Developmental outcomes in children exposed to Zika virus in utero from a brazilian urban slum cohort study

Detalhes bibliográficos
Autor(a) principal: Aguilar Ticona, Juan Pablo
Data de Publicação: 2021
Outros Autores: 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
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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spelling 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 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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/)
publishDate 2021
dc.date.accessioned.fl_str_mv 2021-06-14T13:40:11Z
dc.date.available.fl_str_mv 2021-06-14T13:40:11Z
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
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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
url https://www.arca.fiocruz.br/handle/icict/47663
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
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dc.publisher.none.fl_str_mv Public Library of Science
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