Concomitant transmission of dengue, chikungunya and Zika viruses in Brazil: Clinical and epidemiological findings from surveillance for acute febrile illness
Autor(a) principal: | |
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Data de Publicação: | 2018 |
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/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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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. Concomitant transmission ...2018.pdf.txtExtracted texttext/plain38575https://www.arca.fiocruz.br/bitstream/icict/31486/3/SILVA%2c%20S.M.%20Concomitant%20transmission%20...2018.pdf.txt9e424ed2f811cec5bff1ffa5f09ce8a9MD53icict/314862019-05-28 18:42:29.495oai:www.arca.fiocruz.br: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ório InstitucionalPUBhttps://www.arca.fiocruz.br/oai/requestrepositorio.arca@fiocruz.bropendoar:21352019-05-28T21:42:29Repositório Institucional da FIOCRUZ (ARCA) - Fundação Oswaldo Cruz (FIOCRUZ)false |
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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info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/article |
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article |
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publishedVersion |
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 |
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eng |
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eng |
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info:eu-repo/semantics/openAccess |
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openAccess |
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) instname:Fundação Oswaldo Cruz (FIOCRUZ) instacron:FIOCRUZ |
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