Why Did ZIKV Perinatal Outcomes Differ in Distinct Regions of Brazil? An Exploratory Study of Two Cohorts

Detalhes bibliográficos
Autor(a) principal: Damasceno, Luana
Data de Publicação: 2021
Outros Autores: Terzian, Ana Carolina B., Fuller, Trevon, Estofolete, Cassia F., Andrade, Adriana, Kroon, Erna G., Zin, Andrea A., Vasconcelos, Zilton Farias Meira de, Pereira Jr, Jose P., Castilho, Márcia C., Piaulino, Isa Cristina R., Vasilakis, Nikos, Moreira, Maria E., Nielsen-Saines, Karin, Espinosa, Flor E. Martinez, Nogueira, Maurício L., Brasil, Patricia
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
Texto Completo: https://www.arca.fiocruz.br/handle/icict/47832
Resumo: Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de doenças febris agudas. Rio de Janeiro, RJ, Brasil.
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spelling Damasceno, LuanaTerzian, Ana Carolina B.Fuller, TrevonEstofolete, Cassia F.Andrade, AdrianaKroon, Erna G.Zin, Andrea A.Vasconcelos, Zilton Farias Meira dePereira Jr, Jose P.Castilho, Márcia C.Piaulino, Isa Cristina R.Vasilakis, NikosMoreira, Maria E.Nielsen-Saines, KarinEspinosa, Flor E. MartinezNogueira, Maurício L.Brasil, Patricia2021-06-22T13:18:08Z2021-06-22T13:18:08Z2021DAMASCENO, Luana et al. Why Did ZIKV Perinatal Outcomes Differ in Distinct Regions of Brazil? An Exploratory Study of Two Cohorts. Viruses, v. 13, n. 5, p. 1-12, 20211999-4915https://www.arca.fiocruz.br/handle/icict/4783210.3390/v13050736engMDPIWhy Did ZIKV Perinatal Outcomes Differ in Distinct Regions of Brazil? An Exploratory Study of Two Cohortsinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleFundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de doenças febris agudas. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. René Rachou Institute. Belo Horizonte, MG, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de doenças febris agudas. Rio de Janeiro, RJ, Brasil.School of Medicine (FAMERP). Laboratory of Virology. São José do Rio Preto, SP, Brazil.Federal University of Minas Gerais. Institute of Biological Sciences. Belo Horizonte, MG, Brazil.Federal University of Minas Gerais. Institute of Biological Sciences. Belo Horizonte, MG, Brazil.Fundação Oswaldo Cruz. Instituto Fernandes Figueira. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Fernandes Figueira. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Fernandes Figueira. Rio de Janeiro, RJ, Brasil.Dr. Heitor Vieira Dourado Tropical Medicine Foundation. Department of Virology. Manaus, AM, Brazil.Amazonas State University. Postgraduate Program in Tropical Medicine. Manaus, AM, Brazil.University of Texas Medical Branch. Department of Pathology. Galveston, TX, USA.Fundação Oswaldo Cruz. Instituto Fernandes Figueira. Rio de Janeiro, RJ, Brasil.University of California. David Geffen School of Medicine. Department of Pediatrics. Los Angeles, CA, USA.Fundação Oswaldo Cruz. Instituto Leônidas & Maria Deane. Laboratório de Território, Meio Ambiente, Saúde e Sustentabilidade. Manaus, AM, Brasil / Fundação Dr. Heitor Vieira Dourado de Medicina Tropical. Departamento de Malária. Manaus, AM, Brasil.School of Medicine (FAMERP). Laboratory of Virology. São José do Rio Preto, SP, Brazil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de doenças febris agudas. Rio de Janeiro, RJ, Brasil.The Zika virus (ZIKV) epidemic in Brazil occurred in regions where dengue viruses (DENV) are historically endemic. We investigated the differences in adverse pregnancy/infant outcomes in two cohorts comprising 114 pregnant women with PCR-confirmed ZIKV infection in Rio de Janeiro, Southeastern Brazil (n = 50) and Manaus, in the north region of the country (n = 64). Prior exposure to DENV was evaluated through plaque reduction neutralizing antibody assays (PRNT 80) and DENV IgG serologies. Potential associations between pregnancy outcomes and Zika attack rates in the two cities were explored. Overall, 31 women (27%) had adverse pregnancy/infant outcomes, 27 in Rio (54%) and 4 in Manaus (6%), p < 0.001. This included 4 pregnancy losses (13%) and 27 infants with abnormalities at birth (24%). A total of 93 women (82%) had evidence of prior DENV exposure, 45 in Rio (90%) and 48 in Manaus (75%). Zika attack rates differed; the rate in Rio was 10.28 cases/10,000 and in Manaus, 0.6 cases/10,000, p < 0.001. Only Zika attack rates (Odds Ratio: 17.6, 95% Confidence Interval 5.6-55.9, p < 0.001) and infection in the first trimester of pregnancy (OR: 4.26, 95% CI 1.4-12.9, p = 0.011) were associated with adverse pregnancy and infant outcomes. Pre-existing immunity to DENV was not associated with outcomes (normal or abnormal) in patients with ZIKV infection during pregnancy.ZikaArbovirusesDengueObstetricsPregnancyinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-83099https://www.arca.fiocruz.br/bitstream/icict/47832/1/license.txt586c046dcfeef936e32f0323bb9a47c0MD51ORIGINALWhy_Luana_Damasceno_etal_INI_2021.pdfWhy_Luana_Damasceno_etal_INI_2021.pdfapplication/pdf766974https://www.arca.fiocruz.br/bitstream/icict/47832/2/Why_Luana_Damasceno_etal_INI_2021.pdfcdf5aeb6035546afe339bafc3f3116a8MD52TEXTWhy_Luana_Damasceno_etal_INI_2021.pdf.txtWhy_Luana_Damasceno_etal_INI_2021.pdf.txtExtracted texttext/plain44060https://www.arca.fiocruz.br/bitstream/icict/47832/3/Why_Luana_Damasceno_etal_INI_2021.pdf.txtb6ddf92b7b1a75efc9ec88f9a1ff2609MD53icict/478322022-04-27 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dc.title.pt_BR.fl_str_mv Why Did ZIKV Perinatal Outcomes Differ in Distinct Regions of Brazil? An Exploratory Study of Two Cohorts
title Why Did ZIKV Perinatal Outcomes Differ in Distinct Regions of Brazil? An Exploratory Study of Two Cohorts
spellingShingle Why Did ZIKV Perinatal Outcomes Differ in Distinct Regions of Brazil? An Exploratory Study of Two Cohorts
Damasceno, Luana
Zika
Arboviruses
Dengue
Obstetrics
Pregnancy
title_short Why Did ZIKV Perinatal Outcomes Differ in Distinct Regions of Brazil? An Exploratory Study of Two Cohorts
title_full Why Did ZIKV Perinatal Outcomes Differ in Distinct Regions of Brazil? An Exploratory Study of Two Cohorts
title_fullStr Why Did ZIKV Perinatal Outcomes Differ in Distinct Regions of Brazil? An Exploratory Study of Two Cohorts
title_full_unstemmed Why Did ZIKV Perinatal Outcomes Differ in Distinct Regions of Brazil? An Exploratory Study of Two Cohorts
title_sort Why Did ZIKV Perinatal Outcomes Differ in Distinct Regions of Brazil? An Exploratory Study of Two Cohorts
author Damasceno, Luana
author_facet Damasceno, Luana
Terzian, Ana Carolina B.
Fuller, Trevon
Estofolete, Cassia F.
Andrade, Adriana
Kroon, Erna G.
Zin, Andrea A.
Vasconcelos, Zilton Farias Meira de
Pereira Jr, Jose P.
Castilho, Márcia C.
Piaulino, Isa Cristina R.
Vasilakis, Nikos
Moreira, Maria E.
Nielsen-Saines, Karin
Espinosa, Flor E. Martinez
Nogueira, Maurício L.
Brasil, Patricia
author_role author
author2 Terzian, Ana Carolina B.
Fuller, Trevon
Estofolete, Cassia F.
Andrade, Adriana
Kroon, Erna G.
Zin, Andrea A.
Vasconcelos, Zilton Farias Meira de
Pereira Jr, Jose P.
Castilho, Márcia C.
Piaulino, Isa Cristina R.
Vasilakis, Nikos
Moreira, Maria E.
Nielsen-Saines, Karin
Espinosa, Flor E. Martinez
Nogueira, Maurício L.
Brasil, Patricia
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Damasceno, Luana
Terzian, Ana Carolina B.
Fuller, Trevon
Estofolete, Cassia F.
Andrade, Adriana
Kroon, Erna G.
Zin, Andrea A.
Vasconcelos, Zilton Farias Meira de
Pereira Jr, Jose P.
Castilho, Márcia C.
Piaulino, Isa Cristina R.
Vasilakis, Nikos
Moreira, Maria E.
Nielsen-Saines, Karin
Espinosa, Flor E. Martinez
Nogueira, Maurício L.
Brasil, Patricia
dc.subject.en.pt_BR.fl_str_mv Zika
Arboviruses
Dengue
Obstetrics
Pregnancy
topic Zika
Arboviruses
Dengue
Obstetrics
Pregnancy
description Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de doenças febris agudas. Rio de Janeiro, RJ, Brasil.
publishDate 2021
dc.date.accessioned.fl_str_mv 2021-06-22T13:18:08Z
dc.date.available.fl_str_mv 2021-06-22T13:18:08Z
dc.date.issued.fl_str_mv 2021
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 DAMASCENO, Luana et al. Why Did ZIKV Perinatal Outcomes Differ in Distinct Regions of Brazil? An Exploratory Study of Two Cohorts. Viruses, v. 13, n. 5, p. 1-12, 2021
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/47832
dc.identifier.issn.pt_BR.fl_str_mv 1999-4915
dc.identifier.doi.none.fl_str_mv 10.3390/v13050736
identifier_str_mv DAMASCENO, Luana et al. Why Did ZIKV Perinatal Outcomes Differ in Distinct Regions of Brazil? An Exploratory Study of Two Cohorts. Viruses, v. 13, n. 5, p. 1-12, 2021
1999-4915
10.3390/v13050736
url https://www.arca.fiocruz.br/handle/icict/47832
dc.language.iso.fl_str_mv eng
language eng
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dc.publisher.none.fl_str_mv MDPI
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