Evidence map›Paper›PMID 31090222›Full record

ArticleJournal of medical virology2019

Epidemiological and clinical suspicion of congenital Zika virus infection: Serological findings in mothers and children from Brazil.

Giulietta Venturi, Claudia Fortuna, Rita Maria Alves, Ana Gabriela Passos do Prado Paschoal, Pedro José da Silva Júnior, Maria Elena Remoli, Eleonora Benedetti, Antonello Amendola, Everton da Silva Batista, Deijamile Virginia Novais Gama and 4 more

Open access · hybridAbstract read
In one paragraph

Article in Journal of medical virology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 17% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 2 institutions in 2 countries.

Giulietta VenturiDepartment of Infectious Diseases, Istituto Superiore di Sanità, Rome, Italy.ORCID 0000-0002-9078-8350
Claudia FortunaDepartment of Infectious Diseases, Istituto Superiore di Sanità, Rome, Italy.
Rita Maria AlvesPediatric Neurology Service, S. Antonio das Obras Sociais Irmã Dulce Hospital(HSA/OSID), Salvador, Bahia, Brazil.
Ana Gabriela Passos do Prado PaschoalPediatric Neurology Service, S. Antonio das Obras Sociais Irmã Dulce Hospital(HSA/OSID), Salvador, Bahia, Brazil.
Pedro José da Silva JúniorNeurologia Pediátrica, Universidade Salvador (UNIFACS), Salvador, Bahia, Brazil.
Maria Elena RemoliDepartment of Infectious Diseases, Istituto Superiore di Sanità, Rome, Italy.
Eleonora BenedettiDepartment of Infectious Diseases, Istituto Superiore di Sanità, Rome, Italy.
Antonello AmendolaDepartment of Infectious Diseases, Istituto Superiore di Sanità, Rome, Italy.
Everton da Silva BatistaNeurologia Pediátrica, Universidade Salvador (UNIFACS), Salvador, Bahia, Brazil.
Deijamile Virginia Novais GamaPediatric Neurology Service, S. Antonio das Obras Sociais Irmã Dulce Hospital(HSA/OSID), Salvador, Bahia, Brazil.
Davi Hasselmann BarrosNeurologia Pediátrica, Universidade Salvador (UNIFACS), Salvador, Bahia, Brazil.
Cristiano FiorentiniDepartment of Infectious Diseases, Istituto Superiore di Sanità, Rome, Italy.
Giovanni RezzaDepartment of Infectious Diseases, Istituto Superiore di Sanità, Rome, Italy.
Janeusa Rita Leite Primo ChagasPediatric Neurology Service, S. Antonio das Obras Sociais Irmã Dulce Hospital(HSA/OSID), Salvador, Bahia, Brazil.
Istituto Superiore di Sanità · ITUniversidade Salvador · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The emergence of Zika virus in the Americas has caused an increase of babies born with microcephaly or other neurological malformations. The differential diagnosis of Zika infection, particularly serological diagnosis, is an important but complex issue. In this study, we describe clinical manifestations of 94 suspected cases of congenital Zika from Bahia state, Brazil, and the results of serological tests performed on children and/or their mothers at an average of 71 days after birth. Anti-Zika immunoglobulin M (IgM) antibodies were detected in 44.4% and in 7.1% of samples from mothers and children, respectively. Nearly all the IgM, and 92% of immunoglobulin G positive results were confirmed by neutralization test. Zika specific neutralizing antibodies were detected in as much as 90.4% of the cases. Moreover, dengue specific neutralizing antibodies were detected in 79.0% of Zika seropositive mothers. In conclusion, Zika IgM negative results should be considered with caution, due to a possible rapid loss of sensitivity after birth, while the NS1-based Zika IgM enzyme-linked immunosorbent assay test we have used has demonstrated to be highly specific. In a high percentage of cases, Zika specific neutralizing antibodies were detected, which are indicative of a past Zika infection, probably occurred during pregnancy in this population.

Indexed as

Zika VirusAdultAntibodies, NeutralizingAntibodies, ViralBrazilChild, PreschoolDiagnostic ImagingHumansImmunoglobulin MInfantInfant, NewbornInfectious Disease Transmission, VerticalNeutralization TestsPhenotypePublic Health SurveillanceSerologic TestsAntibodies, NeutralizingAntibodies, ViralImmunoglobulin Mcongenital infectiondiagnosisflavivirusmicrocephalyneutralization testserological tests

Identifiers

PMID31090222
PMCPMC6773202
OpenAlexW2946614080

What OpenQuestion holds

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LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.