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Cytomegalovirus (CMV) can be transmitted during gestation or postnatally. CMV-contaminated blood-product transfusions and CMV-contaminated breast milk are thought to be responsible for postnatally acquired infection, and very-low-birth-weight (VLBW; <1500 g) infants are particularly susceptible. In a prospective study conducted between January 2010 and June 2013 at three neonatal intensive care units in Atlanta, researchers assessed risks for postnatal CMV transmission to VLBW infants from these sources.
The study involved 462 mothers, of whom 352 (76.2%) were CMV seropositive, and their 539 VLBW infants. The infants were followed until age 90 days, during which time they had five blood or urine tests for CMV by polymerase chain reaction (PC…