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Related Concept Videos

Cytomegalovirus Disease01:27

Cytomegalovirus Disease

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...
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Automated diagnostic analyzers have transformed clinical microbiology by providing rapid and reliable methods for pathogen identification and antibiotic susceptibility testing. Among these systems, the Vitek 2 is widely used because it automates the traditionally labor-intensive processes of microbial identification (ID) and antibiotic susceptibility testing (AST), delivering standardized and timely results that are essential for effective patient care.Microbial Identification with ID CardsThe...

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Updated: Jul 15, 2026

Automated Cell Enrichment of Cytomegalovirus-specific T cells for Clinical Applications using the Cytokine-capture System
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A Targeted Approach for Optimizing Congenital Cytomegalovirus (cCMV) Testing: A Quality Improvement Initiative.

Dean Howdeshell1, Denise Kirsten, Colleen Nash

  • 1Author Affiliations: Division of Nursing, Rush University Medical Center, Chicago, Illinois (Howdeshell and Kirsten); Division of Infectious Diseases, Department of Pediatrics, Rush University Medical Center, Chicago, Illinois (Nash); and Division of Neonatology, Department of Pediatrics, Rush University Medical Center, Chicago, Illinois (Seske).

Advances in Neonatal Care : Official Journal of the National Association of Neonatal Nurses
|July 13, 2026
PubMed
Summary

Implementing a standardized guideline for congenital cytomegalovirus (CMV) testing in neonates reduced unnecessary testing and improved consistency. The study found a low diagnostic yield in asymptomatic infants, suggesting a need for refined testing criteria.

Keywords:
clinical decision support systemscongenital cytomegaloviruselectronic health recordsintrauterine growth restrictionneonatal intensive care unitquality improvementsmall for gestational age

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Last Updated: Jul 15, 2026

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Published on: May 27, 2011

Area of Science:

  • Neonatal Medicine
  • Infectious Diseases
  • Public Health

Background:

  • Congenital cytomegalovirus (CMV) is a common neonatal infection with inconsistent testing protocols.
  • Current testing practices lead to increased healthcare costs and low diagnostic yield.

Purpose of the Study:

  • To optimize resource utilization by reducing overtesting for congenital CMV.
  • To implement a standardized testing guideline for neonates classified as small for gestational age (SGA) or with intrauterine growth restriction (IUGR) in a NICU and GCN setting.

Main Methods:

  • An interprofessional team implemented a standardized congenital CMV testing guideline.
  • An electronic medical record-based best practice advisory (BPA) supported the guideline, with education for healthcare providers.
  • Weekly audits evaluated BPA-identified neonates over a 12-week period.

Main Results:

  • Forty-one neonates triggered the BPA; 24 underwent testing, with zero positive results.
  • A significant proportion of infants were tested for isolated IUGR/SGA without physical signs or additional risk factors.
  • Guideline adherence reached 90%.

Conclusions:

  • A standardized, risk-based congenital CMV testing guideline enhanced testing consistency.
  • The study demonstrated a low diagnostic yield in asymptomatic infants, supporting the need for refined testing criteria.
  • Further evaluation is required to assess the sustainability and refinement of testing criteria.