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Related Concept Videos

Cytomegalovirus Disease01:27

Cytomegalovirus Disease

108
Cytomegalovirus (CMV) disease is caused by human cytomegalovirus, a double-stranded DNA virus of the Herpesviridae family. While primary CMV infection is often asymptomatic in immunocompetent individuals, the virus can cause severe disease in neonates and immunocompromised patients. CMV is the most common cause of congenital viral infection in the United States, and a major pathogen in solid organ and hematopoietic stem cell transplant recipients.CMV is transmitted via bodily fluids, sexual...
108

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A Targeted Congenital Cytomegalovirus Screening Model Using a Customized Electronic Medical Record Dashboard Report.

Meryl B Kravitz1, Dhvanii K Raval2, Juan Lin2,3

  • 1Department of Otorhinolaryngology-Head and Neck Surgery, Division of Pediatric Otorhinolaryngology, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, New York, USA.

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Summary

A new electronic medical record (EMR) dashboard improved targeted congenital Cytomegalovirus (cCMV) screening compliance in newborns. This tool helps identify infants who need early diagnosis and intervention for cCMV.

Keywords:
congenital cytomegalovirusneonatal screeningsensorineural hearing losstargeted screening

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Area of Science:

  • Neonatal screening
  • Public health informatics
  • Infectious disease surveillance

Background:

  • Targeted congenital Cytomegalovirus (cCMV) screening aims to identify newborns for early intervention.
  • Screening implementation varies across institutions.
  • A centralized electronic medical record (EMR) dashboard was developed to standardize screening.

Purpose of the Study:

  • To evaluate the effectiveness of a centralized EMR dashboard in improving targeted cCMV screening compliance.
  • To assess the impact of the dashboard on identifying high-risk newborns for cCMV testing.

Main Methods:

  • A prospective feasibility study was conducted at a tertiary medical center.
  • A weekly EMR dashboard report identified newborns eligible for cCMV screening based on hearing tests and high-risk diagnoses.
  • Log-binomial regression analyzed screening performance before and after dashboard implementation.

Main Results:

  • The dashboard screened 5,866 newborns from July 2021 to December 2022.
  • 15.6% of newborns were eligible for testing; 3 tested positive for CMV.
  • Dashboard use led to a statistically significant increase in the rate of eligible newborns identified and tested over time.

Conclusions:

  • An EMR dashboard effectively enhances targeted cCMV screening compliance.
  • This centralized EMR dashboard model shows promise for scalable cCMV screening initiatives.
  • Improved compliance facilitates timely diagnosis and intervention for newborns with cCMV.