Another piece of the Zika puzzle: assessing the associated factors to microcephaly in a systematic review and meta-analysis
| Autor(a) principal: | |
|---|---|
| Data de Publicação: | 2020 |
| Outros Autores: | , , , , , , , , , , , , |
| Tipo de documento: | Artigo |
| Idioma: | eng |
| Título da fonte: | Repositório Institucional da FIOCRUZ (ARCA) |
| Texto Completo: | https://www.arca.fiocruz.br/handle/icict/43298 |
Resumo: | Luciana Guerra Gallo - Fundação Oswaldo Cruz. Fiocruz Brasília. Brasília, DF, Brasil. Documento produzido por autor vinculado à Fiocruz, mas não consta à informação no documento. |
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Gallo, Luciana GuerraMartinez-Cajas, JorgePeixoto, Henry MaiaPereira, Ana Carolina Esteves da SilvaCarter, Jillian E.McKeown, SandraSchaub, BrunoVentura, Camila V.França, Giovanny Vinícius Araújo dePomar, LéoVentura, Liana O.Nerurkar, Vivek R.Araújo, Wildo Navegantes deVelez, Maria P.2020-09-10T14:21:18Z2020-09-10T14:21:18Z2020GALLO, Luciana Guerra et al. Another piece of the Zika puzzle: assessing the associated factors to microcephaly in a systematic review and meta-analysis. BMC Public Health, [London], v. 20, n. 827, jun. 2020.1471-2458https://www.arca.fiocruz.br/handle/icict/4329810.1186/s12889-020-08946-5Luciana Guerra Gallo - Fundação Oswaldo Cruz. Fiocruz Brasília. Brasília, DF, Brasil. Documento produzido por autor vinculado à Fiocruz, mas não consta à informação no documento.CAPES e Ministério da SaúdeUniversity of Brasilia. Postgraduate Program in Tropical Medicine. Brasilia, DF, Brazil / Queen’s University. Department of Obstetrics and Gynecology. Kingston, ON, Canada / University. Department of Public Health Sciences. Kingston, ON, Canada.Queen’s University. Department of Medicine. Kingston, ON, Canada.University of Brasilia. Postgraduate Program in Tropical Medicine. Brasilia, DF, Brazil.Fundação Oswaldo Cruz. Fiocruz Brasília. Brasília, DF, Brasil.Queen’s University. Department of Obstetrics and Gynecology. Kingston, ON, Canada / University. Department of Public Health Sciences. Kingston, ON, Canada.Queen’s University. Bracken Health Sciences Library. Kingston, ON, Canada.University Hospital of Martinique. Maison de la Femme, de la Mère et de l’Enfant. Centre Pluridisciplinaire de Diagnostic Prénatal de le Martinique. Fort-de-France, Martinique, France.Altino Ventura Foundation. Department of Scientific Investigation. Recife, PE, Brazil.Brazilian Ministry of Health. Brasilia, DF, Brazil.University Hospital. Département “Femme-Mère Enfant”. Materno-fetal and Obstetrics Research Unit. Lausanne, Switzerland / Centre Hospitalier de l’Ouest Guyanais Franck Joly. Department of Obstetrics and Gynaecology. Saint-Laurent-du-Maroni, French Guiana.Altino Ventura Foundation. Department of Pediatric Ophthalmology and Strabismus. Recife, PE, Brazil.University of Hawaii at Manoa. John A. Burns School of Medicine. Department of Tropical Medicine, Medical Microbiology and Pharmacology. Honolulu, HI, USA.University of Brasilia. Postgraduate Program in Tropical Medicine. Brasilia, DF, Brazil.Queen’s University. Department of Obstetrics and Gynecology. Kingston, ON, Canada / University. Department of Public Health Sciences. Kingston, ON, Canada.Background: Although it is known that Zika virus (ZIKV) infection during pregnancy may lead to microcephaly in the fetus, the prognostic factors associated with this tragic disorder remain unclear. We conducted a systematic review and meta-analysis to assess the prognostic factors associated with the incidence of microcephaly in congenital ZIKV infection. Methods: We conducted a comprehensive search in Ovid MEDLINE, Ovid MEDLINE (R) Epub ahead of print, Embase, Embase Classic, Web of Science, CINAHL, Cochrane CENTRAL, LILACS, and various thesis databases to identify human studies reporting microcephaly associated with congenital ZIKV infection. We requested primary data from the authors of the included studies to calculate summary estimates and conduct the meta-analysis of the most prevalent factors. Results: We screened 4106 titles and abstracts, and identified 12 studies for inclusion in the systematic review. The assessment of ZIKV infection and the definition of microcephaly varied among studies. A total of 6154 newborns/ fetuses were enrolled; of those, 1120 (18.20%) had a diagnostic of ZIKV infection, of which 509 (45.45%) were diagnosed with microcephaly. Nine studies addressed the link between congenital ZIKV infection and neurological findings in newborns/fetuses. Half of the studies provided primary data. Three out of 11 factors of interest seem to be prognostic factors of microcephaly: infant’s sex – males compared to females: Relative Risk (RR) 1.30, 95% Confidence Interval (95% CI) 1.14 to 1.49; the stage of pregnancy when infection occurred – infection in the first trimester of pregnancy compared to infection at other stages of pregnancy: RR 1.41, 95% CI 1.09 to 1.82; and asymptomatic infection compared to symptomatic infection during pregnancy: RR 0.68; 95% CI 0.60 to 0.77. Conclusion: Our findings support the female-biased resistance hypothesis and reinforce the risk associated with the stage of pregnancy when ZIKV infection occurs. Continued surveillance of ZIKV infection during pregnancy is needed to identify additional factors that could contribute to developing microcephaly in affected fetuses.engSpringer NatureSystematic ReviewZika Virus InfectionMicrocephalyInfectious Disease Transmission, VerticalZika virusMicrocephalyPregnancyCongenital diseaseRisk factorsSystematic reviewCongenital Zika syndromeInfecção por Zika vírusMicrocefaliaTransmissão Vertical de Doença InfecciosaRevisão SistemáticaAnother piece of the Zika puzzle: assessing the associated factors to microcephaly in a systematic review and meta-analysisinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; 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| dc.title.pt_BR.fl_str_mv |
Another piece of the Zika puzzle: assessing the associated factors to microcephaly in a systematic review and meta-analysis |
| title |
Another piece of the Zika puzzle: assessing the associated factors to microcephaly in a systematic review and meta-analysis |
| spellingShingle |
Another piece of the Zika puzzle: assessing the associated factors to microcephaly in a systematic review and meta-analysis Gallo, Luciana Guerra Systematic Review Zika Virus Infection Microcephaly Infectious Disease Transmission, Vertical Zika virus Microcephaly Pregnancy Congenital disease Risk factors Systematic review Congenital Zika syndrome Infecção por Zika vírus Microcefalia Transmissão Vertical de Doença Infecciosa Revisão Sistemática |
| title_short |
Another piece of the Zika puzzle: assessing the associated factors to microcephaly in a systematic review and meta-analysis |
| title_full |
Another piece of the Zika puzzle: assessing the associated factors to microcephaly in a systematic review and meta-analysis |
| title_fullStr |
Another piece of the Zika puzzle: assessing the associated factors to microcephaly in a systematic review and meta-analysis |
| title_full_unstemmed |
Another piece of the Zika puzzle: assessing the associated factors to microcephaly in a systematic review and meta-analysis |
| title_sort |
Another piece of the Zika puzzle: assessing the associated factors to microcephaly in a systematic review and meta-analysis |
| author |
Gallo, Luciana Guerra |
| author_facet |
Gallo, Luciana Guerra Martinez-Cajas, Jorge Peixoto, Henry Maia Pereira, Ana Carolina Esteves da Silva Carter, Jillian E. McKeown, Sandra Schaub, Bruno Ventura, Camila V. França, Giovanny Vinícius Araújo de Pomar, Léo Ventura, Liana O. Nerurkar, Vivek R. Araújo, Wildo Navegantes de Velez, Maria P. |
| author_role |
author |
| author2 |
Martinez-Cajas, Jorge Peixoto, Henry Maia Pereira, Ana Carolina Esteves da Silva Carter, Jillian E. McKeown, Sandra Schaub, Bruno Ventura, Camila V. França, Giovanny Vinícius Araújo de Pomar, Léo Ventura, Liana O. Nerurkar, Vivek R. Araújo, Wildo Navegantes de Velez, Maria P. |
| author2_role |
author author author author author author author author author author author author author |
| dc.contributor.author.fl_str_mv |
Gallo, Luciana Guerra Martinez-Cajas, Jorge Peixoto, Henry Maia Pereira, Ana Carolina Esteves da Silva Carter, Jillian E. McKeown, Sandra Schaub, Bruno Ventura, Camila V. França, Giovanny Vinícius Araújo de Pomar, Léo Ventura, Liana O. Nerurkar, Vivek R. Araújo, Wildo Navegantes de Velez, Maria P. |
| dc.subject.mesh.pt_BR.fl_str_mv |
Systematic Review Zika Virus Infection Microcephaly Infectious Disease Transmission, Vertical |
| topic |
Systematic Review Zika Virus Infection Microcephaly Infectious Disease Transmission, Vertical Zika virus Microcephaly Pregnancy Congenital disease Risk factors Systematic review Congenital Zika syndrome Infecção por Zika vírus Microcefalia Transmissão Vertical de Doença Infecciosa Revisão Sistemática |
| dc.subject.en.pt_BR.fl_str_mv |
Zika virus Microcephaly Pregnancy Congenital disease Risk factors Systematic review Congenital Zika syndrome |
| dc.subject.decs.pt_BR.fl_str_mv |
Infecção por Zika vírus Microcefalia Transmissão Vertical de Doença Infecciosa Revisão Sistemática |
| description |
Luciana Guerra Gallo - Fundação Oswaldo Cruz. Fiocruz Brasília. Brasília, DF, Brasil. Documento produzido por autor vinculado à Fiocruz, mas não consta à informação no documento. |
| publishDate |
2020 |
| dc.date.accessioned.fl_str_mv |
2020-09-10T14:21:18Z |
| dc.date.available.fl_str_mv |
2020-09-10T14:21:18Z |
| dc.date.issued.fl_str_mv |
2020 |
| dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
| dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
| format |
article |
| status_str |
publishedVersion |
| dc.identifier.citation.fl_str_mv |
GALLO, Luciana Guerra et al. Another piece of the Zika puzzle: assessing the associated factors to microcephaly in a systematic review and meta-analysis. BMC Public Health, [London], v. 20, n. 827, jun. 2020. |
| dc.identifier.uri.fl_str_mv |
https://www.arca.fiocruz.br/handle/icict/43298 |
| dc.identifier.issn.pt_BR.fl_str_mv |
1471-2458 |
| dc.identifier.doi.none.fl_str_mv |
10.1186/s12889-020-08946-5 |
| identifier_str_mv |
GALLO, Luciana Guerra et al. Another piece of the Zika puzzle: assessing the associated factors to microcephaly in a systematic review and meta-analysis. BMC Public Health, [London], v. 20, n. 827, jun. 2020. 1471-2458 10.1186/s12889-020-08946-5 |
| url |
https://www.arca.fiocruz.br/handle/icict/43298 |
| dc.language.iso.fl_str_mv |
eng |
| language |
eng |
| dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
| eu_rights_str_mv |
openAccess |
| dc.publisher.none.fl_str_mv |
Springer Nature |
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Springer Nature |
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