BMJ Paediatrics Open最新文献

{"title":"Epidemiology of early-onset neonatal sepsis in Qatar, 2015-2022: a multicentre retrospective cohort study.","authors":"Anvar Paraparambil Vellamgot, Sajid Thyvilayil Salim, Khalil Salameh, Rajesh Pattu Valappil, Sudheer Babu Kurunthattil Thazhe, Abdurahiman Elikkottil","doi":"10.1136/bmjpo-2025-003534","DOIUrl":"https://doi.org/10.1136/bmjpo-2025-003534","url":null,"abstract":"<p><strong>Background: </strong>Early-onset neonatal sepsis (EOS) is an important cause of neonatal morbidity and mortality. The incidence has declined due to intrapartum antibiotic use and improved perinatal care. This study aimed to analyse EOS incidence, pathogen profiles, resistance patterns and neonatal outcomes in Qatar.</p><p><strong>Objectives: </strong>The primary objective was to estimate the incidence and trend of EOS among neonates born in Qatar from July 2015 to December 2022. Secondary objectives included describing risk factors, clinical characteristics and outcomes associated with EOS.</p><p><strong>Methodology: </strong>The study reviewed medical records in three major public hospitals in Qatar to identify EOS cases among live-born infants.</p><p><strong>Results: </strong>The study analysed 179 147 live births (LBs) and identified 157 cases of EOS, with an overall EOS incidence of 0.88 per 1000 LBs. Group B <i>Streptococcus</i> was the most common pathogen (58.6%), followed by <i>Escherichia coli</i> (15.3%). A significant decline in EOS incidence was observed from 2015 to 2022. The overall mortality rate was 13.4%, with the significant predictors being decreasing gestational age, chorioamnionitis and thrombocytopenia. The combined outcome of death and neurodisability was observed in 21% of the cohort.</p><p><strong>Conclusion: </strong>This study highlights an EOS incidence of 0.88 per 1000 LB in Qatar, a rate comparable to high-income countries. The decline in incidence underscores the effectiveness of improved prenatal care and screening. Continued surveillance and enhanced preventive measures are essential to further reduce incidence and improve outcomes for vulnerable newborns.</p>","PeriodicalId":9069,"journal":{"name":"BMJ Paediatrics Open","volume":"9 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144511520","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Eco-anxiety, knowledge and action in primary school-aged children in East London.","authors":"Imogen I Hensler, Khushi Patel, Julia Michalek, Callum Ritchie, Francois van Loggerenberg, Dennis Ougrin, Jennifer Y F Lau","doi":"10.1136/bmjpo-2025-003324","DOIUrl":"https://doi.org/10.1136/bmjpo-2025-003324","url":null,"abstract":"<p><p>Eco-anxiety refers to negative feelings around climate change, associated with distress and concern about the future. As there are minimal data on eco-anxiety in pre-adolescent children, here, we measured worries, knowledge and commitment to action in primary school-aged children in East London, an area characterised by high child poverty levels and ethnic diversity. Approximately half of the children worry about and are aware of global warming. We also found a correlation between worries and knowledge, and between worries and taking action. While these data are limited by a cross-sectional design and by the use of single-item self-reports of these constructs, nonetheless, greater engagement of pre-adolescent children in discussions around climate change is called for.</p>","PeriodicalId":9069,"journal":{"name":"BMJ Paediatrics Open","volume":"9 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144504778","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Analysis of parental beliefs and practices leading to excessive screen time in early childhood.","authors":"Priyank Bhutani, Litna A Varghese, Gagan Bajaj, Charul Bhutani, Firoz Khan, Geetha R Menon, Ramesh Chandra Deka, Suvendra Kumar Ray, Siddhartha Sankar Satapathy","doi":"10.1136/bmjpo-2025-003488","DOIUrl":"10.1136/bmjpo-2025-003488","url":null,"abstract":"<p><strong>Background: </strong>Excessive screen time in young children is a growing concern in the digital age. It is important to explore parental beliefs and practices that could shape children's screen time routines.</p><p><strong>Methods: </strong>This cross-sectional study surveyed 3624 parents of children aged 2-5 years from five northern Indian states between July and October 2024. The participants completed a validated questionnaire assessing sociodemographic factors, children's screen time duration, parental beliefs and practices related to screen time regulation (guidelines and enforcement), screen use purposes (eg, feeding, chores) and perceived impacts on child development (eg, social skills, attention, speech/language). Data analysis included χ² tests and multinomial logistic regression to identify associations between variables.</p><p><strong>Results: </strong>Over 60% of the children spent 2-4 hours daily on screens, with no significant associations between weekday-weekend screen time patterns and sociodemographic factors. Multinomial logistic regression revealed that the odds of excessive screen use were greater among children whose parents were unsure of whether restrictions should be set (AOR=3.03 for 4-6 hours), those whose parents did not set screen time limits (AOR=1.64 for 4-6 hours and AOR=2.07 for >8 hours), those whose parents used screens during feeding (AOR=1.82 for 2-4 hours; AOR=2.66 for 4-6 hours, AOR=2.79 for 4-8 hours and 3.54 for >8 hours) and those whose parents did not believe that screen time hindered speech and language development (AOR=1.77 for 2-4 hours and AOR=2.11 for 4-6 hours).</p><p><strong>Conclusion: </strong>Parental factors, including the absence of screen time limits and the cultural use of screens during mealtimes, contribute to excessive screen time. Interventions in India should focus on practical programmes that support parents in managing screen time, tailored to regional and cultural contexts.</p>","PeriodicalId":9069,"journal":{"name":"BMJ Paediatrics Open","volume":"9 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12198805/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144494548","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Accuracy and utility of newborn foot length screening tools to identify small babies by mothers in Sidama Region, Ethiopia.","authors":"Fitsum Weldegebriel Belay, Fanuel Belayneh Bekele, Rekiku Fikre, Akalewold Alemayehu, Hannah Richards, Andrew Clarke, Sarah Williams, Yohannes Chanyalew Kassa","doi":"10.1136/bmjpo-2025-003371","DOIUrl":"10.1136/bmjpo-2025-003371","url":null,"abstract":"<p><strong>Background: </strong>Simple, low-cost anthropometric screening tools like foot length (FL) can be used to screen for small babies (low birth weight (LBW) or preterm) delivered at home or in facilities where functional weighing scales are unavailable. This study aimed to evaluate the accuracy and utility of newborn FL screening tools to help identify small babies by mothers.</p><p><strong>Methods: </strong>A mixed-method study was conducted at selected health facilities from 15 May to 6 July 2024. The consecutive sample included 396 mother-newborn dyads. Mothers screened newborns using laminated cards and plastic tools with colour codes (green/red) based on a 73 mm FL cut-off. In-depth interviews were also conducted with purposively selected participating mothers. The screening tools' diagnostic accuracy was evaluated by receiver operating characteristic curve analyses.</p><p><strong>Results: </strong>The mean maternal age was 26.9 years. There were 61 (15.4%) LBW and 48 (12.3%) preterm babies. Using the laminated card, mothers classified 39.4% of newborns as having a short foot, while 33.1% were classified as such using the plastic tool. The plastic tool showed LBW identification accuracy of 0.82 area under receiver operating characteristic curve (AUC): 0.82 (95% CI 0.77 to 0.87) compared with the laminated card AUC: 0.75 (95% CI 0.69 to 0.81). For preterm identification, both tools performed similarly (AUC: 0.73-0.74). Compared with the laminated card (81.9% sensitivity and 68.4% specificity), the plastic tool (86.9% sensitivity and 76.7% specificity) would miss fewer LBW babies and reduce unnecessary referrals. The qualitative findings also suggested that a smooth surface, footprint picture, colour codes and heel holder can increase acceptability and utilisation of the FL screening tools.</p><p><strong>Conclusion: </strong>FL screening tools made from plastic or card with colour codes can be used by mothers to help identify LBW and preterm babies. Area-specific cut-off points, a smooth surface with a footprint picture and a heel holder, should be considered while designing colour-coded FL screening tools.</p>","PeriodicalId":9069,"journal":{"name":"BMJ Paediatrics Open","volume":"9 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12198826/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144494547","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Advancing early childhood development for children with disabilities and the Global Disability Summit 2025.","authors":"Bolajoko O Olusanya, Olaf Kraus de Camargo, Sheffali Gulati, Shanti Raman","doi":"10.1136/bmjpo-2025-003595","DOIUrl":"10.1136/bmjpo-2025-003595","url":null,"abstract":"","PeriodicalId":9069,"journal":{"name":"BMJ Paediatrics Open","volume":"9 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12198823/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144483123","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Systematic literature review and meta-analysis on therapeutic management of faecal impaction in the paediatric population.","authors":"Morris Gordon, Svetlana Lakunina, Anna de Geus, Aderonke Ajiboye, Ahmer Khan Amran, Merit Tabbers, Marc A Benninga, Amber Balda, Vassiliki Sinopoulou","doi":"10.1136/bmjpo-2025-003483","DOIUrl":"10.1136/bmjpo-2025-003483","url":null,"abstract":"<p><strong>Background: </strong>To date, there is no universally accepted or standardised protocol for management of faecal impaction (FI) in paediatric population. If left untreated, it can lead to serious consequences for the health and well-being of the child. We set out to determine the effectiveness and safety of existing therapeutic interventions for FI in children and identify any gaps occurring in current research.</p><p><strong>Methods: </strong>We have performed a systematic literature review on treatment of FI in paediatric population in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. We have included randomised controlled trials (RCTs) on all interventions for children (0-18 years old) with FI on background of functional constipation and excluded children with organic causes of FI. Our primary outcomes were treatment success, defecation frequency and withdrawals due to adverse events. We have performed a meta-analysis of the data.</p><p><strong>Results: </strong>Out of 13 341 records identified, only eight RCTs met our inclusion criteria with a total of 513 participants randomised. The diagnosis of functional constipation was mainly made using ROME III criteria. The diagnosis of FI varied from study to study. We identified several intervention groups based on our search. Our analysis has shown that there is no difference probably between PEG (Polyethylene Glycol).and PEG with sodium picosulphate, and there may be no difference between PEG and rectal enema for treatment success, but enema may lead to greater stool frequency. No other studies produced anything other than very low certainty evidence.</p><p><strong>Conclusions: </strong>No therapeutic approach was superior to others, with evidence limited by significant clinical heterogeneity related to varying patient and clinical factors, different outcome measures and limited study numbers. More high-quality research is needed to determine effective strategies for FI. Moreover, a consensus should be reached regarding the definition and diagnosis of FI as based on that a standardised approach to patient's care can be determined.</p>","PeriodicalId":9069,"journal":{"name":"BMJ Paediatrics Open","volume":"9 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12184409/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144367869","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Establishing consensus on defining the physically vulnerable child with cancer: a protocol for an international Delphi approach.","authors":"Sarah L Grimshaw, Rachel Conyers, Elvira C van Dalen, Kirsten Ness, Emma J Verwaaijen","doi":"10.1136/bmjpo-2025-003401","DOIUrl":"10.1136/bmjpo-2025-003401","url":null,"abstract":"<p><strong>Introduction: </strong>Childhood cancer survivors have an increased risk of lifetime morbidity and mortality. To improve outcomes, the physical impact of treatment toxicity must be minimised in the acute phase. Using a framework to identify early signs of physical vulnerability could provide an avenue for early intervention. Yet, existing models of physical vulnerability (sarcopenia and frailty) are adult-based definitions and require adaptation as they do not reflect the unique pathophysiology of paediatric cancer. Using phenotypes of sarcopenia and frailty as base, this study aims to establish a consensus definition of the physically vulnerable child with cancer.</p><p><strong>Methods and analysis: </strong>A Delphi consensus approach is guided by a project team of four specialised oncology healthcare professionals. Five stages include defining the problem area, selecting panel members, conducting four Delphi rounds, establishing closing criteria and validation of results. A focus group of international experts will meet to define the problem area, in addition to a scoping review to collate existing definitions and assessments of sarcopenia and frailty within paediatric contexts. Delphi panel members will include multinational clinicians with >5 years' experience in the acute paediatric setting, and researchers specialising in sarcopenia and/or frailty in paediatric cancer. Delphi rounds will aim to achieve consensus on how to define physical vulnerability in children with cancer. Consensus will be considered achieved when 80% or more of panellists agree. A series of focus groups with select members of the Delphi panel, and families, children, and adolescents affected by paediatric cancer will be held to validate results.</p><p><strong>Ethics and dissemination: </strong>The study has ethics approval through the Royal Children's Hospital Human Ethics Committee (number 3707). Results from this study will be published in peer-reviewed academic journals and disseminated via scientific conference(s) and key stakeholders.</p>","PeriodicalId":9069,"journal":{"name":"BMJ Paediatrics Open","volume":"9 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12182134/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144336212","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Machine learning approaches to identify neonates and young children at risk for postdischarge mortality in Dar es Salaam, Tanzania and Monrovia, Liberia.","authors":"Chris A Rees, Rodrick Kisenge, Evance Godfrey, Readon C Ideh, Julia Kamara, Ye-Jeung G Coleman-Nekar, Abraham Samma, Hussein K Manji, Christopher R Sudfeld, Adrianna L Westbrook, Michelle Niescierenko, Claudia R Morris, Todd A Florin, Cynthia G Whitney, Karim P Manji, Christopher P Duggan, Rishikesan Kamaleswaran","doi":"10.1136/bmjpo-2025-003547","DOIUrl":"10.1136/bmjpo-2025-003547","url":null,"abstract":"<p><strong>Background: </strong>The time after hospital discharge carries high rates of mortality in neonates and young children in sub-Saharan Africa. Previous work using logistic regression to develop risk assessment tools to identify those at risk for postdischarge mortality has yielded fair discriminatory value. Our objective was to determine if machine learning models would have greater discriminatory value to identify neonates and young children at risk for postdischarge mortality.</p><p><strong>Methods: </strong>We conducted a planned secondary analysis of a prospective observational cohort at Muhimbili National Hospital in Dar es Salaam, Tanzania and John F. Kennedy Medical Center in Monrovia, Liberia. We enrolled neonates and young children near the time of discharge. The outcome was 60-day postdischarge mortality. We collected socioeconomic, demographic, clinical, and anthropometric data during hospital admission and used machine learning (ie, eXtreme Gradient Boosting (XGBoost), Hist-Gradient Boost, Support Vector Machine, Neural Network, and Random Forest) to develop risk assessment tools to identify: (1) neonates and (2) young children at risk for postdischarge mortality.</p><p><strong>Results: </strong>A total of 2310 neonates and 1933 young children enrolled. Of these, 71 (3.1%) neonates and 67 (3.5%) young children died after hospital discharge. XGBoost, Hist Gradient Boost, and Neural Network models yielded the greatest discriminatory value (area under the receiver operating characteristic curves range: 0.94-0.99) and fewest features, which included six features for neonates and five for young children. Discharge against medical advice, low birth weight, and supplemental oxygen requirement during hospitalisation were predictive of postdischarge mortality in neonates. For young children, discharge against medical advice, pallor, and chronic medical problems were predictive of postdischarge mortality.</p><p><strong>Conclusions: </strong>Our parsimonious machine learning-based models had excellent discriminatory value to predict postdischarge mortality among neonates and young children. External validation of these tools is warranted to assist in the design of interventions to reduce postdischarge mortality in these vulnerable populations.</p>","PeriodicalId":9069,"journal":{"name":"BMJ Paediatrics Open","volume":"9 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12182169/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144336213","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of primary healthcare worker training to screen children under 5 years of age with a low-cost alternative to the direct ophthalmoscope, the 'Arclight', as part of the Integrated Management of Newborn and Childhood Illness (IMNCI) programme in Tanzania.","authors":"A N J Malik, Godfrey Furhini Mnedeme, Nemes Iriya, Philip Bahati, Henry Marealle, Andrew Blaikie, Mlika Mafwiri","doi":"10.1136/bmjpo-2025-003520","DOIUrl":"10.1136/bmjpo-2025-003520","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the integration of childhood eye screening with the Arclight direct ophthalmoscope into an already existing WHO/UNICEF Integrated Management of Newborn and Childhood Illness (IMNCI) programme in Tanzania.</p><p><strong>Design: </strong>Prospective interventional study.</p><p><strong>Setting: </strong>Primary healthcare facilities in a semirural district, central Tanzania.</p><p><strong>Participants: </strong>Two IMNCI (Integrated Management of Newborn and Childhood Illness) facilitators received training enhanced with four newly developed videos on using the Arclight. These facilitators then trained 378 primary healthcare workers (PHCWs) who were already familiar with the IMNCI 'Eye Module'. The training covered how to perform red reflex testing with the Arclight device, interpret the results and appropriately refer children who failed the screening.</p><p><strong>Intervention: </strong>'Arclight' direct ophthalmoscope and training of primary healthcare workers.</p><p><strong>Main outcome measures: </strong>Number of children screened and diagnosed with eye conditions.</p><p><strong>Results: </strong>Over 4 months, 2 trained IMNCI facilitators trained 378 PHCWs on how to use the Arclight direct ophthalmoscope to screen children's eyes. Over a 6-month period, 36 000 children were screened in primary care settings with 136 seen at district level facilities and 105 referred to regional and tertiary facilities. The most common diagnoses of children referred were allergic conjunctivitis (37.4%), bacterial conjunctivitis (31.2%) and cataract (7.1%). There were six cases of ophthalmia neonatorum (3.9%) and two cases of retinoblastoma (1.3%). The incidence rate per 10 000 children of cataract was 3.05, ophthalmia neonatorum 1.67 and retinoblastoma 0.55.</p><p><strong>Conclusion: </strong>Primary healthcare workers in Tanzania can be trained to screen for eye disease in babies and children using the Arclight direct ophthalmoscope as part of an ongoing child health programme leading to the detection of treatable and serious eye diseases. Training all PHCWs would allow every child under 5 years old to be screened for eye disease, detecting serious eye conditions such as cataract and retinoblastoma earlier preventing avoidable childhood blindness and mortality.</p>","PeriodicalId":9069,"journal":{"name":"BMJ Paediatrics Open","volume":"9 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12182163/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144324460","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring hygiene practices, prenatal recommendations and parental attitudes towards congenital cytomegalovirus prevention and screening in Sweden.","authors":"Allison Mackey, Ulrika Löfkvist","doi":"10.1136/bmjpo-2025-003524","DOIUrl":"10.1136/bmjpo-2025-003524","url":null,"abstract":"<p><strong>Objective: </strong>The aims of the study were to explore the attitudes of parents of young children towards prevention and screening for congenital cytomegalovirus infection, and to map the practices and recommendations in prenatal care regarding the prevention of fetal infection.</p><p><strong>Methods: </strong>A survey was distributed across Sweden to parents of children under 2 years. Information about congenital cytomegalovirus infection was provided. Questions followed, pertaining to attitudes towards screening and prevention, hygiene behaviours during pregnancy, and recommendations from midwives.</p><p><strong>Results: </strong>4405 parents completed the survey; 4263 were pregnant less than 2 years prior. Parents were positive towards screening, with 85% agreeing that screening should be offered. A predicted increase in stress was positively associated with positive attitudes towards screening. Attitudes towards prevention were positive (90%). Most did not regularly perform hygiene measures to prevent cytomegalovirus infection during pregnancy, though behaviours preventing other infections were common. Recommendations by midwives rarely included cytomegalovirus prevention.</p><p><strong>Conclusion: </strong>Parents have positive attitudes toward screening and prevention of congenital cytomegalovirus infection, despite a predicted increase in stress. Information is not being conveyed by prenatal providers about how to protect oneself against cytomegalovirus infection, which reflects a lack of hygiene routines during pregnancy related to its prevention.</p>","PeriodicalId":9069,"journal":{"name":"BMJ Paediatrics Open","volume":"9 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12182149/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144315872","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}