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Table 2 Cytomegalovirus infection during pregnancy, and potential impact of screening or a prevention program promoting hygiene. Figures are numbers (%) for the best and minimal and maximum; % are provided with one decimal when > 1%, two decimals when ≤1% but > 0.1%, and three decimals when ≤0.1%.

From: Hygiene promotion might be better than serological screening to deal with Cytomegalovirus infection during pregnancy: a methodological appraisal and decision analysis

State

Current situation

Screening

Promotion of hygiene

Best (%)

Minimum (%)

Maximum (%)

Best (%)

Minimum (%

Maximum (%)

Best (%)

Minimum (%

Maximum (%)

CMV seronegative

435,200 (54.4)

598,400 (74.8)

312,000 (39.0)

433,683 (54.2)

595,414 (74,4)

310,128 (38,8)

435,200 (54.4)

598,400 (74.8)

312,000 (39.0)

MPI

4352 (0.54)

1197 (0.15)

4368 (0.55)

3018 (0.38)

1270 (0.16)

3069 (0.38)

2176 (0.27)

598 (0.07)

2184 (0.27)

Foetal infection in CMV-

1741 (0.22)

60 (0.0008)

3154 (0.39)

1741 (0.22)

60 (0.008)

3154 (0.39)

870 (0.11)

30 (0.004)

1577 (0.20)

CMV seropositive

364,800 (49.6)

201,600 (25.2)

488,000 (61.0)

366,317 (45.8)

204,586 (25.6)

488,408 (61,1)

364,800 (45.6)

201,600 (25.2)

488,000 (61.0)

Foetal infection after RI

1699 (0.21)

1540 (0.19)

1726 (0.22)

1699 (0.21)

1540 (0.19)

1726 (0.22)

1699 (0.21)

1540 (0.19)

1726 (0.22)

Total foetal infections

3440 (0.43)

1600 (0.20)

4880 (0.61)

3440 (0.43)

1600 (0.20)

4880 (0.61)

2569 (0.32)

1570 (0.20)

3303 (0.41)

Deaths & TOP

316 0.040)

147 (0.018)

449 (0.056)

919 (0.12)

183 (0.023)

1968 (0.25)

236 (0.030)

144 (0.018)

304 (0.038)

Total congenital infections

3123 (0.39)

1453 (0.18)

4431 (0.55)

2522 (0.32)

1417 (0.18)

2913 (0.36)

2333 (0.29)

1425 (0.18)

2999 (0.37)

Symptomatic in RI

60 (0.008)

54 (0.007)

60 (0.008)

60 (0.008)

54 (0.007)

60 (0.008)

60 (0.008)

54 (0.007)

60 (0.008)

Symptomatic in MPI

60 (0.008)

2 (< 0.001)

110 (0.014)

41 (0.005)

1 (< 0.001)

61 (0.008)

30 (0.004)

1 (< 0.001)

55 (0.007)

Severe symptomatic

60 (0.008)

28 (0.004)

85 (0.011)

50 (0.006)

27 (0,003)

60 (0.008)

45 (0.006)

27 (0,003)

58 (0.007)

Moderate symptomatic

60 (0.008)

28 (0.004)

85 (0.011)

50 (0.006)

27 (0,003)

60 (0.008)

45 (0.006)

27 (0,003)

58 (0.007)

Sequelae asymptom. RI

197 (0.025)

179 (0.022)

200 (0.025)

197 (0.025)

179 (0.022)

200 (0.025)

197 (0.025)

179 (0.022)

200 (0.025)

Sequelae asymptom. MPI

202 (0.025)

7 (< 0.001)

366 (0.05)

125 (0.016)

2 (< 0.001)

171 (0,022)

101 (0.013)

3 (< 0.001)

183 (0.023)

Severe sequela (symptom)

48 (0.006)

22 (0.003)

68 (0.009)

40 (0.005)

22 (0.003)

48 (0.006)

36 (0.005)

22 (0.003)

46 (0.006)

Mod. sequelae (symptom)

35 (0.004)

11 (0.001)

35 (0.004)

21 (0.003)

11 (0.001)

25 (0.003)

18 (0.002)

11 (0.001)

24 (0.003)

Total poor outcomes

788 (0.099)

367 (0.046)

1119 (0.14)

1301 (0.16)

397 (0.050)

2413 (0.30)

588 (0.074)

356 (0.045)

757 (0.095)

  1. CMV cytomegalovirus; RI recurrent infection in CMV seropositive mothers; MPI maternal primary infection; CMV- mothers who are CMV seronegative before pregnancy; TOP termination of pregnancy; asymptom.: if asymptomatic at birth; Mod.: moderate; symptom: if symptomatic at birth