Internationally adopted children and cytomegalovirus

We read with interest the article by Hostetter et al in Pediatrics and the companion article in American Journal of Diseases of Children. Although we agree with the need for careful history taking, physical examination, and selected screening laboratory tests for these (and all) children, we cannot agree with the recommendation for routine urine cultures for cytomegalovirus. More than one half of women of childbearing age in upper income groups have seronegative test results and, thus, are at risk for primary infection with cytomegalovirus.