Evidence map›Paper›PMID 33017393›Full record

ArticlePLoS neglected tropical diseases2020

Pre and postnatal exposure to Chikungunya virus does not affect child neurodevelopmental outcomes at two years of age.

Randall Waechter, Erinique Ingraham, Roberta Evans, Nikita Cudjoe, Amy Krystosik, Rashida Isaac, Ashlee Watts, Trevor Noël, Barbara Landon, Michelle Fernandes and 6 more

Open access · goldAbstract read
In one paragraph

Article in PLoS neglected tropical diseases, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.6field-weighted citation impact, top 15% 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

13 citing papers in PubMed, 14 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Observational
  5. Article
  6. [Mother-to-Child Transmission of Chikungunya Virus and Its Impact on the Neonatal Nervous System].Sichuan da xue xue bao. Yi xue ban = Journal of Sichuan University. Medical science edition · 2025
    Review
  7. Review
  8. Review
  9. Factors Associated with Chikungunya Infection among Pregnant Women in Grenada, West Indies.The American journal of tropical medicine and hygiene · 2023
    Article
  10. Article
  11. Review
  12. Article
  13. 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

16 authors at 5 institutions in 4 countries.

Randall WaechterDepartment of Neuroscience and Physiology and Behavioral Sciences, School of Medicine, St. George's University, St. George's, Grenada, West Indies.
Erinique IngrahamWindward Islands Research and Education Foundation, St. George's, Grenada, West Indies.
Roberta EvansWindward Islands Research and Education Foundation, St. George's, Grenada, West Indies.ORCID 0000-0002-8310-7721
Nikita CudjoeWindward Islands Research and Education Foundation, St. George's, Grenada, West Indies.
Amy KrystosikStanford University, School of Medicine, Department of Pediatrics, Division of Infectious Disease, California, United States of America.ORCID 0000-0001-7944-8876
Rashida IsaacWindward Islands Research and Education Foundation, St. George's, Grenada, West Indies.
Ashlee WattsWindward Islands Research and Education Foundation, St. George's, Grenada, West Indies.ORCID 0000-0002-7414-1688
Trevor NoëlWindward Islands Research and Education Foundation, St. George's, Grenada, West Indies.
Barbara LandonWindward Islands Research and Education Foundation, St. George's, Grenada, West Indies.
Michelle FernandesFaculty of Medicine, Department of Paediatrics, University Hospitals Southampton, University of Southampton, Southampton, United Kingdom.ORCID 0000-0002-0051-3389
Veronica Mapp-AlexanderWindward Islands Research and Education Foundation, St. George's, Grenada, West Indies.ORCID 0000-0003-0642-8414
Priyanka SureshStanford University, School of Medicine, Department of Pediatrics, Division of Infectious Disease, California, United States of America.ORCID 0000-0001-8120-7342
George MitchellOffice of Chief Medical Officer, Ministry of Health, St, George's, Grenada, West Indies.
Calum MacphersonWindward Islands Research and Education Foundation, St. George's, Grenada, West Indies.ORCID 0000-0002-2733-7856
Patrick GérardinINSERM CIC1410, Centre Hospitalier Universitaire de la Réunion, Saint Pierre, Réunion / Unité Mixte 134 PIMIT (Université de La Réunion, CNRS 9192, INSERM U1187, IRD 249), Sainte Clotilde, Réunion.ORCID 0000-0002-3276-5919
A Desiree LaBeaudStanford University, School of Medicine, Department of Pediatrics, Division of Infectious Disease, California, United States of America.
St. George's University · GDWindward Islands Research and Education Foundation · GDStanford University · USJohn Radcliffe Hospital · GBPeuplements végétaux et bioagresseurs en milieu tropical · RE

Funding

The child health impacts of overlapping vector-borne diseases in KenyaR01AI102918 · NIAID · STANFORD UNIVERSITY · PI Angelle Desiree LaBeaud · 2013 to 2026
$7.7M
Neurodevelopment and Vector-borne Diseases: Building Research Capacity in the TropicsR21TW010536 · FIC · WINDWARD ISLANDS RESEARCH & ED FDN · PI LABEAUD, ANGELLE DESIREE, WAECHTER, RANDALL · 2016 to 2018
$313k
FIC NIH HHS R21 TW010536NIAID NIH HHS R01 AI102918
6 · The paper itself

Abstract

backgroundThe 2005-06 chikungunya virus (CHIKV) outbreak in La Réunion suggested that mothers could transmit CHIKV to their neonates while viremic during the intrapartum period, and more than half of the infected neonates showed impaired neurodevelopment at two years of age. However, data sparsity precluded an overview of the developmental impact of vertical infection within the whole prenatal period. OBJECTIVE &

methodsThe current study assessed two-year old children born to mothers who were infected during the 2014 CHIKV outbreak in Grenada to determine the neurodevelopmental impact of perinatal CHIKV infection throughout gestation. Mother and child infection status were confirmed by serologic testing (IgG and IgM) for CHIKV. Cognitive, fine motor, gross motor, language and behavioral outcomes were assessed at two years of age on the INTERGROWTH-21st Neurodevelopment Assessment (INTER-NDA).

resultsNo differences in neurodevelopmental outcomes were observed between two-year-old children born to mothers infected with CHIKV during gestation (n = 149) and those born to mothers not infected with CHIKV (n = 161). No differences were found in INTER-NDA scores between children infected with CHIKV (n = 47) and children not infected with CHIKV (n = 592). Likewise, there were no differences between children infected with CHIKV post-partum (n = 19) versus children not infected with CHIKV (n = 592).

conclusionOur findings suggest that children exposed and/or infected with CHIKV outside of the intrapartum period experience no significant neurodevelopmental delay at two years of age, as measured by the INTER-NDA, compared to their unexposed and/or uninfected peers. These results complement those of previous studies which showed a neurodevelopmental risk only for children infected during the intrapartum period, while the mother was highly viremic. These results might be reassuring for women of childbearing age and public health officials in CHIKV-endemic regions.

Indexed as

Child DevelopmentChikungunya FeverChikungunya virusChild, PreschoolDevelopmental DisabilitiesFemaleGrenadaHumansInfantInfant, NewbornInfectious Disease Transmission, VerticalMalePregnancyPregnancy Complications, InfectiousSerologic Tests

Identifiers

PMID33017393
PMCPMC7535067
OpenAlexW3091535622

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.