Outcomes up to age 36 months after congenital Zika virus infection—U.S. states

Details

• Alternative Title:
  Pediatr Res
• Personal Author:
  Neelam, Varsha ; Woodworth, Kate R. ; Chang, Daniel J. ; Roth, Nicole M. ; Reynolds, Megan R. ; Akosa, Amanda ; Carr, Christopher P. ; Anderson, Kayla N. ; Mulkey, Sarah B. ; DeBiasi, Roberta L. ; Biddle, Cara ; Lee, Ellen H. ; Elmore, Amanda L. ; Scotland, Sarah J. ; Sowunmi, Similoluwa ; Longcore, Nicole D. ; Ahmed, Muhammad ; Langlois, Peter H. ; Khuwaja, Salma ; Browne, Shea Elizabeth ; Lind, Leah ; Shim, Kyoo ; Gosciminski, Michael ; Blumenfeld, Rachel ; Khuntia, Shreya ; Halai, Umme-Aiman ; Locklear, Autumn ; Chan, Mary ; Willabus, Teri’ ; Tonzel, Julius ; Marzec, Natalie S. ; Barreto, Nianest Alers ; Sanchez, Connie ; Fornoff, Jane ; Hale, Shelby ; Nance, Amy ; Iguchi, Lisa ; Adibhatla, Sowmya N. ; Potts, Emily ; Schiffman, Elizabeth ; Raman, Devin ; McDonald, Morgan F. ; Stricklin, Brandi ; Ludwig, Elizabeth ; Denson, Lindsay ; Contreras, Dianna ; Romitti, Paul A. ; Ferrell, Emily ; Marx, Meghan ; Signs, Kimberly ; Cook, Amie ; Leedom, Vinita Oberoi ; Beauregard, Suzann ; Orantes, Lucia C. ; Cronquist, Laura ; Roush, Lesley ; Godfred-Cato, Shana ; Gilboa, Suzanne M. ; Meaney-Delman, Dana ; Honein, Margaret A. ; Moore, Cynthia A. ; Tong, Van T.
• Description:
  BACKGROUND:
  
  To characterize neurodevelopmental abnormalities in children up to 36 months of age with congenital Zika virus exposure.
  
  METHODS:
  
  From the U.S. Zika Pregnancy and Infant Registry, a national surveillance system to monitor pregnancies with laboratory evidence of Zika virus infection, pregnancy outcomes and presence of Zika associated birth defects (ZBD) were reported among infants with available information. Neurologic sequelae and developmental delay were reported among children with ≥1 follow-up exam after 14 days of age or with ≥1 visit with development reported, respectively.
  
  RESULTS:
  
  Among 2248 infants, 10.1% were born preterm, and 10.5% were small-for-gestational age. Overall, 122 (5.4%) had any ZBD; 91.8% of infants had brain abnormalities or microcephaly, 23.0% had eye abnormalities, and 14.8% had both. Of 1881 children ≥1 follow-up exam reported, neurologic sequelae were more common among children with ZBD (44.6%) vs. without ZBD (1.5%). Of children with ≥1 visit with development reported, 46.8% (51/109) of children with ZBD and 7.4% (129/1739) of children without ZBD had confirmed or possible developmental delay.
  
  CONCLUSION:
  
  Understanding the prevalence of developmental delays and healthcare needs of children with congenital Zika virus exposure can inform health systems and planning to ensure services are available for affected families.
  
  
• Subjects:
  Child Child, Preschool Female Humans Infant Infant, Newborn Microcephaly Neurodevelopmental Disorders Pregnancy Pregnancy Complications, Infectious Zika Virus Zika Virus Infection

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• Source:
  Pediatr Res. 95(2):558-565
• Pubmed ID:
  37658124
• Pubmed Central ID:
  PMC10913023
• Document Type:
  Journal Article
• Funding:
  CC999999/ImCDC/Intramural CDC HHSUnited States/
• Volume:
  95
• Issue:
  2
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha-512:7e2ef68012e8ef237ec4d0185376d2fe5e1be6d37d152d169f2bf9f6b1e27c77317148628dbfd5082a85451400de4ebf413eddb953dee2122493b29b443d59d8
• Download URL:
  https://stacks.cdc.gov/view/cdc/150409/cdc_150409_DS1.pdf
• File Type:
  [PDF - 640.20 KB ]