Time to Evaluate the Clinical Repercussions of Zika Virus Vertical Transmission? A Systematic Review

Background: Vertical transmission of Zika Virus (ZIKV) can be associated with several clinical features in newborn infants. The goal of the present review was to analyze the current state of knowledge regarding clinical repercussions following perinatal exposure to ZIKV in children up to 3 years of...

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Main Authors: Yasmin Notarbartolo di Villarosa do Amaral, Jocieli Malacarne, Paloma Glauca Brandão, Patrícia Brasil, Karin Nielsen-Saines, Maria Elisabeth Lopes Moreira
Format: Article
Language:English
Published: Frontiers Media S.A. 2021-08-01
Series:Frontiers in Psychiatry
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpsyt.2021.699115/full
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author Yasmin Notarbartolo di Villarosa do Amaral
Jocieli Malacarne
Paloma Glauca Brandão
Patrícia Brasil
Karin Nielsen-Saines
Maria Elisabeth Lopes Moreira
author_facet Yasmin Notarbartolo di Villarosa do Amaral
Jocieli Malacarne
Paloma Glauca Brandão
Patrícia Brasil
Karin Nielsen-Saines
Maria Elisabeth Lopes Moreira
author_sort Yasmin Notarbartolo di Villarosa do Amaral
collection DOAJ
description Background: Vertical transmission of Zika Virus (ZIKV) can be associated with several clinical features in newborn infants. The goal of the present review was to analyze the current state of knowledge regarding clinical repercussions following perinatal exposure to ZIKV in children up to 3 years of age.Methods: A systematic review of published studies was carried out, without the restriction of language or date of publication, identified in the databases PubMed, Virtual Health Library (BVS), Scopus, and Web of Science and the catalog for CAPES theses and dissertations. According to the proposed flowchart, the bibliographic search resulted in 1,563 papers. Of these, according to the eligibility criteria, 70 were selected for systematic review; all were published between 2016 and 2021.Results: Regarding clinical findings, 19 papers evaluated clinical imaging alterations, 21 ophthalmic manifestations, and 39 evaluated the central nervous system; of these, 15 analyzed neuro-psychomotor development. The remainder evaluated audiological (n = 14), nutritional (n = 14), orthopedic (n = 7), cardiorespiratory (n = 5), genitourinary (n = 3) or endocrinological (n = 1) manifestations.Conclusion: It is critical for studies to continue monitoring children with antenatal ZIKV exposure as they grow, given the unknown long-term repercussions of ZIKV and the recognized postnatal complications of this infection during pregnancy. Broader descriptions of observed clinical findings are also important in order to characterize the entire spectrum of disease in children.Systematic Review Registration: PROSPERO REGISTER: CRD42020205947.
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spelling doaj.art-11cc3781f59c4296a03fdb7d082b91c92022-12-21T22:32:14ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402021-08-011210.3389/fpsyt.2021.699115699115Time to Evaluate the Clinical Repercussions of Zika Virus Vertical Transmission? A Systematic ReviewYasmin Notarbartolo di Villarosa do Amaral0Jocieli Malacarne1Paloma Glauca Brandão2Patrícia Brasil3Karin Nielsen-Saines4Maria Elisabeth Lopes Moreira5Department of Pediatrics, Instituto Fernandes Figueira, Rio de Janeiro, BrazilDepartment of Pediatrics, Instituto Fernandes Figueira, Rio de Janeiro, BrazilDepartment of Pediatrics, Instituto Fernandes Figueira, Rio de Janeiro, BrazilDepartment of Acute Febrile Illnesses, Instituto Nacional de Infectologia, Rio de Janeiro, BrazilDepartment of Pediatrics, University of California, Los Angeles, Los Angeles, CA, United StatesDepartment of Pediatrics, Instituto Fernandes Figueira, Rio de Janeiro, BrazilBackground: Vertical transmission of Zika Virus (ZIKV) can be associated with several clinical features in newborn infants. The goal of the present review was to analyze the current state of knowledge regarding clinical repercussions following perinatal exposure to ZIKV in children up to 3 years of age.Methods: A systematic review of published studies was carried out, without the restriction of language or date of publication, identified in the databases PubMed, Virtual Health Library (BVS), Scopus, and Web of Science and the catalog for CAPES theses and dissertations. According to the proposed flowchart, the bibliographic search resulted in 1,563 papers. Of these, according to the eligibility criteria, 70 were selected for systematic review; all were published between 2016 and 2021.Results: Regarding clinical findings, 19 papers evaluated clinical imaging alterations, 21 ophthalmic manifestations, and 39 evaluated the central nervous system; of these, 15 analyzed neuro-psychomotor development. The remainder evaluated audiological (n = 14), nutritional (n = 14), orthopedic (n = 7), cardiorespiratory (n = 5), genitourinary (n = 3) or endocrinological (n = 1) manifestations.Conclusion: It is critical for studies to continue monitoring children with antenatal ZIKV exposure as they grow, given the unknown long-term repercussions of ZIKV and the recognized postnatal complications of this infection during pregnancy. Broader descriptions of observed clinical findings are also important in order to characterize the entire spectrum of disease in children.Systematic Review Registration: PROSPERO REGISTER: CRD42020205947.https://www.frontiersin.org/articles/10.3389/fpsyt.2021.699115/fullzika virussystematic reviewneurological repercussionclinical repercussionneurodevelopment
spellingShingle Yasmin Notarbartolo di Villarosa do Amaral
Jocieli Malacarne
Paloma Glauca Brandão
Patrícia Brasil
Karin Nielsen-Saines
Maria Elisabeth Lopes Moreira
Time to Evaluate the Clinical Repercussions of Zika Virus Vertical Transmission? A Systematic Review
Frontiers in Psychiatry
zika virus
systematic review
neurological repercussion
clinical repercussion
neurodevelopment
title Time to Evaluate the Clinical Repercussions of Zika Virus Vertical Transmission? A Systematic Review
title_full Time to Evaluate the Clinical Repercussions of Zika Virus Vertical Transmission? A Systematic Review
title_fullStr Time to Evaluate the Clinical Repercussions of Zika Virus Vertical Transmission? A Systematic Review
title_full_unstemmed Time to Evaluate the Clinical Repercussions of Zika Virus Vertical Transmission? A Systematic Review
title_short Time to Evaluate the Clinical Repercussions of Zika Virus Vertical Transmission? A Systematic Review
title_sort time to evaluate the clinical repercussions of zika virus vertical transmission a systematic review
topic zika virus
systematic review
neurological repercussion
clinical repercussion
neurodevelopment
url https://www.frontiersin.org/articles/10.3389/fpsyt.2021.699115/full
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