Cited by 29Mosquito-borne diseases and controlVirology and Viral DiseasesInfectious Encephalopathies and Encephalitis

The DOI matches its Crossref record; 280 of the 284 references it cites were found in a registry or an index.

Zika virus infection as a cause of congenital brain abnormalities and Guillain-Barre syndrome: a living systematic review

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Abstract

Background: The Zika virus (ZIKV) caused a large outbreak in the Americas leading to the declaration of a Public Health Emergency of International Concern in February 2016. A causal relation between infection and adverse congenital outcomes such as microcephaly was declared by the World Health Organization (WHO) informed by a systematic review structured according to a framework of ten dimensions of causality, based on the work of Bradford Hill. Subsequently, the evidence has continued to accumulate, which we incorporate in regular updates of the original work, rendering it a living systematic review. Methods: We present an update of our living systematic review on the causal relation between ZIKV infection and adverse congenital outcomes and between ZIKV and GBS for four dimensions of causality: strength of association, dose-response, specificity, and consistency. We assess the evidence published between January 18, 2017 and July 1, 2019. Results: We found that the strength of association between ZIKV infection and adverse outcomes from case-control studies differs according to whether exposure to ZIKV is assessed in the mother (OR 3.8, 95% CI: 1.7-8.7, I 2 =19.8%) or the foetus/infant (OR 37.4, 95% CI: 11.0-127.1, I 2 =0%). In cohort studies, the risk of congenital abnormalities was 3.5 times higher after ZIKV infection (95% CI: 0.9-13.5, I 2 =0%). The strength of association between ZIKV infection and GBS was higher in studies that enrolled controls from hospital (OR: 55.8, 95% CI: 17.2-181.7, I 2 =0%) than in studies that enrolled controls at random from the same community or household (OR: 2.0, 95% CI: 0.8-5.4, I 2 =74.6%). In case-control studies, selection of controls from hospitals could have biased results. Conclusions: The conclusions that ZIKV infection causes adverse congenital outcomes and GBS are reinforced with the evidence published between January 18, 2017 and July 1, 2019.

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  1. D Saulino, 2017, The first zika-related infant mortality in the United States: An autopsy case report., Laboratory Investigation., 97, 10A
  2. M De Fatima Viana Vasco Aragao, 2018, Congenital Zika Syndrome: Comparison of brain CT scan with postmortem histological sections from the same subjects., Neuroradiology., 60, 367-8
  3. M Cano, 2018, Zika virus infection in Hospital del Niño 'Dr José Renán Esquivel' (Panamá): Case Review since the introduction in Latin America., Pediátr Panamá., 47, 15-9
  4. A Collier, 2018, Maternal Immune Response to Zika Virus., Reproductive Sciences., 25, 163a-4a
  5. R Caixeta, 2018, Vertical transmission of zika virus and perinatal microcephaly., Int J Gynaecol Obstet., 143, 725, 10.1002/ijgo.12583 · DOI
  6. M Jones, 2018, Multidisciplinary approach to Guillain-Barre Syndrome and neurologic injuries after zika virus., J Spinal Cord Med., 41, 588
  7. A Ali, 2017, Zik-V outbreak and Guillain-Barre syndrome in Jamaica., Neurology., 88
  8. M Dourado, 2017, High Incidence of Guillain-Barre Syndrome after Zika Virus Infection in the State Rio Grande Do Norte, in Northeast Brazil., J Peripher Nerv Syst., 22, 275-6

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Metadata

Authors
Counotte, M. J., Meili, K. W., Taghavi, K., Calvet, G., Sejvar, J., & Low, N.
Affiliations
  • University of Bern (CH)
  • Instituto Nacional de Infectologia Evandro Chagas (BR)
  • Centers for Disease Control and Prevention (US)
Corresponding author
  • Counotte, Michel Jacques
  • Low, Nicola
Venue
F1000Research
Published
2019-08-14
Volume
8
Pages
1433
ISSN
2046-1402 (ISSN-L)
OpenAlex
W3033655606
Cited by
29
References
284
Citations by year
2026: 3 · 2025: 5 · 2024: 3 · 2023: 2 · 2022: 1 · 2021: 6 · 2020: 7 · 2019: 1
FWCI
0.61
Type
journal article
Language
en
Open access
Locations
  • F1000Research (publishedVersion, cc-by)
  • Americanae (AECID Library) (publishedVersion, other-oa)
  • Arca - Repositório Institucional da Fiocruz (publishedVersion, other-oa)
  • Bern Open Repository and Information System (University of Bern) (submittedVersion, cc-by)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
  • LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas) (submittedVersion, other-oa)
  • Open Access CRIS of the University of Bern
Funders
Schweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung (320030_170069)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Mosquito-borne diseases and control
  • Health Sciences › Medicine › Epidemiology › Virology and Viral Diseases
  • Health Sciences › Medicine › Infectious Diseases › Infectious Encephalopathies and Encephalitis
Keywords
Zika virus infection, congenital brain malformation, Guillain-Barré syndrome, microcephaly, causal inference, Bradford Hill criteria, associative strength, dose-response relationship, specificity, consistency, maternal infection, fetal infection, control selection bias

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