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Table 3 Subgroup analysis of patients requiring repeat plasma CMV viral load testing

From: Diagnostic stewardship to limit repeat plasma cytomegalovirus viral load testing

 

CMV VL testing ordered in intervals < 5 days before the feedback [IRR (95% CI)]

CMV VL testing ordered in intervals < 5 days after the feedback [IRR, (95% CI)]

CMV DNAemia [RR, (95% CI)]

CMV VL > 1,000 IU/mL [RR, (95% CI)]

CMV disease [RR, (95% CI)]

General ward

0.57 (0.46–0.70)**

0.48 (0.39–0.60)**

0.96 (0.75–1.23)

1.05 (0.78–1.42)

1.04 (0.59–1.81)

ICU

0.43 (0.28–0.64)**

0.22 (0.13–0.37)**

0.83 (0.62–1.12)

1.08 (0.72–1.62)

1.16 (0.50–2.68)

Kidney transplant

0.36 (0.17–0.77)*

0.27 (0.12–0.64)*

1.17 (0.75–1.84)

1.27 (0.71–2.27)

1.86 (0.76–4.54)

HSCT

1.11 (0.79–1.58)

1.11 (0.79–1.58)

0.95 (0.44–2.01)

0.98 (0.39–2.47)

0.84 (0.56–12.63)

Autoimmune disease

0.22 (0.13–0.37)**

0.05 (0.18–0.13)**

0.87 (0.61–1.27)

0.98 (0.62–1.54)

1.50 (0.52–4.34)

Leukaemia

0.54 (0.26–1.09)

0.39 (0.18–0.86)*

0.60 (0.17–2.24)

0.61 (0.12–3.12)

0.03 (0.00–0.21)**

Solid malignancy

0.15 (0.37–0.65)*

0.09 (0.01–0.66)*

0.89 (0.42–1.88)

1.33 (0.55–3.22)

0.66 (0.84–5.30)

  1. Abbreviations: CI Confidence interval, CMV Cytomegalovirus, HSCT Hematopoietic stem cell transplant, ICU Intensive care unit, IRR Incidence rate ratio, IU International unit, mL Milliliter, RR Risk ratio, VL Viral load
  2. *p-value < 0.05
  3. **p-value < 0.001