Evidence map›Paper›PMID 33477428›Full record

SynthesisViruses2021

Update on the Transmission of Zika Virus Through Breast Milk and Breastfeeding: A Systematic Review of the Evidence.

Elizabeth Centeno-Tablante, Melisa Medina-Rivera, Julia L Finkelstein, Heather S Herman, Pura Rayco-Solon, Maria Nieves Garcia-Casal, Lisa Rogers, Kate Ghezzi-Kopel, Mildred P Zambrano Leal, Joyce K Andrade Velasquez and 3 more

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in Viruses, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
3.9field-weighted citation impact, top 7% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

  1. Pooled it
  2. Comprehensive Review on Viral RNA Extraction Strategies for Enhanced Molecular Diagnostics.Interdisciplinary perspectives on infectious diseases · 2025
    Review
  3. Article
  4. Article
  5. Viruses and Human Milk: Transmission or Protection?Advances in nutrition (Bethesda, Md.) · 2023
    Review
  6. Review
  7. Review
  8. Review
  9. Article
  10. Henipaviruses-A constant threat to livestock and humans.PLoS neglected tropical diseases · 2022
    Review
  11. Review
  12. Review
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

13 authors at 2 institutions in 2 countries.

Elizabeth Centeno-TablanteDivision of Nutritional Sciences, Cornell University, Ithaca, NY 14853, USA.ORCID 0000-0001-6480-8779
Melisa Medina-RiveraDivision of Nutritional Sciences, Cornell University, Ithaca, NY 14853, USA.ORCID 0000-0001-7074-5663
Julia L FinkelsteinDivision of Nutritional Sciences, Cornell University, Ithaca, NY 14853, USA.ORCID 0000-0001-9512-5559
Heather S HermanDivision of Nutritional Sciences, Cornell University, Ithaca, NY 14853, USA.
Pura Rayco-SolonDepartment of Maternal, Newborn, Child and Adolescent Health and Ageing, World Health Organization, Geneva CH-1211, Switzerland.
Maria Nieves Garcia-CasalDepartment of Nutrition and Food Safety, World Health Organization, Geneva, CH-1211, Switzerland.ORCID 0000-0002-8410-3861
Lisa RogersDepartment of Nutrition and Food Safety, World Health Organization, Geneva, CH-1211, Switzerland.
Kate Ghezzi-KopelAlbert R. Mann Library, Cornell University, Ithaca, NY 14853, USA.
Mildred P Zambrano LealHospital de Niños Roberto Gilbert Elizalde, Guayaquil 090514, Ecuador.
Joyce K Andrade VelasquezHospital de Niños Roberto Gilbert Elizalde, Guayaquil 090514, Ecuador.
Juan G Chang AsincHospital de Niños Roberto Gilbert Elizalde, Guayaquil 090514, Ecuador.
Juan Pablo Peña-RosasDepartment of Nutrition and Food Safety, World Health Organization, Geneva, CH-1211, Switzerland.ORCID 0000-0002-6737-9831
Saurabh MehtaDivision of Nutritional Sciences, Cornell University, Ithaca, NY 14853, USA.ORCID 0000-0003-3788-0665
Cornell University · USWorld Health Organization · CH

Funding

World Health Organization 001
6 · The paper itself

Abstract

We systematically searched regional and international databases and screened 1658 non-duplicate records describing women with suspected or confirmed ZIKV infection, intending to breastfeed or give breast milk to an infant to examine the potential of mother-to-child transmission of Zika virus (ZIKV) through breast milk or breastfeeding-related practices. Fourteen studies met our inclusion criteria and inform this analysis. These studies reported on 97 mother-children pairs who provided breast milk for ZIKV assessment. Seventeen breast milk samples from different women were found positive for ZIKV via RT-PCR, and ZIKV replication was found in cell cultures from five out of seven breast milk samples from different women. Only three out of six infants who had ZIKV infection were breastfed, no evidence of clinical complications was found to be associated with ZIKV RNA in breast milk. This review updates our previous report by including 12 new articles, in which we found no evidence of ZIKV mother-to-child transmission through breast milk intake or breastfeeding. As the certainty of the present evidence is low, additional studies are still warranted to determine if ZIKV can be transmitted through breastfeeding.

Indexed as

Breast FeedingInfectious Disease Transmission, VerticalZika VirusHumansMilk, HumanOutcome Assessment, Health CarePublic Health SurveillanceRandomized Controlled Trials as TopicZika Virus Infectionbreastfeedingbreast milkmother-to-child transmissionperinatal transmissionZika virusZika virus infection

Identifiers

PMID33477428
PMCPMC7830280
OpenAlexW3122844274

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.