Concomitant transmission of dengue, chikungunya and Zika viruses in Brazil: Clinical and epidemiological findings from surveillance for acute febrile illness

Detalhes bibliográficos
Autor(a) principal: Silva, Monaíse Madalena Oliveira
Data de Publicação: 2018
Outros Autores: Tauro, Laura Beatriz, Kikuti, Mariana, Anjos, Rosângela Oliveira dos, Santos, Viviane Corrêa, Gonçalves, Thaiza Soares Ferreira, Paploski, Igor Adolfho Dexheimer, Moreira, Patrícia Sousa dos Santos, Nascimento, Leile Camila Jacob, Campos, Gúbio Soares, Ko, Albert Icksang, Weaver, Scott C, Reis, Mitermayer Galvão dos, Kitron, Uriel, Ribeiro, Guilherme de Sousa
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
Texto Completo: https://www.arca.fiocruz.br/handle/icict/31486
Resumo: Brazilian National Council for Scientific and Technological Development [grants 400830/2013-2, and 440891/2016-7 to G.S.R.; and scholarships to I.A.D.P., L.B.T., U.K., M.G.R., and G.S.R.]; the Bahia Foundation for Research Support [PET0026/2013, APP0044/2016, and PET0022/2016 to G.S.R., and scholarship to M.M.O.S.]; the Coordination for the Improvement of Higher Education Personnel, Brazilian Ministry of Education [440891/2016-7 to G.S.R. and scholarship to M.K.]; the National Institutes of Health (USA) [R01 TW009504, R01 AI121207, and U01 AI088752 to A.I.K.], [R24 AI AI120942 to SCW]; the Yale School of Public Health; the Federal University of Bahia; and the Oswaldo Cruz.
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spelling Silva, Monaíse Madalena OliveiraTauro, Laura BeatrizKikuti, MarianaAnjos, Rosângela Oliveira dosSantos, Viviane CorrêaGonçalves, Thaiza Soares FerreiraPaploski, Igor Adolfho DexheimerMoreira, Patrícia Sousa dos SantosNascimento, Leile Camila JacobCampos, Gúbio SoaresKo, Albert IcksangWeaver, Scott CReis, Mitermayer Galvão dosKitron, UrielRibeiro, Guilherme de Sousa2019-02-07T18:28:23Z2019-02-07T18:28:23Z2018SILVA, Monaíse Madalena Oliveira et al. Concomitant transmission of dengue, chikungunya and Zika viruses in Brazil: Clinical and epidemiological findings from surveillance for acute febrile illness. Clinical of Infectious Diseases, p. 1-24, Dec. 18. 2018.1058-4838https://www.arca.fiocruz.br/handle/icict/3148610.1093/cid/ciy1083Brazilian National Council for Scientific and Technological Development [grants 400830/2013-2, and 440891/2016-7 to G.S.R.; and scholarships to I.A.D.P., L.B.T., U.K., M.G.R., and G.S.R.]; the Bahia Foundation for Research Support [PET0026/2013, APP0044/2016, and PET0022/2016 to G.S.R., and scholarship to M.M.O.S.]; the Coordination for the Improvement of Higher Education Personnel, Brazilian Ministry of Education [440891/2016-7 to G.S.R. and scholarship to M.K.]; the National Institutes of Health (USA) [R01 TW009504, R01 AI121207, and U01 AI088752 to A.I.K.], [R24 AI AI120942 to SCW]; the Yale School of Public Health; the Federal University of Bahia; and the Oswaldo Cruz.Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Salvador, BA, Brasil.Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Salvador, BA, Brasil / Instituto Nacional de Medicina Tropical. Puerto Iguazú, Argentina.Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Salvador, BA, Brasil / Universidade Federal da Bahia. Instituto de Saúde Coletiva. Salvador, BA, Brasil.Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Salvador, BA, Brasil.Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Salvador, BA, Brasil.Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Salvador, BA, Brasil.Universidade Federal da Bahia. Instituto de Saúde Coletiva. Salvador, BA, Brasil / University of Minnesota. USA.Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Salvador, BA, Brasil.Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Salvador, BA, Brasil.Universidade Federal da Bahia. Instituto de Ciências da Saúde. Salvador, BA, Brasil.Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Salvador, BA, Brasil / Yale School of Public Health. New Haven, USA.University of Texas Medical Branch. Galveston, USA.Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Salvador, BA, Brasil / Universidade Federal da Bahia. Faculdade de Medicina. Salvador, BA, Brasil.Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Salvador, BA, Brasil / Emory University. Atlanta, USA.Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Salvador, BA, Brasil / Universidade Federal da Bahia. Instituto de Saúde Coletiva. Salvador, BA, Brasil / Universidade Federal da Bahia. Faculdade de Medicina. Salvador, BA, Brasil.Since their emergence in the Americas, chikungunya (CHIKV) and Zika (ZIKV) viruses co-circulate with dengue virus (DENV), hampering clinical diagnosis. We investigated clinical and epidemiological characteristics of arboviral infections during the introduction and spread of CHIKV and ZIKV through northeastern Brazil. Methods. Surveillance for arboviral diseases among febrile patients was performed at an emergency health unit of Salvador, Brazil between Sep/2014-Jul/2016. We interviewed patients to collect data on symptoms, reviewed medical records to obtain the presumptive diagnoses, and performed molecular and serological testing to confirm DENV, CHIKV, ZIKV, or non-specific flavivirus (FLAV) diagnosis. Results. Of 948 participants, 247 (26.1%) had an acute infection, of which 224 (23.6%) were single infections (DENV: 32, or 3.4%; CHIKV: 159, 16.7%; ZIKV: 13, 1.4%; and FLAV: 20, 2.1%), and 23 (2.4%) co-infections (DENV/CHIKV: 13, 1.4%; CHIKV/FLAV: 9, 0.9%; and DEN/ZIKV: 1, 0.1%). An additional 133 (14.0%) patients had serological evidence for a recent arboviral infection. Patients with Zika presented rash (69.2%) and pruritus (69.2%) more frequently than those with dengue (37.5% and 31.2%, respectively) and chikungunya (22.9% and 14.7%, respectively) (P<0.001 for both comparisons). Conversely, arthralgia was more common in chikungunya (94.9%) and FLAV/CHIKV (100.0%) than in dengue (59.4%) and Zika (53.8%) (P<0.001). A correct presumptive clinical diagnosis was made for 9-23% of the confirmed patients.engOxford University PressVírus da dengueVírus chikungunyaVírus zikaArbovírusCo-infecçãoDengue virusChikungunya virusZika virusArbovirusCo-infectionConcomitant transmission of dengue, chikungunya and Zika viruses in Brazil: Clinical and epidemiological findings from surveillance for acute febrile illnessinfo: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/31486/1/license.txt5a560609d32a3863062d77ff32785d58MD51ORIGINALSILVA, S.M. Concomitant transmission ...2018.pdfSILVA, S.M. Concomitant transmission ...2018.pdfapplication/pdf719972https://www.arca.fiocruz.br/bitstream/icict/31486/2/SILVA%2c%20S.M.%20Concomitant%20transmission%20...2018.pdfe90bcec47139442a6ef64742f1d50ab7MD52TEXTSILVA, S.M. Concomitant transmission ...2018.pdf.txtSILVA, S.M. 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dc.title.pt_BR.fl_str_mv Concomitant transmission of dengue, chikungunya and Zika viruses in Brazil: Clinical and epidemiological findings from surveillance for acute febrile illness
title Concomitant transmission of dengue, chikungunya and Zika viruses in Brazil: Clinical and epidemiological findings from surveillance for acute febrile illness
spellingShingle Concomitant transmission of dengue, chikungunya and Zika viruses in Brazil: Clinical and epidemiological findings from surveillance for acute febrile illness
Silva, Monaíse Madalena Oliveira
Vírus da dengue
Vírus chikungunya
Vírus zika
Arbovírus
Co-infecção
Dengue virus
Chikungunya virus
Zika virus
Arbovirus
Co-infection
title_short Concomitant transmission of dengue, chikungunya and Zika viruses in Brazil: Clinical and epidemiological findings from surveillance for acute febrile illness
title_full Concomitant transmission of dengue, chikungunya and Zika viruses in Brazil: Clinical and epidemiological findings from surveillance for acute febrile illness
title_fullStr Concomitant transmission of dengue, chikungunya and Zika viruses in Brazil: Clinical and epidemiological findings from surveillance for acute febrile illness
title_full_unstemmed Concomitant transmission of dengue, chikungunya and Zika viruses in Brazil: Clinical and epidemiological findings from surveillance for acute febrile illness
title_sort Concomitant transmission of dengue, chikungunya and Zika viruses in Brazil: Clinical and epidemiological findings from surveillance for acute febrile illness
author Silva, Monaíse Madalena Oliveira
author_facet Silva, Monaíse Madalena Oliveira
Tauro, Laura Beatriz
Kikuti, Mariana
Anjos, Rosângela Oliveira dos
Santos, Viviane Corrêa
Gonçalves, Thaiza Soares Ferreira
Paploski, Igor Adolfho Dexheimer
Moreira, Patrícia Sousa dos Santos
Nascimento, Leile Camila Jacob
Campos, Gúbio Soares
Ko, Albert Icksang
Weaver, Scott C
Reis, Mitermayer Galvão dos
Kitron, Uriel
Ribeiro, Guilherme de Sousa
author_role author
author2 Tauro, Laura Beatriz
Kikuti, Mariana
Anjos, Rosângela Oliveira dos
Santos, Viviane Corrêa
Gonçalves, Thaiza Soares Ferreira
Paploski, Igor Adolfho Dexheimer
Moreira, Patrícia Sousa dos Santos
Nascimento, Leile Camila Jacob
Campos, Gúbio Soares
Ko, Albert Icksang
Weaver, Scott C
Reis, Mitermayer Galvão dos
Kitron, Uriel
Ribeiro, Guilherme de Sousa
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Silva, Monaíse Madalena Oliveira
Tauro, Laura Beatriz
Kikuti, Mariana
Anjos, Rosângela Oliveira dos
Santos, Viviane Corrêa
Gonçalves, Thaiza Soares Ferreira
Paploski, Igor Adolfho Dexheimer
Moreira, Patrícia Sousa dos Santos
Nascimento, Leile Camila Jacob
Campos, Gúbio Soares
Ko, Albert Icksang
Weaver, Scott C
Reis, Mitermayer Galvão dos
Kitron, Uriel
Ribeiro, Guilherme de Sousa
dc.subject.other.pt_BR.fl_str_mv Vírus da dengue
Vírus chikungunya
Vírus zika
Arbovírus
Co-infecção
topic Vírus da dengue
Vírus chikungunya
Vírus zika
Arbovírus
Co-infecção
Dengue virus
Chikungunya virus
Zika virus
Arbovirus
Co-infection
dc.subject.en.pt_BR.fl_str_mv Dengue virus
Chikungunya virus
Zika virus
Arbovirus
Co-infection
description Brazilian National Council for Scientific and Technological Development [grants 400830/2013-2, and 440891/2016-7 to G.S.R.; and scholarships to I.A.D.P., L.B.T., U.K., M.G.R., and G.S.R.]; the Bahia Foundation for Research Support [PET0026/2013, APP0044/2016, and PET0022/2016 to G.S.R., and scholarship to M.M.O.S.]; the Coordination for the Improvement of Higher Education Personnel, Brazilian Ministry of Education [440891/2016-7 to G.S.R. and scholarship to M.K.]; the National Institutes of Health (USA) [R01 TW009504, R01 AI121207, and U01 AI088752 to A.I.K.], [R24 AI AI120942 to SCW]; the Yale School of Public Health; the Federal University of Bahia; and the Oswaldo Cruz.
publishDate 2018
dc.date.issued.fl_str_mv 2018
dc.date.accessioned.fl_str_mv 2019-02-07T18:28:23Z
dc.date.available.fl_str_mv 2019-02-07T18:28:23Z
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dc.identifier.citation.fl_str_mv SILVA, Monaíse Madalena Oliveira et al. Concomitant transmission of dengue, chikungunya and Zika viruses in Brazil: Clinical and epidemiological findings from surveillance for acute febrile illness. Clinical of Infectious Diseases, p. 1-24, Dec. 18. 2018.
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/31486
dc.identifier.issn.pt_BR.fl_str_mv 1058-4838
dc.identifier.doi.pt_BR.fl_str_mv 10.1093/cid/ciy1083
identifier_str_mv SILVA, Monaíse Madalena Oliveira et al. Concomitant transmission of dengue, chikungunya and Zika viruses in Brazil: Clinical and epidemiological findings from surveillance for acute febrile illness. Clinical of Infectious Diseases, p. 1-24, Dec. 18. 2018.
1058-4838
10.1093/cid/ciy1083
url https://www.arca.fiocruz.br/handle/icict/31486
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 Oxford University Press
publisher.none.fl_str_mv Oxford University Press
dc.source.none.fl_str_mv reponame:Repositório Institucional da FIOCRUZ (ARCA)
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collection Repositório Institucional da FIOCRUZ (ARCA)
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