Congenital Cytomegalovirus: Prevalence in Buenos Aires City (cCMV Prevalence)
NCT ID: NCT05630898
Last Updated: 2022-11-30
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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UNKNOWN
3000 participants
OBSERVATIONAL
2023-04-01
2024-12-30
Brief Summary
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Participants will be screened with a salive swab for CMV DNA. Babies with positive results will be follow up for one year.
Detailed Description
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The prevalence of congenital cytomegalovirus has been reported as 0·2% to 2·0% (average of 0·64%). There is not any publication of the prevalence of cCMV in Buenos Aires City. We aim the study to find the prevalence in this population Screening of newborns for CMV infection permit early identification of at-risk congenitally infected infants for purposes of targeted monitoring and intervention during critical stages of speech and language development.
Testing saliva via DNA detection of the virus through polymerase chain reaction testing (PCR) or rapid culture is shown to have a high sensitivity (\>97%) and specificity (99%) for detecting congenital CMV infection.
Our objective is to describe the prevalence of cCMV using saliva specimens for PCR detection.
Secondary objectives includes describing prevalence of neurosensorial hearing loss and visual impairments during 1 year follow up.
Conditions
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Study Design
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OTHER
CROSS_SECTIONAL
Interventions
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CMV PCR
Saliva CMV PCR
Eligibility Criteria
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Inclusion Criteria
* informed consent
Exclusion Criteria
1 Day
21 Days
ALL
No
Sponsors
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Hospital de Niños R. Gutierrez de Buenos Aires
OTHER
Responsible Party
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Daniela Satragno, MD
MD
Principal Investigators
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Daniela Satragno, MD
Role: PRINCIPAL_INVESTIGATOR
Hospital de Niños Ricardo Gutierrez
Locations
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Clinica y maternidad Suizo Argentina
Ciudad Autonoma de Buenos Aires, Buenos Aires, Argentina
Hospital Materno Infantil Ramón Sardá
Ciudad Autonoma de Buenos Aires, Buenos Aires, Argentina
Hospital de Niños Ricardo Gutiérrez
Ciudad Autonoma de Buenos Aires, Buenos Aires, Argentina
Countries
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Central Contacts
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Facility Contacts
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Daniela Satragno
Role: primary
Daniela Satragno
Role: primary
Daniela Satragno, MD
Role: primary
References
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Salmerón MB. Estimación de prevalencia de infección congénita por citomegalovirus y seroprevalencia materna en Tucumán. Rev Argent Salud Pública. 2021;13:e33.
Marín y col. - Citomegalovirosis congénita en población asintomática de recién nacidos de un hospital público en la Región Nordeste de Argentina. Rev Argent salud Pública, 2014; 5(20): 6-10
Manicklal S, Emery VC, Lazzarotto T, Boppana SB, Gupta RK. The "silent" global burden of congenital cytomegalovirus. Clin Microbiol Rev. 2013 Jan;26(1):86-102. doi: 10.1128/CMR.00062-12.
Kenneson A, Cannon MJ. Review and meta-analysis of the epidemiology of congenital cytomegalovirus (CMV) infection. Rev Med Virol. 2007 Jul-Aug;17(4):253-76. doi: 10.1002/rmv.535.
Stagno S, Pass RF, Dworsky ME, Henderson RE, Moore EG, Walton PD, Alford CA. Congenital cytomegalovirus infection: The relative importance of primary and recurrent maternal infection. N Engl J Med. 1982 Apr 22;306(16):945-9. doi: 10.1056/NEJM198204223061601.
Wang C, Zhang X, Bialek S, Cannon MJ. Attribution of congenital cytomegalovirus infection to primary versus non-primary maternal infection. Clin Infect Dis. 2011 Jan 15;52(2):e11-3. doi: 10.1093/cid/ciq085.
Rawlinson WD, Boppana SB, Fowler KB, Kimberlin DW, Lazzarotto T, Alain S, Daly K, Doutre S, Gibson L, Giles ML, Greenlee J, Hamilton ST, Harrison GJ, Hui L, Jones CA, Palasanthiran P, Schleiss MR, Shand AW, van Zuylen WJ. Congenital cytomegalovirus infection in pregnancy and the neonate: consensus recommendations for prevention, diagnosis, and therapy. Lancet Infect Dis. 2017 Jun;17(6):e177-e188. doi: 10.1016/S1473-3099(17)30143-3. Epub 2017 Mar 11.
Boppana SB, Ross SA, Fowler KB. Congenital cytomegalovirus infection: clinical outcome. Clin Infect Dis. 2013 Dec;57 Suppl 4(Suppl 4):S178-81. doi: 10.1093/cid/cit629.
Fowler KB, McCollister FP, Dahle AJ, Boppana S, Britt WJ, Pass RF. Progressive and fluctuating sensorineural hearing loss in children with asymptomatic congenital cytomegalovirus infection. J Pediatr. 1997 Apr;130(4):624-30. doi: 10.1016/s0022-3476(97)70248-8.
Cannon MJ, Schmid DS, Hyde TB. Review of cytomegalovirus seroprevalence and demographic characteristics associated with infection. Rev Med Virol. 2010 Jul;20(4):202-13. doi: 10.1002/rmv.655.
Gantt S, Dionne F, Kozak FK, Goshen O, Goldfarb DM, Park AH, Boppana SB, Fowler K. Cost-effectiveness of Universal and Targeted Newborn Screening for Congenital Cytomegalovirus Infection. JAMA Pediatr. 2016 Dec 1;170(12):1173-1180. doi: 10.1001/jamapediatrics.2016.2016.
Boppana SB, Ross SA, Shimamura M, Palmer AL, Ahmed A, Michaels MG, Sanchez PJ, Bernstein DI, Tolan RW Jr, Novak Z, Chowdhury N, Britt WJ, Fowler KB; National Institute on Deafness and Other Communication Disorders CHIMES Study. Saliva polymerase-chain-reaction assay for cytomegalovirus screening in newborns. N Engl J Med. 2011 Jun 2;364(22):2111-8. doi: 10.1056/NEJMoa1006561.
Pinninti SG, Ross SA, Shimamura M, Novak Z, Palmer AL, Ahmed A, Tolan RW Jr, Bernstein DI, Michaels MG, Sanchez PJ, Fowler KB, Boppana SB; National Institute on Deafness and Other Communication Disorders CMV and Hearing Multicenter Screening (CHIMES) Study. Comparison of saliva PCR assay versus rapid culture for detection of congenital cytomegalovirus infection. Pediatr Infect Dis J. 2015 May;34(5):536-7. doi: 10.1097/INF.0000000000000609.
Ross SA, Ahmed A, Palmer AL, Michaels MG, Sanchez PJ, Bernstein DI, Tolan RW Jr, Novak Z, Chowdhury N, Fowler KB, Boppana SB; National Institute on Deafness and Other Communication Disorders CHIMES Study. Detection of congenital cytomegalovirus infection by real-time polymerase chain reaction analysis of saliva or urine specimens. J Infect Dis. 2014 Nov 1;210(9):1415-8. doi: 10.1093/infdis/jiu263. Epub 2014 May 5.
Yamamoto AY, Mussi-Pinhata MM, Marin LJ, Brito RM, Oliveira PF, Coelho TB. Is saliva as reliable as urine for detection of cytomegalovirus DNA for neonatal screening of congenital CMV infection? J Clin Virol. 2006 Jul;36(3):228-30. doi: 10.1016/j.jcv.2006.03.011. Epub 2006 Jun 5.
Belec L, Brogan TV. Real-time PCR-based testing of saliva for cytomegalovirus at birth. Expert Rev Anti Infect Ther. 2011 Dec;9(12):1119-24. doi: 10.1586/eri.11.130.
Barbi M, Binda S, Primache V, Caroppo S, Dido P, Guidotti P, Corbetta C, Melotti D. Cytomegalovirus DNA detection in Guthrie cards: a powerful tool for diagnosing congenital infection. J Clin Virol. 2000 Sep 1;17(3):159-65. doi: 10.1016/s1386-6532(00)00089-5.
Boppana SB, Ross SA, Novak Z, Shimamura M, Tolan RW Jr, Palmer AL, Ahmed A, Michaels MG, Sanchez PJ, Bernstein DI, Britt WJ, Fowler KB; National Institute on Deafness and Other Communication Disorders CMV and Hearing Multicenter Screening (CHIMES) Study. Dried blood spot real-time polymerase chain reaction assays to screen newborns for congenital cytomegalovirus infection. JAMA. 2010 Apr 14;303(14):1375-82. doi: 10.1001/jama.2010.423.
Other Identifiers
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HNinosBuenosAires
Identifier Type: -
Identifier Source: org_study_id