Vertical transmission of chikungunya virus: A systematic review

To describe and estimate the frequency of pregnancy outcomes, clinical and laboratory characteristics of vertical transmission of CHIKV in the neonate. We performed a systematic review evaluating the clinical presentation of perinatally-acquired CHIKV infection in neonates. The search was performed...

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Veröffentlicht in:PloS one 2021-04, Vol.16 (4), p.e0249166-e0249166
Hauptverfasser: Ferreira, Fátima Cristiane Pinho de Almeida Di Maio, da Silva, Anamaria Szrajbman Vaz, Recht, Judith, Guaraldo, Lusiele, Moreira, Maria Elisabeth Lopes, de Siqueira, André Machado, Gerardin, Patrick, Brasil, Patrícia
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creator Ferreira, Fátima Cristiane Pinho de Almeida Di Maio
da Silva, Anamaria Szrajbman Vaz
Recht, Judith
Guaraldo, Lusiele
Moreira, Maria Elisabeth Lopes
de Siqueira, André Machado
Gerardin, Patrick
Brasil, Patrícia
description To describe and estimate the frequency of pregnancy outcomes, clinical and laboratory characteristics of vertical transmission of CHIKV in the neonate. We performed a systematic review evaluating the clinical presentation of perinatally-acquired CHIKV infection in neonates. The search was performed using Medline (via PubMed), LILACS, Web of Science, Scielo, Google Scholar and Open grey to identify studies assessing vertical transmission of CHIKV up to November 3, 2020. There were no search restrictions regarding the study type, the publication date or language. Studies with no documented evidence of CHIKV infection in neonates (negative RT-PCR or absence of IgM) were excluded. From the 227 studies initially identified, 42 were selected as follows: 28 case reports, 7 case series, 2 cross-sectional studies and 5 cohort studies, for a total of 266 CHIKV infected neonates confirmed by serological and/or molecular tests. The vertical transmission rate was 50% in the Reunion Island outbreak, which was the subject of the majority of the studies; the premature delivery were reported in 19 (45.2%) studies; the rate of fetal distress was 19.6% of infected babies and fetal loss occurred in 2% of the cases. Approximately 68.7% of newborns were diagnosed with encephalopathy or encephalitis after perinatally acquired CHIKV. Most of the infected neonates were born healthy, developing CHIKV sepsis clinical syndrome within the first week of life. We alert neonatologists to the late manifestations of neonatal CHIKV infection, relevant to the management and reduction of morbidity. A limitation of our review was that it was not possible to carry out meta-analysis due to differences in study design and the small number of participants.
doi_str_mv 10.1371/journal.pone.0249166
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subjects Amniotic fluid
Biology and life sciences
Chikungunya virus
Cytomegalovirus
Data analysis
Diagnosis
Distribution
Editing
Electronic mail
Encephalitis
Enteroviruses
Fetuses
Genetic aspects
Genomes
Genotypes
Herpes simplex
HIV
Human immunodeficiency virus
Illnesses
Infections
Laboratories
Listeria
Listeria monocytogenes
Medicine and Health Sciences
Mosquitoes
Newborn babies
Parvoviruses
Physiological aspects
Placenta
Polymerase chain reaction
Pregnancy
Research and Analysis Methods
Reviews
Sepsis
Systematic review
Toxoplasmosis
Tuberculosis
Varicella
Vector-borne diseases
Vectors
Viruses
Visualization
title Vertical transmission of chikungunya virus: A systematic review
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