Author | Branco, Rebeca Costa Castelo | |
Author | Brasil, Patrícia | |
Author | Araújo, Josélio Maria Galvão | |
Author | Cardoso, Flávia Oliveira | |
Author | Batista, Zulmira Silva | |
Author | Leitão, Valéria Maria Souza | |
Author | Silva, Marcos Antonio Custódio Neto da | |
Author | Castro, Lailson Oliveira de | |
Author | Valverde, Joanna Gardel | |
Author | Jeronimo, Selma Maria Bezerra | |
Author | Lima, Josélia Alencar | |
Author | Silva, Raimunda Ribeiro da | |
Author | Barbosa, Maria do Carmo Lacerda | |
Author | Brito, Luciane Maria Oliveira | |
Author | Xavier, Marcelo Antônio Pascoal | |
Author | Nascimento, Maria do Desterro Soares Brandão | |
Access date | 2022-03-04T18:33:36Z | |
Available date | 2022-03-04T18:33:36Z | |
Document date | 2021 | |
Citation | BRANCO, Rebeca Costa Castelo et al. Evidence of Zika virus circulation in asymptomatic pregnant women in Northeast, Brazil. PLoS Negl Trop Dis., v. 15, n. 6, e0009412, 2021. doi: 10.1371/journal.pntd.0009412. | pt_BR |
ISSN | 1935-2735 | pt_BR |
URI | https://www.arca.fiocruz.br/handle/icict/51555 | |
Language | eng | pt_BR |
Publisher | Public Library of Science | pt_BR |
Rights | open access | pt_BR |
Title | Evidence of Zika virus circulation in asymptomatic pregnant women in Northeast, Brazil | pt_BR |
Type | Article | pt_BR |
DOI | 10.1371/journal.pntd.0009412 | |
Abstract | Background: Zika virus (ZIKV) is a flavivirus associated with microcephaly and other fetal anormalities. However, evidence of asymptomatic ZIKV infection in pregnant women is still scarce. This study investigated the prevalence of Zika infection in asymptomatic pregnant women attending two public maternities in Maranhão state, Northeast Brazil.
Methods: A total of 196 women were recruited at the time of delivery by convenience sampling from two maternity clinics in São Luís, Maranhão, Brazil, between April 2017 and June 2018. Venous blood, umbilical cord blood and placental fragments from maternal and fetal sides were collected from each subject. ZIKV infection was determined by reverse transcription polymerase chain reaction (RT-qPCR) for ZIKV and by serology (IgM and IgG). Nonspecific laboratory profiles (TORCH screen) were obtained from medical records.
Results: The participants were mostly from São Luís and were of 19-35 years of age. They had 10-15 years of schooling and they were of mixed race, married, and Catholic. ZIKV was identified in three umbilical cord samples and in nine placental fragments. Mothers with positive ZIKV RT-qPCR were in the age group older than 19 years. Of the 196 women tested by ZIKV rapid test, 6 and 117 women were positive for anti-ZIKV IgM and anti-ZIKV IgG antibodies, respectively. Placental Immunohistochemistry study detected ZIKV in all samples positive by RT-PCR. The newborns did not show any morphological and/or psychomotor abnormalities at birth.
Conclusions: Asymptomatic ZIKV infection is frequent, but it was not associated to morphological and/or psychomotor abnormalities in the newborns up to 6 months post-birth. Although pathological abnormalities were not observed at birth, we cannot rule out the long term impact of apparent asymptomatic congenital ZIKV infection. | pt_BR |
Affilliation | Post-Graduate Program in Adult Health. Federal University of Maranhão. São Luís, MA, Brazil. | pt_BR |
Affilliation | Oswaldo Cruz Foundation. Rio de Janeiro, RJ, Brazil. | pt_BR |
Affilliation | Microbiology and Parasitology Department. Federal University of Rio Grande do Norte. Natal, RG, Brazil. | pt_BR |
Affilliation | Oswaldo Cruz Foundation. Rio de Janeiro, RJ, Brazil. | pt_BR |
Affilliation | Post-Graduate Program in Adult Health. Federal University of Maranhão. São Luís, MA, Brazil. | pt_BR |
Affilliation | Medicine III Department. Federal University of Maranhão. São Luís, MA, Brazil. | pt_BR |
Affilliation | Post-Graduate Program of Internal Medicine. State University of Campinas. Campinas, SP, Brazil. | pt_BR |
Affilliation | Medicine Faculty. Federal University of Maranhão. São Luís, MA, Brazil. | pt_BR |
Affilliation | Biochemistry Department and Institute of Tropical Medicine. Federal University of Rio Grande do Norte. Natal, RG, Brazil. | pt_BR |
Affilliation | Biochemistry Department and Institute of Tropical Medicine. Federal University of Rio Grande do Norte. Natal, RG, Brazil. | pt_BR |
Affilliation | Post-Graduate Program in Adult Health. Federal University of Maranhão. São Luís, MA, Brazil. | pt_BR |
Affilliation | Pathology Department. Federal University of Maranhão. São Luís, MA, Brazil. | pt_BR |
Affilliation | Medicine I Department. Federal University of Maranhão. São Luís, MA, Brazil. | pt_BR |
Affilliation | Post-Graduate Program in Adult Health. Federal University of Maranhão. São Luís, MA, Brazil. | pt_BR |
Affilliation | Rene Rachou Institute. Oswaldo Cruz Foundation. Belo Horizonte, MG, Brazil. | pt_BR |
Affilliation | Post-Graduate Program in Adult Health. Federal University of Maranhão. São Luís, MA, Brazil. | pt_BR |