Table 1 Summary of characteristics of articles included for analysis in systematic review of arm A.

From: Strategies to reduce CMV infectivity in breastmilk to preterm babies – impact on transmission, nutrients, and bioactivity: a systematic review and meta-analysis

S.No

Author

Year

Study design

Treatment methods explored

Location

Population

N

BW

GA

PP

1

Welsh et al. [18]

1979

Interventional Lab Experiment

Pasteurization: (62.5 °C for 30 min), Freeze-thawing: (−15 °C for 10 days)

Australia

Mothers

NR

NA

NA

1 to 28 d pp

2

Dworsky et at. [19]

1982

Interventional Lab Experiment

Pasteurization: (62 °C for 30 min), Freeze-thawing: (−20 °C for up to 7 days)

US

Mothers

32

NA

NA

2 - 18 wks pp

3

Hamprecht et al. [4]

2004

Interventional Lab Experiment

Pasteurization: (62.5 °C for 30 min), Freeze-thawing: (−20 °C for 18 h, 4 days and 10 days)

Germany

Mothers (preterm and term)

6

NA

NA

NR

4

Yoo et al. [28]

2015

Retrospective Cohort Study

Pasteurization: 62 °C for 30 min, Freeze-thawing: (−20 °C for 3 days)

Korea

Infants

385

<1000

NR

NA

5

Stock et al. [29]

2015

Retrospective Cohort Study

Pasteurization: (62.5 °C for 30 min)

Austria

Infants

323

NR

<32

NA

6

Donalisio et al. [30]

2018

Interventional Lab Experiment

Pasteurization: (62.5 °C for 30 min)

Italy

Mothers

18

NR

NR

1 – 15 d pp

7

Gaya et al. [32]

2021

Interventional Lab Experiment

Pasteurization: (63 °C for 1, 2, 10, 30 min)

Italy

Donor

NR

NA

NA

NA

8

Bapistella et al. [31]

2019

Prospective Cohort Study

Pasteurization: (62 °C for 5 s)

Germany

Infants and Mothers (seropositive)

87

<1500

<32

NA

9

Buxmann et al. [35]

2009

Prospective Longitudinal Cohort Study

Freeze-thawing (−18 °C for various durations)

Germany

Infants

58

NA

<31

NA

10

Wakabayashi et al. [42]

2012

Prospective Cohort Study

Freeze-thawing (−20 °C for various durations)

Japan

Infants

11

<1500

NR

NA

11

Omarsdottir et al. [24]

2015

Prospective Longitudinal Cohort Study

Freeze-thawing (−20 °C for 3 days)

Sweden

Infants

140

NR

<28

NA

12

Hosseini et al. [16]

2016

Interventional Lab Experiment

Freeze-thawing (−20 °C for 3 days)

Iran

Infants and Mothers

25

<2000

<32

NA

13

Balcells et al. [25]

2016

Prospective Observational study

Freeze-thawing (−20 °C for 3 days)

Spain

Infants

981

<1500

<32

NR

14

Sam et al. [17]

2018

Prospective Cohort Study

Freeze-thawing (−20 °C for 4 days up to 90 days)

US

Mothers

6

NR

NR

NR

15

Lloyd et al. [21]

2016

Interventional Lab Experiment

UV-C Irradiation (254 nm for 10 s at 1 to 5 cm)

Australia

Donor

NR

NR

NR

NR

16

Ben-Shoshan et al. [39]

2016

Interventional Lab Experiment

Microwave Irradiation (500 W and 750 W for 10 s)

Israel

Mothers

31

NR

NR

NR

17

Mikawa et al. [20]

2019

Interventional Lab Experiment

Microwave Irradiation (500 W for 20, 30, 40, 60 s)

Japan

None (created milk from formula)

NR

NA

NA

NA

18

Maschmann et al. [40]

2019

Interventional Lab Experiment

High Temperature Short Time (72 °C for 5 s)

Germany

Mothers

41

NR

NR

NA

19

Pitino et al. [9]

2022

Interventional Lab Experiment

High Pressure Processing ((350Mpa, 500 Mpa and 600 Mpa for 8 and 10 min

Canada

Donor

1

NR

NR

NR

20

Hernandez-Alverado et al. [33]

2021

Prospective blinded Surveillance Study

Untreated

US

Infants

200

<1500

NR

NA

21

Jim et al. [36]

2004

Prospective Observational study

Untreated

Taiwan

Infants

42

<1500

<35

NA

22

Jim et al. [26]

2009

Prospective Observational Study

Untreated

Taiwan

Infants

23

<1500

<35

NA

23

Hayashi et al. [23]

2011

Prospective Longitudinal Cohort Study

Untreated

Japan

Infants

27

<1000

<28

NA

24

Josephson et al. [27]

2014

Prospective Cohort Study

Untreated

Georgia

Infants

536

<1700

NR

NA

25

Romero Gomez et al. [38]

2015

Prospective Longitudinal Cohort Study

Untreated

Spain

Infants

160

NR

<32

NA

26

Volder et al. [34]

2021

Prospective Cohort Study

Untreated

Denmark

Infants

26

NR

<32

NA

  1. N Number of infants that were recruited by the study, BW Birthweight criteria used by the study to recruit infants, GA Gestational age criteria used by the study to recruit infants, PP Time post-partum – Time after delivery at which point milk samples were collected from the mother, NA Not Applicable, NR Not reported.