index.neurodevelopmental | 142, 264 |
| abstract_inverted_index.ultrasound/magnetic | 177 |
| cited_by_percentile_year.max | 99 |
| cited_by_percentile_year.min | 98 |
| corresponding_author_ids | https://openalex.org/A5059357237 |
| countries_distinct_count | 2 |
| institutions_distinct_count | 4 |
| corresponding_institution_ids | https://openalex.org/I110736937, https://openalex.org/I1288880153, https://openalex.org/I204730241 |
| sustainable_development_goals[0].id | https://metadata.un.org/sdg/3 |
| sustainable_development_goals[0].score | 0.8399999737739563 |
| sustainable_development_goals[0].display_name | Good health and well-being |
| citation_normalized_percentile.value | 0.95721887 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | True |