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2021-09-08

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cc-by-nc-nd (c) Marbán Castro, Elena et al., 2021
Si us plau utilitzeu sempre aquest identificador per citar o enllaçar aquest document: https://hdl.handle.net/2445/230184

Zika virus infection in pregnant women and their children: A review

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Recurs relacionat

https://doi.org/10.1016/j.ejogrb.2021.07.012

Resum

Zika virus (ZIKV) is an arthropod-borne virus (arbovirus) transmitted primarily by Aedes mosquitoes. ZIKV can be transmitted to humans by non-vector borne mechanisms such as sexual intercourse, maternal-foetal transmission or blood transfusion. In 2015, ZIKV emerged in the Americas, and spread to 87 countries and territories with autochthonous transmission, distributed across four of the six WHO regions. Most ZIKV infections in pregnancy are asymptomatic, but mother to child transmission of the virus can occur in 20 to 30% of cases and cause severe foetal and child defects. Children exposed to ZIKV while in utero might develop a pattern of structural anomalies and functional disabilities secondary to central nervous system damage, known as congenital Zika syndrome, and whose most common clinical feature is microcephaly. Normocephalic children born to mothers with ZIKV infection in pregnancy, and with no observable Zika-associated birth defects, may also present with later neurodevelopmental delay or post-natal microcephaly. Screening and detection of ZIKV infection in pregnancy is essential, because most women with ZIKV infection are asymptomatic and clinical manifestations are non-specific. However, the diagnosis of ZIKV infection poses multiple challenges due to limited resources and scarce laboratory capabilities in most affected areas, the narrow window of time that the virus persists in the bloodstream, the large proportion of asymptomatic infections, and the cross-reactivity with other flaviviruses such as Dengue virus (DENV). Molecular methods (RT-PCR) are the most reliable tool to confirm ZIKV infection, as serodiagnosis requires confirmation with neutralization tests in case of inconclusive or positive serology results. Prenatal ultrasound assessment is essential for monitoring foetal development and early detection of possible severe anomalies. A mid- and long-term follow-up of children exposed to ZIKV while in utero is necessary to promptly detect clinical manifestations of possible neurological impairment.

Matèries

Sida en l'embaràs, Trastorns psiquiàtrics postpart

Matèries (anglès)

AIDS (Disease) in pregnancy, Postpartum psychiatric disorders

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Articles publicats en revistes (Medicina)

Citació

MARBÁN CASTRO, Elena, et al. Zika virus infection in pregnant women and their children: A review. European Journal Of Obstetrics & Gynecology And Reproductive Biology. 2021. Vol. 265, num. 162-168. ISSN 0301-2115. [consulted: 30 of June of 2026]. Available at: https://hdl.handle.net/2445/230184

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