Laboratory testing for cytomegalovirus among pregnant women in the United States: a retrospective study using administrative claims data

Details

• Alternative Title:
  BMC Infect Dis
• Personal Author:
  Leung, Jessica ; Cannon, Michael J ; Grosse, Scott D ; Bialek, Stephanie R
• Description:
  Background
  
  Routine cytomegalovirus (CMV) screening during pregnancy is not recommended in the United States and the extent to which it is performed is unknown. Using a medical claims database, we computed rates of CMV-specific testing among pregnant women.
  
  Methods
  
  We used medical claims from the 2009 Truven Health MarketScan® Commercial databases. We computed CMV-specific testing rates using CPT codes.
  
  Results
  
  We identified 77,773 pregnant women, of whom 1,668 (2%) had a claim for CMV-specific testing. CMV-specific testing was significantly associated with older age, Northeast or urban residence, and a diagnostic code for mononucleosis. We identified 44 women with a diagnostic code for mononucleosis, of whom 14% had CMV-specific testing.
  
  Conclusions
  
  Few pregnant women had CMV-specific testing, suggesting that screening for CMV infection during pregnancy is not commonly performed. In the absence of national surveillance for CMV infections during pregnancy, healthcare claims are a potential source for monitoring practices of CMV-specific testing.
  
  
• Subjects:
  Adolescent Adult Cytomegalovirus Infections Female Humans Pregnancy Pregnancy Complications, Infectious Retrospective Studies Young Adult
• Source:
  BMC Infect Dis. 2012; 12:334.
• Document Type:
  Journal Article
• Place as Subject:
  United States
• Volume:
  12
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:9cc813e3d7d504e3153f697215fa18fff99700ee9f2c544a6dc5bc1414e27779
• Download URL:
  https://stacks.cdc.gov/view/cdc/12428/cdc_12428_DS1.pdf
• File Type:
  [PDF - 165.61 KB ]