Symptomatic Chikungunya Virus Infection and Pregnancy Outcomes: A Nested Case-Control Study in French Guiana

被引:6
|
作者
Basurko, Celia [1 ]
Hcini, Najeh [2 ]
Demar, Magalie [3 ]
Abboud, Philippe [4 ]
Nacher, Mathieu [1 ]
Carles, Gabriel [2 ]
Lambert, Veronique [2 ]
Matheus, Severine [5 ,6 ]
机构
[1] Ctr Hosp Cayenne, CIC Inserm 1424, Ctr Invest Clin Antilles Guyane, Av Flamboyants, Cayenne 97300, French Guiana
[2] West French Guiana Hosp Ctr, Dept Obstet & Gynaecol, St Laurent Du Maroni 97320, French Guiana
[3] Ctr Hosp Cayenne, Lab Hosp Univ Parasitol Mycol, Cayenne 97300, French Guiana
[4] Ctr Hosp Cayenne, Infect & Trop Dis Dept, Cayenne 97300, French Guiana
[5] Cayenne Gen Hosp, Intens Care Unit, Cayenne 97300, French Guiana
[6] Inst Pasteur, Natl Reference Ctr Arboviruses, Lab Virol, Cayenne 97300, French Guiana
来源
VIRUSES-BASEL | 2022年 / 14卷 / 12期
关键词
Chikungunya virus; French Guiana; neonatal outcomes; pregnancy; pregnancy outcomes; DIAGNOSIS; COLOMBIA; OUTBREAK;
D O I
10.3390/v14122705
中图分类号
Q93 [微生物学];
学科分类号
071005 ; 100705 ;
摘要
During the Chikungunya epidemic in the Caribbean and Latin America, pregnant women were affected by the virus in French Guiana. The question of the impact of the virus on pregnancy was raised because of the lack of scientific consensus and published data in the region. Thus, during the Chikungunya outbreak in French Guiana, a comparative study was set up using a cohort of pregnant women. The objective was to compare pregnancy and neonatal outcomes between pregnant women with Chikungunya virus (CHIKV) infection and pregnant women without CHIKV. Of 653 mothers included in the cohort, 246 mothers were included in the case-control study: 73 had CHIKV fever during pregnancy and 173 had neither fever nor CHIKV during pregnancy. The study did not observe any severe clinical presentation of CHIKV in the participating women. There were no intensive care unit admissions. In addition, the study showed no significant difference between the two groups with regard to pregnancy complications. However, the results showed a potential excess risk of neonatal ICU admission of the newborn when the maternal infection occurred within 7 days before delivery. These results suggest that special attention should be paid to neonates whose mothers were infected with CHIKV shortly before delivery.
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页数:10
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