Developmental outcomes in children exposed to Zika virus in utero from a brazilian urban slum cohort study
Autor(a) principal: | |
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Data de Publicação: | 2021 |
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/47663 |
Resumo: | National Institutes of Health (NIAID R01 AI052473 (AK), R25 U01AI088752 (AK), FIC R01 TW009504 (AK), R25 TW009338 (AK), F31 AI114245 (AK), R01 AI121207 (AK), D43 TW010540 (AK), P01 AI106695 (EH) (https://www.niaid.nih.gov/) |
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Aguilar Ticona, Juan PabloNery Junior, Nivison Ruy RochaLadines-Lim, Joseph B.Gambrah, ClaudiaSacramento, GielsonFreitas, Bruno de PaulaBouzon, JoseaneOliveira Filho, JamaryBorja, AnaAdhikarla, HarithaMontoya, MageldaChin, AthenaWunder Junior, Elsio AugustoBallalai, VerenaVieira, CarinaBelfort, RubensAlmeida, Antonio R. P.Reis, Mitermayer Galvão dosHarris, EvaKo, Albert IcksangCosta, Federico2021-06-14T13:40:11Z2021-06-14T13:40:11Z2021AGUILAR TICONA, Juan Pablo et al. Developmental outcomes in children exposed to Zika virus in utero from a brazilian urban slum cohort study. PLoS Neglected Tropical Diseases, v. 15, n. 2, p. 1-15, 5 Feb. 2021.1935-2727https://www.arca.fiocruz.br/handle/icict/4766310.1371/journal.pntd.00091621935-2735National Institutes of Health (NIAID R01 AI052473 (AK), R25 U01AI088752 (AK), FIC R01 TW009504 (AK), R25 TW009338 (AK), F31 AI114245 (AK), R01 AI121207 (AK), D43 TW010540 (AK), P01 AI106695 (EH) (https://www.niaid.nih.gov/)Wellcome Trust (102330/Z/13/Z https://wellcome.ac.uk/)Bahia State Research Support Foundation (FAPESB) ZIKA-FAPESB T.O. n˚ PET0021/2016 (www.fapesb.ba.gov.br)Coordination for the Improvement of Higher Education (CAPES) from Brazil (https://www.capes.gov.br/)Universidade Federal da Bahia. Instituto de Saúde Coletiva. Salvador, BA, Brasil.Universidade Federal da Bahia. Instituto de Saúde Coletiva. Salvador, BA, Brasil / Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Salvador, BA, Brasil.Yale School of Public Health. Department of Epidemiology of Microbial Diseases. New Haven, CT, USA.Yale School of Public Health. Department of Epidemiology of Microbial Diseases. New Haven, CT, USA.Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Salvador, BA, Brasil.Hospital Geral Roberto Santos. Salvador, BA, Brasil / Universidade Federal de São Paulo. Escola Paulista de Medicina. São Paulo, SP, Brasil.Hospital Geral Roberto Santos. Salvador, BA, Brasil.Universidade Federal da Bahia. Faculdade de Medicina da Bahia. Salvador, BA, Brasil / Universidade Federal da Bahia. Salvador, BA, Brasil.Universidade Federal da Bahia. Instituto de Ciências da Saúde. Departamento de Fonoaudiologia. Salvador, BA, Bahia.Yale School of Public Health. Department of Epidemiology of Microbial Diseases. New Haven, CT, USA.University of California. School of Public Health. Division of Infectious Diseases and Vaccinology. Berkeley, CA, USA.University of California. School of Public Health. Division of Infectious Diseases and Vaccinology. Berkeley, CA, USA.Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Salvador, BA, Brasil / Yale School of Public Health. Department of Epidemiology of Microbial Diseases. New Haven, CT, USA.Hospital Geral Roberto Santos. Salvador, BA, Brasil.Hospital Geral Roberto Santos. Salvador, BA, Brasil.Universidade Federal de São Paulo. Escola Paulista de Medicina. São Paulo, SP, Brasil.Hospital Geral Roberto Santos. Salvador, BA, Brasil.Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Salvador, BA, Brasil / Yale School of Public Health. Department of Epidemiology of Microbial Diseases. New Haven, CT, USA / Universidade Federal da Bahia. Faculdade de Medicina da Bahia. Salvador, BA, Brasil.University of California. School of Public Health. Division of Infectious Diseases and Vaccinology. Berkeley, CA, USA.Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Salvador, BA, Brasil / Yale School of Public Health. Department of Epidemiology of Microbial Diseases. New Haven, CT, USA.Universidade Federal da Bahia. Instituto de Saúde Coletiva. Salvador, BA, Brasil / Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Salvador, BA, Brasil / Yale School of Public Health. Department of Epidemiology of Microbial Diseases. New Haven, CT, USA.Background: The prevalence of developmental alterations associated with in-utero Zika virus (ZIKV) exposure in children is not well understood. Furthermore, estimation of the Population Attributable Fraction (PAF) of developmental alterations attributed to ZIKV has not been performed due to lack of population-based cohorts with data on symptomatic and asymptomatic ZIKV exposures and an appropriate control group. The aim of this study was to characterize neurodevelopmental outcomes of children at 11 to 32 months of age with intrauterine ZIKV exposure and estimate the PAF of alterations secondary to ZIKV exposure. Methodology/Principal findings: We performed a cohort of biannual community-based prospective serosurveys in a slum community in Salvador, Brazil. We recruited women participating in our cohort, with a documented pregnancy from January 2015 to December 2016 and children born to those mothers. Children were classified as ZIKV exposed in utero (born from women with ZIKV seroconversion during pregnancy) or unexposed (born from women without ZIKV seroconversion or that seroconverted before/after pregnancy) by using an IgG monoclonal antibody blockade-of-binding (BoB). We interviewed mothers and performed anthropometric, audiometric, ophthalmological, neurologic, and neurodevelopmental evaluations of their children at 11 to 32 months of age. Among the 655 women participating in the cohort, 66 (10%) were pregnant during the study period. 46 (70%) of them completed follow-up, of whom ZIKV seroconversion occurred before, during, and after pregnancy in 25 (54%), 13 (28%), and 1 (2%), respectively. The rest of women, 7 (21.2%), did not present ZIKV seroconversion. At 11 to 32 months of life, the 13 ZIKV-exposed children had increased risk of mild cognitive delay (RR 5.1; 95%CI 1.1–24.4) compared with the 33 children unexposed, with a PAF of 53.5%. Exposed children also had increased risk of altered auditory behavior (RR 6.0; 95% CI 1.3–26.9), with a PAF of 59.5%. Conclusions: A significant proportion of children exposed in utero to ZIKV developed mild cognitive delay and auditory behavioral abnormalities even in the absence of gross birth defects such as microcephaly and other neurodevelopmental domains. Furthermore, our findings suggest that over half of these abnormalities could be attributed to intrauterine ZIKV exposure.engPublic Library of ScienceZika VírusPrevalênciaRiscoSoroconversãoMãesZika VirusPrevalenceRiskSeroconversionMothersDevelopmental outcomes in children exposed to Zika virus in utero from a brazilian urban slum cohort studyinfo: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; charset=utf-83097https://www.arca.fiocruz.br/bitstream/icict/47663/1/license.txt36b51ef91c52b5338d9d29ba0cc807bcMD51ORIGINALTicona, Juan P Aguilar Development....pdfTicona, Juan P Aguilar Development....pdfapplication/pdf1551197https://www.arca.fiocruz.br/bitstream/icict/47663/2/Ticona%2c%20Juan%20P%20Aguilar%20%20Development....pdf6957627f05e09c869a18b5bfd691d394MD52TEXTTicona, Juan P Aguilar Development....pdf.txtTicona, Juan P Aguilar Development....pdf.txtExtracted texttext/plain51193https://www.arca.fiocruz.br/bitstream/icict/47663/3/Ticona%2c%20Juan%20P%20Aguilar%20%20Development....pdf.txt53f29c2fb875d35de9dd502dbddb7108MD53icict/476632023-03-15 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dc.title.en.fl_str_mv |
Developmental outcomes in children exposed to Zika virus in utero from a brazilian urban slum cohort study |
title |
Developmental outcomes in children exposed to Zika virus in utero from a brazilian urban slum cohort study |
spellingShingle |
Developmental outcomes in children exposed to Zika virus in utero from a brazilian urban slum cohort study Aguilar Ticona, Juan Pablo Zika Vírus Prevalência Risco Soroconversão Mães Zika Virus Prevalence Risk Seroconversion Mothers |
title_short |
Developmental outcomes in children exposed to Zika virus in utero from a brazilian urban slum cohort study |
title_full |
Developmental outcomes in children exposed to Zika virus in utero from a brazilian urban slum cohort study |
title_fullStr |
Developmental outcomes in children exposed to Zika virus in utero from a brazilian urban slum cohort study |
title_full_unstemmed |
Developmental outcomes in children exposed to Zika virus in utero from a brazilian urban slum cohort study |
title_sort |
Developmental outcomes in children exposed to Zika virus in utero from a brazilian urban slum cohort study |
author |
Aguilar Ticona, Juan Pablo |
author_facet |
Aguilar Ticona, Juan Pablo Nery Junior, Nivison Ruy Rocha Ladines-Lim, Joseph B. Gambrah, Claudia Sacramento, Gielson Freitas, Bruno de Paula Bouzon, Joseane Oliveira Filho, Jamary Borja, Ana Adhikarla, Haritha Montoya, Magelda Chin, Athena Wunder Junior, Elsio Augusto Ballalai, Verena Vieira, Carina Belfort, Rubens Almeida, Antonio R. P. Reis, Mitermayer Galvão dos Harris, Eva Ko, Albert Icksang Costa, Federico |
author_role |
author |
author2 |
Nery Junior, Nivison Ruy Rocha Ladines-Lim, Joseph B. Gambrah, Claudia Sacramento, Gielson Freitas, Bruno de Paula Bouzon, Joseane Oliveira Filho, Jamary Borja, Ana Adhikarla, Haritha Montoya, Magelda Chin, Athena Wunder Junior, Elsio Augusto Ballalai, Verena Vieira, Carina Belfort, Rubens Almeida, Antonio R. P. Reis, Mitermayer Galvão dos Harris, Eva Ko, Albert Icksang Costa, Federico |
author2_role |
author author author author author author author author author author author author author author author author author author author author |
dc.contributor.author.fl_str_mv |
Aguilar Ticona, Juan Pablo Nery Junior, Nivison Ruy Rocha Ladines-Lim, Joseph B. Gambrah, Claudia Sacramento, Gielson Freitas, Bruno de Paula Bouzon, Joseane Oliveira Filho, Jamary Borja, Ana Adhikarla, Haritha Montoya, Magelda Chin, Athena Wunder Junior, Elsio Augusto Ballalai, Verena Vieira, Carina Belfort, Rubens Almeida, Antonio R. P. Reis, Mitermayer Galvão dos Harris, Eva Ko, Albert Icksang Costa, Federico |
dc.subject.other.pt_BR.fl_str_mv |
Zika Vírus Prevalência Risco Soroconversão Mães |
topic |
Zika Vírus Prevalência Risco Soroconversão Mães Zika Virus Prevalence Risk Seroconversion Mothers |
dc.subject.en.pt_BR.fl_str_mv |
Zika Virus |
dc.subject.en.en.fl_str_mv |
Prevalence Risk Seroconversion Mothers |
description |
National Institutes of Health (NIAID R01 AI052473 (AK), R25 U01AI088752 (AK), FIC R01 TW009504 (AK), R25 TW009338 (AK), F31 AI114245 (AK), R01 AI121207 (AK), D43 TW010540 (AK), P01 AI106695 (EH) (https://www.niaid.nih.gov/) |
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2021 |
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2021-06-14T13:40:11Z |
dc.date.available.fl_str_mv |
2021-06-14T13:40:11Z |
dc.date.issued.fl_str_mv |
2021 |
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info:eu-repo/semantics/publishedVersion |
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dc.identifier.citation.fl_str_mv |
AGUILAR TICONA, Juan Pablo et al. Developmental outcomes in children exposed to Zika virus in utero from a brazilian urban slum cohort study. PLoS Neglected Tropical Diseases, v. 15, n. 2, p. 1-15, 5 Feb. 2021. |
dc.identifier.uri.fl_str_mv |
https://www.arca.fiocruz.br/handle/icict/47663 |
dc.identifier.issn.pt_BR.fl_str_mv |
1935-2727 |
dc.identifier.doi.pt_BR.fl_str_mv |
10.1371/journal.pntd.0009162 |
dc.identifier.eissn.pt_BR.fl_str_mv |
1935-2735 |
identifier_str_mv |
AGUILAR TICONA, Juan Pablo et al. Developmental outcomes in children exposed to Zika virus in utero from a brazilian urban slum cohort study. PLoS Neglected Tropical Diseases, v. 15, n. 2, p. 1-15, 5 Feb. 2021. 1935-2727 10.1371/journal.pntd.0009162 1935-2735 |
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https://www.arca.fiocruz.br/handle/icict/47663 |
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eng |
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eng |
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Public Library of Science |
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Public Library of Science |
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