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Table 3 Characteristics of the included studies

From: Dried blood spots PCR assays to screen congenital cytomegalovirus infection: a meta-analysis

Author [Reference]

Year

Location

Design

Total population screened

Inclusion criteria

Size of DBS used (diameter)

DBS stored temperature

Time of samples tested to collected

Type of DNA extraction

Type of PCR

Target region

Gold standard

Barbi et al [10]

1998

Italy

Prospective

205

Universal screening

3 disks (3mm)

UN

UN

Heat shock

Nested-PCR

UL55

Viral isolation from saliva

Barbi et al [8]

2006

Italy

Retrospective

874

Suspected of cCMV infection

3 disks (3mm)

UN

UN

Heat shock

Real-time PCR

gB

Viral isolation from urine or saliva

Binda et al [11]

2004

Italy

Retrospective

195

Suspected of cCMV infection

3 disks (3mm)

UN

UN

modified Heat shock

Nested-PCR

gp58

Viral isolation from urine,saliva or blood

Boppana et al [2]

2010

America

Prospective

11407

Universal screening

2 disks (3mm)

room temperature

14.6±9.6days

Qiagen M48 robotic system

Single-primer Real-time PCR

gB

The DEAFF assay on the follow-up saliva/urine sample

Boppana et al [2]

2010

America

Prospective

9018

Universal screening

2 disks (3mm)

room temperature

14.6±9.6days

Qiagen M48 robotic system

Two-primer Real-time PCR

gB & IE2

The DEAFF assay on the follow-up saliva/urine sample

Distéfano et al [24]

2008

Argentina

Retrospective

145

Compatible symptoms

UN

UN

UN

Heat shock

Nested-PCR

gB

Viral isolation from urine

Johansson et al [22]

1997

Sweden

Retrospective

31

infants confirmed with/without cCMV and infants whose samples were stored close to the infetive ones

25mm2

4°C

12-18 years

Phenol-chloroform

PCR+hybridization test

OP1, OP2, IE1

Viral isolation from urine

Leruez-Ville et al [12]

2009

France

Retrospective

214

Compatible symptoms, Maternal PI

UN

UN

UN

QiAamp DNA Blood Mini kit (Qiagen)

Real-time PCR

UL123exon 4

Urine culture/PCR

Leruez-Ville et al [26]

2011

France

Prospective

271

Compatible symptoms, Maternal PI

whole spot (10mm)

standard conditions

After metabolic screening

QiAamp DNA Blood Mini kit (Qiagen)

Real-time PCR

UL123exon 4

Urine sample PCR

Paixão et al [25]

2009

Portuguese

Retrospective

308

Neonates confirmed with/without cCMV infection

UN

UN

UN

Heat shock

Nested-PCR

gp58

Urine shell-viral culture

Paradizˇ et al [13]

2012

Slovenia

Prospective

2841

Universal screening

8 discs (2mm)

room temperature

7 days

QiAamp DNA Blood Micro kit (Qiagen)

Real-time PCR

UN

Urine sample PCR

Scanga et al [14]

2006

America

Retrospective

19

infants confirmed with/without cCMV and infants whose samples were stored close to the infetive ones

whole spot (10mm)

room temperature

2-20 months

QiAamp DNA Blood Micro kit (Qiagen)

Real-time PCR

POL

Urine culture

Soetens et al [16]

2008

Brussels

Retrospective

67

Universal screening

whole spot (10mm)

room temperature

72.9±31 months (0.5-130 months)

Phenol chloroform

Conventional PCR + nested-PCR

US8 & gH

Urine culture

Vaudry et al [15]

2010

Canada

Prospective

95

infants with VLBWs or SGA

UN

UN

about one month

MagaZorb DNA extraction Kit (Cortex Biochem)

CMV LC-real time PCR (Roche Diagnostic)

gB1, gB2

Viral isolation from throat swabs

Yamamoto et al [21]

2001

Brazil

Prospective

332

Universal screening

3 disks (6mm)

-20°C

UN

Heat shock

Nested-PCR

MIE & gB/gB1 & IE

Urine sample viral culture and/or PCR

  1. We extracted characteristics of the 15 studies, regarding to sample group information, DBS sample collection, DNA extraction and PCR methods. In Boppana et al. [2] study, they enrolled two groups of subjects and used different methods, therefore this article was deemed to be two independent studies. In Distéfano et al [24] study, 15 of 145 cases were identified as perinatal CMV infection, they were not included in this meta-analysis.