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
Open accessAbstract
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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“Viral infections such as Zika and SARS-CoV-2 have also been associated with neurologic syndromes that include dysautonomia and GI complaints in some patients (Counotte et al., 2019; Ghannam et al., 2020).”
From Autonomic nervous system and gastrointestinal manifestations with an emphasis on gastric dysfunction (2026) · cites this paper as Counotte et al., 2019
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Barreira, A. A., Marques, W., Marreco, A., Cruz, C. D. A., Marques, V. A., Sposito, D. L. A., Klein, T. M., Jacobs, B. C., da Fonseca, B. A. L., & IGOS-ZIKA study group (2017) · Neurology · doi:10.1212/wnl.88.16_supplement.p5.119 · Cited by 1
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de Alcântara, T., Maia, J. T. D. S., Aronoff, D. M., Rolim, D. D., Zacarkim, M. R., LaBeaud, A. D., Fernandes, K. E., & Neto, N. N. M. (2018) · Neurology · doi:10.1212/wnl.90.15_supplement.p2.314 · Cited by 1
CT Scan Findings in Microcephaly Cases During 2015–2016 Zika Outbreak: A Cohort Study (P2.310)
de Alcântara, T., LaBeaud, A. D., Aronoff, D. M., Zacarkim, M. R., Maia, J. T. D. S., Fernandes, K. E., & Neto, N. N. M. (2018) · Neurology · doi:10.1212/wnl.90.15_supplement.p2.310 · Cited by 1
Zika-associated Atypical Guillain-Barre Variants in rural Haiti (S40.005)
Francois, R., & Berkowitz, A. L. (2017) · Neurology · doi:10.1212/wnl.88.16_supplement.s40.005 · Cited by 1
Zika Virus-Associated Guillain-Barre Syndrome In A Returning United States Traveler
(9898130), J. B., (15945815), S. P., (15945818), M. S., (8884817), G. L., (15945821), P. P., (15945824), G. C., (13462803), S. K., (15945827), V. M., (15945830), J. M., (15945833), A. C., et al. (2024) · Figshare · Cited by 1
Living systematic review on adverse outcomes of Zika - Figures and Table
Counotte, M. J. (2019) · Harvard Dataverse · doi:10.7910/dvn/dlp5an · Cited by 1
Self-citationLiving systematic review on adverse outcomes of Zika - Supplementary Material
Counotte, M. J. (2019) · Harvard Dataverse · doi:10.7910/dvn/s7usui · Cited by 1
Self-citation
Flagged first, then by citations
4 of the 284 references couldn’t be matched to a known paper.
Research works printed but not linked: 8
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Cited by
Sorted by citations
Guillain Barre Syndrome as a Complication of COVID-19: A Systematic Review
Aladawi, M., Elfil, M., Abu-Esheh, B., Jazar, D. A., Armouti, A. O., Bayoumi, A., & Piccione, E. A. (2021) · Canadian Journal of Neurological Sciences / Journal Canadien des Sciences Neurologiques · doi:10.1017/cjn.2021.102 · Cited by 81
Silva, R. N., Goulart, C. D. L., Oliveira, M. R., Tacao, G. Y., Back, G. D., Severin, R. S., Faghy, M. A., Arena, R. A., & Borghi‐Silva, A. (2021) · Expert Review of Respiratory Medicine · doi:10.1080/17476348.2021.1893169 · Cited by 47
Kharwadkar, S., & Herath, N. (2024) · Reviews in Medical Virology · doi:10.1002/rmv.2521 · Cited by 43
He, J., Yang, L., Chang, P., Yang, S., Lin, S., Tang, Q., Wang, X., & Zhang, Y. (2020) · Autophagy · doi:10.1080/15548627.2020.1823122 · Cited by 30
Zika virus-like particle vaccine protects AG129 mice and rhesus macaques against Zika virus
Vang, L., Morello, C. S., Mendy, J., Thompson, D., Manayani, D. J., Guenther, B., Julander, J. G., Sanford, D., Jain, A., Patel, A., et al. (2021) · PLoS neglected tropical diseases · doi:10.1371/journal.pntd.0009195 · Cited by 29
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
- ORCID
- Venue
- F1000Research
- Publisher
- F1000 Research Ltd
- Published
- 2019-08-14
- Volume
- 8
- Pages
- 1433
- ISSN
- 2046-1402 (ISSN-L)
- PMC
- PMC6852328
- 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
- gold
- doi.org
- Licence
- 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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