Zika virus infection in pregnant women in Rio de Janeiro

Detalhes bibliográficos
Autor(a) principal: Brasil, Patrícia
Data de Publicação: 2016
Outros Autores: Pereira Jr., José P., Moreira, M. E., Nogueira, Rita M. Ribeiro, Damasceno, Luana, Wakimoto, Mayumi, Rabello, R. S., Valderramos, Stephanie G., Halai, U. A., Salles, Tania Regina Dias Saad, Zin, A. A., Horovitz, D., Daltro, P., Boechat, M., Gabaglia, Claudia Raja, Sequeira, Patrícia de Carvalho de, Pilotto, J. H., Medialdea-Carrera, R., Cunha, Denise Cotrim da, Carvalho, Liege M. Abreu de, Pone, M., Siqueira, André Machado, Calvet, Guilherme A., Baião, Ana E. Rodrigues, Neves, Elizabeth S., Carvalho, Paulo R. Nassar de, Hasue, R. H., Marschik, P. B., Einspieler, C., Janzen, Carla, Cherry, James D., Filippis, Ana M. Bispo de, Nielsen-Saines, Karin
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
Texto Completo: https://www.arca.fiocruz.br/handle/icict/17780
Resumo: Artigo liberado em acesso aberto como parte do acordo para tornar público todos os dados produzidos sobre o vírus zika - Compartilhamento de dados em emergências de saúde pública - http://www.wellcome.ac.uk/News/Media-office/Press-releases/2016/WTP060169.htm
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spelling Brasil, PatríciaPereira Jr., José P.Moreira, M. E.Nogueira, Rita M. RibeiroDamasceno, LuanaWakimoto, MayumiRabello, R. S.Valderramos, Stephanie G.Halai, U. A.Salles, Tania Regina Dias SaadZin, A. A.Horovitz, D.Daltro, P.Boechat, M.Gabaglia, Claudia RajaSequeira, Patrícia de Carvalho dePilotto, J. H.Medialdea-Carrera, R.Cunha, Denise Cotrim daCarvalho, Liege M. Abreu dePone, M.Siqueira, André MachadoCalvet, Guilherme A.Baião, Ana E. RodriguesNeves, Elizabeth S.Carvalho, Paulo R. Nassar deHasue, R. H.Marschik, P. B.Einspieler, C.Janzen, CarlaCherry, James D.Filippis, Ana M. Bispo deNielsen-Saines, Karin2017-02-09T17:54:26Z2017-02-09T17:54:26Z2016BRASIL, Patrícia et al. Zika virus infection in pregnant women in Rio de Janeiro. The New England Journal of Medicine, Massachusetts, v. 375, n. 24, p. 2321-2334, 15 Dec. 2016.0028-4793https://www.arca.fiocruz.br/handle/icict/1778010.1056/NEJMoa16024121533-4406Artigo liberado em acesso aberto como parte do acordo para tornar público todos os dados produzidos sobre o vírus zika - Compartilhamento de dados em emergências de saúde pública - http://www.wellcome.ac.uk/News/Media-office/Press-releases/2016/WTP060169.htmVersão preliminar - handle https://www.arca.fiocruz.br/handle/icict/13063Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.David Geffen UCLA School of Medicine, Los Angeles, EUA.David Geffen UCLA School of Medicine, Los Angeles, EUA.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.David Geffen UCLA School of Medicine, Los Angeles, EUA.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.Biomedical Research Institute of Southern California. Oceanside, California, EUA.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Saúde da Mulher, da Criança e do Adolescente Fernandes Figueira. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Saúde da Mulher, da Criança e do Adolescente Fernandes Figueira. Rio de Janeiro, RJ, Brasil.Universidade de São Paulo. Faculdade de Medicina. São Paulo, SP.Karolinska Institutet, Stockholm.Medical University of Graz, Graz, Austria.David Geffen UCLA School of Medicine, Los Angeles, EUA.David Geffen UCLA School of Medicine, Los Angeles, EUA.Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Rio de Janeiro, RJ, Brasil.David Geffen UCLA School of Medicine, Los Angeles, EUA.BACKGROUND: Zika virus (ZIKV) has been linked to central nervous system malformations in fetuses. To characterize the spectrum of ZIKV disease in pregnant women and infants, we followed patients in Rio de Janeiro to describe clinical manifestations in mothers and repercussions of acute ZIKV infection in infants. METHODS: We enrolled pregnant women in whom a rash had developed within the previous 5 days and tested blood and urine specimens for ZIKV by reverse-transcriptase–polymerasechain-reaction assays. We followed women prospectively to obtain data on pregnancy and infant outcomes. RESULTS: A total of 345 women were enrolled from September 2015 through May 2016; of these, 182 women (53%) tested positive for ZIKV in blood, urine, or both. The timing of acute ZIKV infection ranged from 6 to 39 weeks of gestation. Predominant maternal clinical features included a pruritic descending macular or maculopapular rash, arthralgias, conjunctival injection, and headache; 27% had fever (short-term and low-grade). By July 2016, a total of 134 ZIKV-affected pregnancies and 73 ZIKV-unaffected pregnancies had reached completion, with outcomes known for 125 ZIKV-affected and 61 ZIKV unaffected pregnancies. Infection with chikungunya virus was identified in 42% of women without ZIKV infection versus 3% of women with ZIKV infection (P<0.001). Rates of fetal death were 7% in both groups; overall adverse outcomes were 46% among offspring of ZIKV-positive women versus 11.5% among offspring of ZIKV-negative women (P<0.001). Among 117 live infants born to 116 ZIKV-positive women, 42% were found to have grossly abnormal clinical or brain imaging findings or both, including 4 infants with microcephaly. Adverse outcomes were noted regardless of the trimester during which the women were infected with ZIKV (55% of pregnancies had adverse outcomes after maternal infection in the first trimester, 52% after infection in the second trimester, and 29% after infection in the third trimester). CONCLUSIONS: Despite mild clinical symptoms in the mother, ZIKV infection during pregnancy is deleterious to the fetus and is associated with fetal death, fetal growth restriction, and a spectrum of central nervous system abnormalities. (Funded by Ministério da Saúde do Brasil and others.).engMassachusetts Medical SocietyVírus ZikaMicrocefaliaDoença ZIKV na gravidezAedes aegyptiZika VirusMicrocephalyZIKV disease in pregnancyAedes aegyptiAedesMicrocefaliaZika virus infection in pregnant women in Rio de Janeiroinfo: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-82991https://www.arca.fiocruz.br/bitstream/icict/17780/1/license.txt5a560609d32a3863062d77ff32785d58MD51ORIGINALZika Virus Infection in Pregnant Women in Rio de Janeiro.pdfZika Virus Infection in Pregnant Women in Rio de Janeiro.pdfapplication/pdf469292https://www.arca.fiocruz.br/bitstream/icict/17780/2/Zika%20Virus%20Infection%20in%20Pregnant%20Women%20in%20Rio%20de%20Janeiro.pdf1690c1bd4e969661795a93985558eb03MD52TEXTZika Virus Infection in Pregnant 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dc.title.en.fl_str_mv Zika virus infection in pregnant women in Rio de Janeiro
title Zika virus infection in pregnant women in Rio de Janeiro
spellingShingle Zika virus infection in pregnant women in Rio de Janeiro
Brasil, Patrícia
Vírus Zika
Microcefalia
Doença ZIKV na gravidez
Aedes aegypti
Zika Virus
Microcephaly
ZIKV disease in pregnancy
Aedes aegypti
Aedes
Microcefalia
title_short Zika virus infection in pregnant women in Rio de Janeiro
title_full Zika virus infection in pregnant women in Rio de Janeiro
title_fullStr Zika virus infection in pregnant women in Rio de Janeiro
title_full_unstemmed Zika virus infection in pregnant women in Rio de Janeiro
title_sort Zika virus infection in pregnant women in Rio de Janeiro
author Brasil, Patrícia
author_facet Brasil, Patrícia
Pereira Jr., José P.
Moreira, M. E.
Nogueira, Rita M. Ribeiro
Damasceno, Luana
Wakimoto, Mayumi
Rabello, R. S.
Valderramos, Stephanie G.
Halai, U. A.
Salles, Tania Regina Dias Saad
Zin, A. A.
Horovitz, D.
Daltro, P.
Boechat, M.
Gabaglia, Claudia Raja
Sequeira, Patrícia de Carvalho de
Pilotto, J. H.
Medialdea-Carrera, R.
Cunha, Denise Cotrim da
Carvalho, Liege M. Abreu de
Pone, M.
Siqueira, André Machado
Calvet, Guilherme A.
Baião, Ana E. Rodrigues
Neves, Elizabeth S.
Carvalho, Paulo R. Nassar de
Hasue, R. H.
Marschik, P. B.
Einspieler, C.
Janzen, Carla
Cherry, James D.
Filippis, Ana M. Bispo de
Nielsen-Saines, Karin
author_role author
author2 Pereira Jr., José P.
Moreira, M. E.
Nogueira, Rita M. Ribeiro
Damasceno, Luana
Wakimoto, Mayumi
Rabello, R. S.
Valderramos, Stephanie G.
Halai, U. A.
Salles, Tania Regina Dias Saad
Zin, A. A.
Horovitz, D.
Daltro, P.
Boechat, M.
Gabaglia, Claudia Raja
Sequeira, Patrícia de Carvalho de
Pilotto, J. H.
Medialdea-Carrera, R.
Cunha, Denise Cotrim da
Carvalho, Liege M. Abreu de
Pone, M.
Siqueira, André Machado
Calvet, Guilherme A.
Baião, Ana E. Rodrigues
Neves, Elizabeth S.
Carvalho, Paulo R. Nassar de
Hasue, R. H.
Marschik, P. B.
Einspieler, C.
Janzen, Carla
Cherry, James D.
Filippis, Ana M. Bispo de
Nielsen-Saines, Karin
author2_role author
author
author
author
author
author
author
author
author
author
author
author
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 Brasil, Patrícia
Pereira Jr., José P.
Moreira, M. E.
Nogueira, Rita M. Ribeiro
Damasceno, Luana
Wakimoto, Mayumi
Rabello, R. S.
Valderramos, Stephanie G.
Halai, U. A.
Salles, Tania Regina Dias Saad
Zin, A. A.
Horovitz, D.
Daltro, P.
Boechat, M.
Gabaglia, Claudia Raja
Sequeira, Patrícia de Carvalho de
Pilotto, J. H.
Medialdea-Carrera, R.
Cunha, Denise Cotrim da
Carvalho, Liege M. Abreu de
Pone, M.
Siqueira, André Machado
Calvet, Guilherme A.
Baião, Ana E. Rodrigues
Neves, Elizabeth S.
Carvalho, Paulo R. Nassar de
Hasue, R. H.
Marschik, P. B.
Einspieler, C.
Janzen, Carla
Cherry, James D.
Filippis, Ana M. Bispo de
Nielsen-Saines, Karin
dc.subject.other.pt_BR.fl_str_mv Vírus Zika
Microcefalia
Doença ZIKV na gravidez
Aedes aegypti
topic Vírus Zika
Microcefalia
Doença ZIKV na gravidez
Aedes aegypti
Zika Virus
Microcephaly
ZIKV disease in pregnancy
Aedes aegypti
Aedes
Microcefalia
dc.subject.en.en.fl_str_mv Zika Virus
Microcephaly
ZIKV disease in pregnancy
Aedes aegypti
dc.subject.decs.en.fl_str_mv Aedes
Microcefalia
description Artigo liberado em acesso aberto como parte do acordo para tornar público todos os dados produzidos sobre o vírus zika - Compartilhamento de dados em emergências de saúde pública - http://www.wellcome.ac.uk/News/Media-office/Press-releases/2016/WTP060169.htm
publishDate 2016
dc.date.issued.fl_str_mv 2016
dc.date.accessioned.fl_str_mv 2017-02-09T17:54:26Z
dc.date.available.fl_str_mv 2017-02-09T17:54:26Z
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 BRASIL, Patrícia et al. Zika virus infection in pregnant women in Rio de Janeiro. The New England Journal of Medicine, Massachusetts, v. 375, n. 24, p. 2321-2334, 15 Dec. 2016.
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/17780
dc.identifier.issn.pt_BR.fl_str_mv 0028-4793
dc.identifier.doi.pt_BR.fl_str_mv 10.1056/NEJMoa1602412
dc.identifier.eissn.pt_BR.fl_str_mv 1533-4406
identifier_str_mv BRASIL, Patrícia et al. Zika virus infection in pregnant women in Rio de Janeiro. The New England Journal of Medicine, Massachusetts, v. 375, n. 24, p. 2321-2334, 15 Dec. 2016.
0028-4793
10.1056/NEJMoa1602412
1533-4406
url https://www.arca.fiocruz.br/handle/icict/17780
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 Massachusetts Medical Society
publisher.none.fl_str_mv Massachusetts Medical Society
dc.source.none.fl_str_mv reponame:Repositório Institucional da FIOCRUZ (ARCA)
instname:Fundação Oswaldo Cruz (FIOCRUZ)
instacron:FIOCRUZ
instname_str Fundação Oswaldo Cruz (FIOCRUZ)
instacron_str FIOCRUZ
institution FIOCRUZ
reponame_str Repositório Institucional da FIOCRUZ (ARCA)
collection Repositório Institucional da FIOCRUZ (ARCA)
bitstream.url.fl_str_mv https://www.arca.fiocruz.br/bitstream/icict/17780/1/license.txt
https://www.arca.fiocruz.br/bitstream/icict/17780/2/Zika%20Virus%20Infection%20in%20Pregnant%20Women%20in%20Rio%20de%20Janeiro.pdf
https://www.arca.fiocruz.br/bitstream/icict/17780/3/Zika%20Virus%20Infection%20in%20Pregnant%20Women%20in%20Rio%20de%20Janeiro.pdf.txt
bitstream.checksum.fl_str_mv 5a560609d32a3863062d77ff32785d58
1690c1bd4e969661795a93985558eb03
5095a4f12e1bbb139963de574de721c8
bitstream.checksumAlgorithm.fl_str_mv MD5
MD5
MD5
repository.name.fl_str_mv Repositório Institucional da FIOCRUZ (ARCA) - Fundação Oswaldo Cruz (FIOCRUZ)
repository.mail.fl_str_mv repositorio.arca@fiocruz.br
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