Pregnancy Outcomes after ZIKV Infection in French Territories in the Americas

Zika virus was recently linked to birth defects, especially microcephaly. In this report from French territories in the Americas, the rate of birth defects possibly associated with intrapartum Zika virus infection was found to be 7%.

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Bibliographic Details
Published inThe New England journal of medicine Vol. 378; no. 11; pp. 985 - 994
Main Authors Hoen, Bruno, Schaub, Bruno, Funk, Anna L, Ardillon, Vanessa, Boullard, Manon, Cabié, André, Callier, Caroline, Carles, Gabriel, Cassadou, Sylvie, Césaire, Raymond, Douine, Maylis, Herrmann-Storck, Cécile, Kadhel, Philippe, Laouénan, Cédric, Madec, Yoann, Monthieux, Alice, Nacher, Mathieu, Najioullah, Fatiha, Rousset, Dominique, Ryan, Catherine, Schepers, Kinda, Stegmann-Planchard, Sofia, Tressières, Benoît, Voluménie, Jean-Luc, Yassinguezo, Samson, Janky, Eustase, Fontanet, Arnaud
Format Journal Article
LanguageEnglish
Published United States Massachusetts Medical Society 15.03.2018
Subjects
Adolescent
Adult
Age
Amniotic Fluid
Amniotic Fluid - virology
Birth defects
Chromosome Disorders
Chromosome Disorders - epidemiology
Cohort Studies
Congenital Abnormalities
Congenital Abnormalities - epidemiology
Congenital defects
Congenital diseases
Cytomegalovirus
Data processing
Enrollments
Epidemics
Family medical history
Female
Fetal Diseases
Fetal Diseases - epidemiology
Fetuses
Flavivirus
French Guiana
French Guiana - epidemiology
Gestational age
Guadeloupe
Guadeloupe - epidemiology
Health risk assessment
Humans
Infant, Newborn
Infants
Infections
Laboratories
Life Sciences
Martinique
Martinique - epidemiology
Microcephaly
Microcephaly - epidemiology
Microencephaly
Middle Aged
Miscarriage
NMR
Nuclear magnetic resonance
Polymerase chain reaction
Pregnancy
Pregnancy Complications, Infectious
Pregnancy Outcome
Pregnancy Outcome - epidemiology
Pregnancy Trimesters
Stillbirth
Urine
Womens health
Young Adult
Zika Virus
Zika Virus - isolation & purification
Zika Virus Infection
Zika Virus Infection - complications
Zika Virus Infection - epidemiology
Brazil
Martinique
French Guiana
France
United States > US
Guadeloupe
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Abstract Zika virus was recently linked to birth defects, especially microcephaly. In this report from French territories in the Americas, the rate of birth defects possibly associated with intrapartum Zika virus infection was found to be 7%.
AbstractList Zika virus was recently linked to birth defects, especially microcephaly. In this report from French territories in the Americas, the rate of birth defects possibly associated with intrapartum Zika virus infection was found to be 7%.
The risk of congenital neurologic defects related to Zika virus (ZIKV) infection has ranged from 6 to 42% in various reports. The aim of this study was to estimate this risk among pregnant women with symptomatic ZIKV infection in French territories in the Americas. From March 2016 through November 2016, we enrolled in this prospective cohort study pregnant women with symptomatic ZIKV infection that was confirmed by polymerase-chain-reaction (PCR) assay. The analysis included all data collected up to April 27, 2017, the date of the last delivery in the cohort. Among the 555 fetuses and infants in the 546 pregnancies included in the analysis, 28 (5.0%) were not carried to term or were stillborn, and 527 were born alive. Neurologic and ocular defects possibly associated with ZIKV infection were seen in 39 fetuses and infants (7.0%; 95% confidence interval, 5.0 to 9.5); of these, 10 were not carried to term because of termination of pregnancy for medical reasons, 1 was stillborn, and 28 were live-born. Microcephaly (defined as head circumference more than 2 SD below the mean for sex and gestational age) was detected in 32 fetuses and infants (5.8%), of whom 9 (1.6%) had severe microcephaly (more than 3 SD below the mean). Neurologic and ocular defects were more common when ZIKV infection occurred during the first trimester (24 of 189 fetuses and infants [12.7%]) than when it occurred during the second trimester (9 of 252 [3.6%]) or third trimester (6 of 114 [5.3%]) (P=0.001). Among pregnant women with symptomatic, PCR-confirmed ZIKV infection, birth defects possibly associated with ZIKV infection were present in 7% of fetuses and infants. Defects occurred more frequently in fetuses and infants whose mothers had been infected early in pregnancy. Longer-term follow-up of infants is required to assess any manifestations not detected at birth. (Funded by the French Ministry of Health and others; ClinicalTrials.gov number, NCT02916732 .).
Background The risk of congenital neurologic defects related to Zika virus (ZIKV) infection has ranged from 6 to 42% in various reports. The aim of this study was to estimate this risk among pregnant women with symptomatic ZIKV infection in French territories in the Americas. Methods From March 2016 through November 2016, we enrolled in this prospective cohort study pregnant women with symptomatic ZIKV infection that was confirmed by polymerase-chain-reaction (PCR) assay. The analysis included all data collected up to April 27, 2017, the date of the last delivery in the cohort. Results Among the 555 fetuses and infants in the 546 pregnancies included in the analysis, 28 (5.0%) were not carried to term or were stillborn, and 527 were born alive. Neurologic and ocular defects possibly associated with ZIKV infection were seen in 39 fetuses and infants (7.0%; 95% confidence interval, 5.0 to 9.5); of these, 10 were not carried to term because of termination of pregnancy for medical reasons, 1 was stillborn, and 28 were live-born. Microcephaly (defined as head circumference more than 2 SD below the mean for sex and gestational age) was detected in 32 fetuses and infants (5.8%), of whom 9 (1.6%) had severe microcephaly (more than 3 SD below the mean). Neurologic and ocular defects were more common when ZIKV infection occurred during the first trimester (24 of 189 fetuses and infants [12.7%]) than when it occurred during the second trimester (9 of 252 [3.6%]) or third trimester (6 of 114 [5.3%]) (P=0.001). Conclusions Among pregnant women with symptomatic, PCR-confirmed ZIKV infection, birth defects possibly associated with ZIKV infection were present in 7% of fetuses and infants. Defects occurred more frequently in fetuses and infants whose mothers had been infected early in pregnancy. Longer-term follow-up of infants is required to assess any manifestations not detected at birth. (Funded by the French Ministry of Health and others; ClinicalTrials.gov number, NCT02916732.)
The risk of congenital neurologic defects related to Zika virus (ZIKV) infection has ranged from 6 to 42% in various reports. The aim of this study was to estimate this risk among pregnant women with symptomatic ZIKV infection in French territories in the Americas.BACKGROUNDThe risk of congenital neurologic defects related to Zika virus (ZIKV) infection has ranged from 6 to 42% in various reports. The aim of this study was to estimate this risk among pregnant women with symptomatic ZIKV infection in French territories in the Americas.From March 2016 through November 2016, we enrolled in this prospective cohort study pregnant women with symptomatic ZIKV infection that was confirmed by polymerase-chain-reaction (PCR) assay. The analysis included all data collected up to April 27, 2017, the date of the last delivery in the cohort.METHODSFrom March 2016 through November 2016, we enrolled in this prospective cohort study pregnant women with symptomatic ZIKV infection that was confirmed by polymerase-chain-reaction (PCR) assay. The analysis included all data collected up to April 27, 2017, the date of the last delivery in the cohort.Among the 555 fetuses and infants in the 546 pregnancies included in the analysis, 28 (5.0%) were not carried to term or were stillborn, and 527 were born alive. Neurologic and ocular defects possibly associated with ZIKV infection were seen in 39 fetuses and infants (7.0%; 95% confidence interval, 5.0 to 9.5); of these, 10 were not carried to term because of termination of pregnancy for medical reasons, 1 was stillborn, and 28 were live-born. Microcephaly (defined as head circumference more than 2 SD below the mean for sex and gestational age) was detected in 32 fetuses and infants (5.8%), of whom 9 (1.6%) had severe microcephaly (more than 3 SD below the mean). Neurologic and ocular defects were more common when ZIKV infection occurred during the first trimester (24 of 189 fetuses and infants [12.7%]) than when it occurred during the second trimester (9 of 252 [3.6%]) or third trimester (6 of 114 [5.3%]) (P=0.001).RESULTSAmong the 555 fetuses and infants in the 546 pregnancies included in the analysis, 28 (5.0%) were not carried to term or were stillborn, and 527 were born alive. Neurologic and ocular defects possibly associated with ZIKV infection were seen in 39 fetuses and infants (7.0%; 95% confidence interval, 5.0 to 9.5); of these, 10 were not carried to term because of termination of pregnancy for medical reasons, 1 was stillborn, and 28 were live-born. Microcephaly (defined as head circumference more than 2 SD below the mean for sex and gestational age) was detected in 32 fetuses and infants (5.8%), of whom 9 (1.6%) had severe microcephaly (more than 3 SD below the mean). Neurologic and ocular defects were more common when ZIKV infection occurred during the first trimester (24 of 189 fetuses and infants [12.7%]) than when it occurred during the second trimester (9 of 252 [3.6%]) or third trimester (6 of 114 [5.3%]) (P=0.001).Among pregnant women with symptomatic, PCR-confirmed ZIKV infection, birth defects possibly associated with ZIKV infection were present in 7% of fetuses and infants. Defects occurred more frequently in fetuses and infants whose mothers had been infected early in pregnancy. Longer-term follow-up of infants is required to assess any manifestations not detected at birth. (Funded by the French Ministry of Health and others; ClinicalTrials.gov number, NCT02916732 .).CONCLUSIONSAmong pregnant women with symptomatic, PCR-confirmed ZIKV infection, birth defects possibly associated with ZIKV infection were present in 7% of fetuses and infants. Defects occurred more frequently in fetuses and infants whose mothers had been infected early in pregnancy. Longer-term follow-up of infants is required to assess any manifestations not detected at birth. (Funded by the French Ministry of Health and others; ClinicalTrials.gov number, NCT02916732 .).
Author Monthieux, Alice
Ryan, Catherine
Madec, Yoann
Rousset, Dominique
Callier, Caroline
Cassadou, Sylvie
Cabié, André
Ardillon, Vanessa
Laouénan, Cédric
Tressières, Benoît
Nacher, Mathieu
Najioullah, Fatiha
Schepers, Kinda
Voluménie, Jean-Luc
Kadhel, Philippe
Yassinguezo, Samson
Stegmann-Planchard, Sofia
Funk, Anna L
Janky, Eustase
Herrmann-Storck, Cécile
Douine, Maylis
Carles, Gabriel
Hoen, Bruno
Fontanet, Arnaud
Schaub, Bruno
Césaire, Raymond
Boullard, Manon
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  givenname: Caroline
  surname: Callier
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  organization: From INSERM Centre d’Investigation Clinique 1424 (B.H., C.C., B.T.), Service de Maladies Infectieuses et Tropicales, Dermatologie, Médecine Interne (B.H., K.S.), Cellule d’Intervention en Région (CIRE) Antilles, Santé Publique France (S.C.), Laboratoire de Microbiologie (C.H.-S.), Service de Gynécologie Obstétrique (P.K.), Centre Pluridisciplinaire de Diagnostic Prénatal (C.R.), and Pôle Parent-Enfant (E.J.), Centre Hospitalier Universitaire (CHU) de Pointe-à-Pitre/Abymes, and Université des Antilles et de la Guyane, Faculté de Médecine Hyacinthe Bastaraud (B.H.), Pointe-à-Pitre, Guadeloupe; Centre Pluridisciplinaire de Diagnostic Prénatal, Maison de la Femme de la Mère et de l’Enfant (B.S.), INSERM Centre d’Investigation Clinique (M.B., A.C.), Centre de Ressources Biologiques (R.C.), Unit of Obstetrics and Gynecology, Maison de la Femme de la Mère et de l’Enfant (A.M., J.-L.V.), and Laboratoire de Virologie (F.N.), CHU Martinique, Fort-de-France, Martinique; the Emerging Diseases Epidemiology Unit (A.L.F., Y.M., A.F.) and Center for Global Health (A.F.), Institut Pasteur, INSERM, IAME (Infection, Antimicrobials, Modeling, Evolution), Paris Diderot University (C.L.), and Conservatoire National des Arts et Métiers, Unité Pasteur-Cnam Risques Infectieux et Émergents (A.F.), Paris; CIRE de Guyane, Santé Publique France (V.A.), Pôle Mère-Enfant, Centre Hospitalier de l’Ouest Guyanais (G.C.), INSERM Centre d’Investigation Clinique 1424 (M.D., M.N.), Laboratoire de Virologie, Institut Pasteur de la Guyane (D.R.), and Service de Gynécologie Obstétrique, Centre Hospitalier de Cayenne (S.Y.), French Guiana; and Unité de Maladies Infectieuses, Centre Hospitalier Louis Constant Fleming, St. Martin (S.S.-P.) — all in France
– sequence: 8
  givenname: Gabriel
  surname: Carles
  fullname: Carles, Gabriel
  organization: From INSERM Centre d’Investigation Clinique 1424 (B.H., C.C., B.T.), Service de Maladies Infectieuses et Tropicales, Dermatologie, Médecine Interne (B.H., K.S.), Cellule d’Intervention en Région (CIRE) Antilles, Santé Publique France (S.C.), Laboratoire de Microbiologie (C.H.-S.), Service de Gynécologie Obstétrique (P.K.), Centre Pluridisciplinaire de Diagnostic Prénatal (C.R.), and Pôle Parent-Enfant (E.J.), Centre Hospitalier Universitaire (CHU) de Pointe-à-Pitre/Abymes, and Université des Antilles et de la Guyane, Faculté de Médecine Hyacinthe Bastaraud (B.H.), Pointe-à-Pitre, Guadeloupe; Centre Pluridisciplinaire de Diagnostic Prénatal, Maison de la Femme de la Mère et de l’Enfant (B.S.), INSERM Centre d’Investigation Clinique (M.B., A.C.), Centre de Ressources Biologiques (R.C.), Unit of Obstetrics and Gynecology, Maison de la Femme de la Mère et de l’Enfant (A.M., J.-L.V.), and Laboratoire de Virologie (F.N.), CHU Martinique, Fort-de-France, Martinique; the Emerging Diseases Epidemiology Unit (A.L.F., Y.M., A.F.) and Center for Global Health (A.F.), Institut Pasteur, INSERM, IAME (Infection, Antimicrobials, Modeling, Evolution), Paris Diderot University (C.L.), and Conservatoire National des Arts et Métiers, Unité Pasteur-Cnam Risques Infectieux et Émergents (A.F.), Paris; CIRE de Guyane, Santé Publique France (V.A.), Pôle Mère-Enfant, Centre Hospitalier de l’Ouest Guyanais (G.C.), INSERM Centre d’Investigation Clinique 1424 (M.D., M.N.), Laboratoire de Virologie, Institut Pasteur de la Guyane (D.R.), and Service de Gynécologie Obstétrique, Centre Hospitalier de Cayenne (S.Y.), French Guiana; and Unité de Maladies Infectieuses, Centre Hospitalier Louis Constant Fleming, St. Martin (S.S.-P.) — all in France
– sequence: 9
  givenname: Sylvie
  surname: Cassadou
  fullname: Cassadou, Sylvie
  organization: From INSERM Centre d’Investigation Clinique 1424 (B.H., C.C., B.T.), Service de Maladies Infectieuses et Tropicales, Dermatologie, Médecine Interne (B.H., K.S.), Cellule d’Intervention en Région (CIRE) Antilles, Santé Publique France (S.C.), Laboratoire de Microbiologie (C.H.-S.), Service de Gynécologie Obstétrique (P.K.), Centre Pluridisciplinaire de Diagnostic Prénatal (C.R.), and Pôle Parent-Enfant (E.J.), Centre Hospitalier Universitaire (CHU) de Pointe-à-Pitre/Abymes, and Université des Antilles et de la Guyane, Faculté de Médecine Hyacinthe Bastaraud (B.H.), Pointe-à-Pitre, Guadeloupe; Centre Pluridisciplinaire de Diagnostic Prénatal, Maison de la Femme de la Mère et de l’Enfant (B.S.), INSERM Centre d’Investigation Clinique (M.B., A.C.), Centre de Ressources Biologiques (R.C.), Unit of Obstetrics and Gynecology, Maison de la Femme de la Mère et de l’Enfant (A.M., J.-L.V.), and Laboratoire de Virologie (F.N.), CHU Martinique, Fort-de-France, Martinique; the Emerging Diseases Epidemiology Unit (A.L.F., Y.M., A.F.) and Center for Global Health (A.F.), Institut Pasteur, INSERM, IAME (Infection, Antimicrobials, Modeling, Evolution), Paris Diderot University (C.L.), and Conservatoire National des Arts et Métiers, Unité Pasteur-Cnam Risques Infectieux et Émergents (A.F.), Paris; CIRE de Guyane, Santé Publique France (V.A.), Pôle Mère-Enfant, Centre Hospitalier de l’Ouest Guyanais (G.C.), INSERM Centre d’Investigation Clinique 1424 (M.D., M.N.), Laboratoire de Virologie, Institut Pasteur de la Guyane (D.R.), and Service de Gynécologie Obstétrique, Centre Hospitalier de Cayenne (S.Y.), French Guiana; and Unité de Maladies Infectieuses, Centre Hospitalier Louis Constant Fleming, St. Martin (S.S.-P.) — all in France
– sequence: 10
  givenname: Raymond
  surname: Césaire
  fullname: Césaire, Raymond
  organization: From INSERM Centre d’Investigation Clinique 1424 (B.H., C.C., B.T.), Service de Maladies Infectieuses et Tropicales, Dermatologie, Médecine Interne (B.H., K.S.), Cellule d’Intervention en Région (CIRE) Antilles, Santé Publique France (S.C.), Laboratoire de Microbiologie (C.H.-S.), Service de Gynécologie Obstétrique (P.K.), Centre Pluridisciplinaire de Diagnostic Prénatal (C.R.), and Pôle Parent-Enfant (E.J.), Centre Hospitalier Universitaire (CHU) de Pointe-à-Pitre/Abymes, and Université des Antilles et de la Guyane, Faculté de Médecine Hyacinthe Bastaraud (B.H.), Pointe-à-Pitre, Guadeloupe; Centre Pluridisciplinaire de Diagnostic Prénatal, Maison de la Femme de la Mère et de l’Enfant (B.S.), INSERM Centre d’Investigation Clinique (M.B., A.C.), Centre de Ressources Biologiques (R.C.), Unit of Obstetrics and Gynecology, Maison de la Femme de la Mère et de l’Enfant (A.M., J.-L.V.), and Laboratoire de Virologie (F.N.), CHU Martinique, Fort-de-France, Martinique; the Emerging Diseases Epidemiology Unit (A.L.F., Y.M., A.F.) and Center for Global Health (A.F.), Institut Pasteur, INSERM, IAME (Infection, Antimicrobials, Modeling, Evolution), Paris Diderot University (C.L.), and Conservatoire National des Arts et Métiers, Unité Pasteur-Cnam Risques Infectieux et Émergents (A.F.), Paris; CIRE de Guyane, Santé Publique France (V.A.), Pôle Mère-Enfant, Centre Hospitalier de l’Ouest Guyanais (G.C.), INSERM Centre d’Investigation Clinique 1424 (M.D., M.N.), Laboratoire de Virologie, Institut Pasteur de la Guyane (D.R.), and Service de Gynécologie Obstétrique, Centre Hospitalier de Cayenne (S.Y.), French Guiana; and Unité de Maladies Infectieuses, Centre Hospitalier Louis Constant Fleming, St. Martin (S.S.-P.) — all in France
– sequence: 11
  givenname: Maylis
  surname: Douine
  fullname: Douine, Maylis
  organization: From INSERM Centre d’Investigation Clinique 1424 (B.H., C.C., B.T.), Service de Maladies Infectieuses et Tropicales, Dermatologie, Médecine Interne (B.H., K.S.), Cellule d’Intervention en Région (CIRE) Antilles, Santé Publique France (S.C.), Laboratoire de Microbiologie (C.H.-S.), Service de Gynécologie Obstétrique (P.K.), Centre Pluridisciplinaire de Diagnostic Prénatal (C.R.), and Pôle Parent-Enfant (E.J.), Centre Hospitalier Universitaire (CHU) de Pointe-à-Pitre/Abymes, and Université des Antilles et de la Guyane, Faculté de Médecine Hyacinthe Bastaraud (B.H.), Pointe-à-Pitre, Guadeloupe; Centre Pluridisciplinaire de Diagnostic Prénatal, Maison de la Femme de la Mère et de l’Enfant (B.S.), INSERM Centre d’Investigation Clinique (M.B., A.C.), Centre de Ressources Biologiques (R.C.), Unit of Obstetrics and Gynecology, Maison de la Femme de la Mère et de l’Enfant (A.M., J.-L.V.), and Laboratoire de Virologie (F.N.), CHU Martinique, Fort-de-France, Martinique; the Emerging Diseases Epidemiology Unit (A.L.F., Y.M., A.F.) and Center for Global Health (A.F.), Institut Pasteur, INSERM, IAME (Infection, Antimicrobials, Modeling, Evolution), Paris Diderot University (C.L.), and Conservatoire National des Arts et Métiers, Unité Pasteur-Cnam Risques Infectieux et Émergents (A.F.), Paris; CIRE de Guyane, Santé Publique France (V.A.), Pôle Mère-Enfant, Centre Hospitalier de l’Ouest Guyanais (G.C.), INSERM Centre d’Investigation Clinique 1424 (M.D., M.N.), Laboratoire de Virologie, Institut Pasteur de la Guyane (D.R.), and Service de Gynécologie Obstétrique, Centre Hospitalier de Cayenne (S.Y.), French Guiana; and Unité de Maladies Infectieuses, Centre Hospitalier Louis Constant Fleming, St. Martin (S.S.-P.) — all in France
– sequence: 12
  givenname: Cécile
  surname: Herrmann-Storck
  fullname: Herrmann-Storck, Cécile
  organization: From INSERM Centre d’Investigation Clinique 1424 (B.H., C.C., B.T.), Service de Maladies Infectieuses et Tropicales, Dermatologie, Médecine Interne (B.H., K.S.), Cellule d’Intervention en Région (CIRE) Antilles, Santé Publique France (S.C.), Laboratoire de Microbiologie (C.H.-S.), Service de Gynécologie Obstétrique (P.K.), Centre Pluridisciplinaire de Diagnostic Prénatal (C.R.), and Pôle Parent-Enfant (E.J.), Centre Hospitalier Universitaire (CHU) de Pointe-à-Pitre/Abymes, and Université des Antilles et de la Guyane, Faculté de Médecine Hyacinthe Bastaraud (B.H.), Pointe-à-Pitre, Guadeloupe; Centre Pluridisciplinaire de Diagnostic Prénatal, Maison de la Femme de la Mère et de l’Enfant (B.S.), INSERM Centre d’Investigation Clinique (M.B., A.C.), Centre de Ressources Biologiques (R.C.), Unit of Obstetrics and Gynecology, Maison de la Femme de la Mère et de l’Enfant (A.M., J.-L.V.), and Laboratoire de Virologie (F.N.), CHU Martinique, Fort-de-France, Martinique; the Emerging Diseases Epidemiology Unit (A.L.F., Y.M., A.F.) and Center for Global Health (A.F.), Institut Pasteur, INSERM, IAME (Infection, Antimicrobials, Modeling, Evolution), Paris Diderot University (C.L.), and Conservatoire National des Arts et Métiers, Unité Pasteur-Cnam Risques Infectieux et Émergents (A.F.), Paris; CIRE de Guyane, Santé Publique France (V.A.), Pôle Mère-Enfant, Centre Hospitalier de l’Ouest Guyanais (G.C.), INSERM Centre d’Investigation Clinique 1424 (M.D., M.N.), Laboratoire de Virologie, Institut Pasteur de la Guyane (D.R.), and Service de Gynécologie Obstétrique, Centre Hospitalier de Cayenne (S.Y.), French Guiana; and Unité de Maladies Infectieuses, Centre Hospitalier Louis Constant Fleming, St. Martin (S.S.-P.) — all in France
– sequence: 13
  givenname: Philippe
  surname: Kadhel
  fullname: Kadhel, Philippe
  organization: From INSERM Centre d’Investigation Clinique 1424 (B.H., C.C., B.T.), Service de Maladies Infectieuses et Tropicales, Dermatologie, Médecine Interne (B.H., K.S.), Cellule d’Intervention en Région (CIRE) Antilles, Santé Publique France (S.C.), Laboratoire de Microbiologie (C.H.-S.), Service de Gynécologie Obstétrique (P.K.), Centre Pluridisciplinaire de Diagnostic Prénatal (C.R.), and Pôle Parent-Enfant (E.J.), Centre Hospitalier Universitaire (CHU) de Pointe-à-Pitre/Abymes, and Université des Antilles et de la Guyane, Faculté de Médecine Hyacinthe Bastaraud (B.H.), Pointe-à-Pitre, Guadeloupe; Centre Pluridisciplinaire de Diagnostic Prénatal, Maison de la Femme de la Mère et de l’Enfant (B.S.), INSERM Centre d’Investigation Clinique (M.B., A.C.), Centre de Ressources Biologiques (R.C.), Unit of Obstetrics and Gynecology, Maison de la Femme de la Mère et de l’Enfant (A.M., J.-L.V.), and Laboratoire de Virologie (F.N.), CHU Martinique, Fort-de-France, Martinique; the Emerging Diseases Epidemiology Unit (A.L.F., Y.M., A.F.) and Center for Global Health (A.F.), Institut Pasteur, INSERM, IAME (Infection, Antimicrobials, Modeling, Evolution), Paris Diderot University (C.L.), and Conservatoire National des Arts et Métiers, Unité Pasteur-Cnam Risques Infectieux et Émergents (A.F.), Paris; CIRE de Guyane, Santé Publique France (V.A.), Pôle Mère-Enfant, Centre Hospitalier de l’Ouest Guyanais (G.C.), INSERM Centre d’Investigation Clinique 1424 (M.D., M.N.), Laboratoire de Virologie, Institut Pasteur de la Guyane (D.R.), and Service de Gynécologie Obstétrique, Centre Hospitalier de Cayenne (S.Y.), French Guiana; and Unité de Maladies Infectieuses, Centre Hospitalier Louis Constant Fleming, St. Martin (S.S.-P.) — all in France
– sequence: 14
  givenname: Cédric
  surname: Laouénan
  fullname: Laouénan, Cédric
  organization: From INSERM Centre d’Investigation Clinique 1424 (B.H., C.C., B.T.), Service de Maladies Infectieuses et Tropicales, Dermatologie, Médecine Interne (B.H., K.S.), Cellule d’Intervention en Région (CIRE) Antilles, Santé Publique France (S.C.), Laboratoire de Microbiologie (C.H.-S.), Service de Gynécologie Obstétrique (P.K.), Centre Pluridisciplinaire de Diagnostic Prénatal (C.R.), and Pôle Parent-Enfant (E.J.), Centre Hospitalier Universitaire (CHU) de Pointe-à-Pitre/Abymes, and Université des Antilles et de la Guyane, Faculté de Médecine Hyacinthe Bastaraud (B.H.), Pointe-à-Pitre, Guadeloupe; Centre Pluridisciplinaire de Diagnostic Prénatal, Maison de la Femme de la Mère et de l’Enfant (B.S.), INSERM Centre d’Investigation Clinique (M.B., A.C.), Centre de Ressources Biologiques (R.C.), Unit of Obstetrics and Gynecology, Maison de la Femme de la Mère et de l’Enfant (A.M., J.-L.V.), and Laboratoire de Virologie (F.N.), CHU Martinique, Fort-de-France, Martinique; the Emerging Diseases Epidemiology Unit (A.L.F., Y.M., A.F.) and Center for Global Health (A.F.), Institut Pasteur, INSERM, IAME (Infection, Antimicrobials, Modeling, Evolution), Paris Diderot University (C.L.), and Conservatoire National des Arts et Métiers, Unité Pasteur-Cnam Risques Infectieux et Émergents (A.F.), Paris; CIRE de Guyane, Santé Publique France (V.A.), Pôle Mère-Enfant, Centre Hospitalier de l’Ouest Guyanais (G.C.), INSERM Centre d’Investigation Clinique 1424 (M.D., M.N.), Laboratoire de Virologie, Institut Pasteur de la Guyane (D.R.), and Service de Gynécologie Obstétrique, Centre Hospitalier de Cayenne (S.Y.), French Guiana; and Unité de Maladies Infectieuses, Centre Hospitalier Louis Constant Fleming, St. Martin (S.S.-P.) — all in France
– sequence: 15
  givenname: Yoann
  surname: Madec
  fullname: Madec, Yoann
  organization: From INSERM Centre d’Investigation Clinique 1424 (B.H., C.C., B.T.), Service de Maladies Infectieuses et Tropicales, Dermatologie, Médecine Interne (B.H., K.S.), Cellule d’Intervention en Région (CIRE) Antilles, Santé Publique France (S.C.), Laboratoire de Microbiologie (C.H.-S.), Service de Gynécologie Obstétrique (P.K.), Centre Pluridisciplinaire de Diagnostic Prénatal (C.R.), and Pôle Parent-Enfant (E.J.), Centre Hospitalier Universitaire (CHU) de Pointe-à-Pitre/Abymes, and Université des Antilles et de la Guyane, Faculté de Médecine Hyacinthe Bastaraud (B.H.), Pointe-à-Pitre, Guadeloupe; Centre Pluridisciplinaire de Diagnostic Prénatal, Maison de la Femme de la Mère et de l’Enfant (B.S.), INSERM Centre d’Investigation Clinique (M.B., A.C.), Centre de Ressources Biologiques (R.C.), Unit of Obstetrics and Gynecology, Maison de la Femme de la Mère et de l’Enfant (A.M., J.-L.V.), and Laboratoire de Virologie (F.N.), CHU Martinique, Fort-de-France, Martinique; the Emerging Diseases Epidemiology Unit (A.L.F., Y.M., A.F.) and Center for Global Health (A.F.), Institut Pasteur, INSERM, IAME (Infection, Antimicrobials, Modeling, Evolution), Paris Diderot University (C.L.), and Conservatoire National des Arts et Métiers, Unité Pasteur-Cnam Risques Infectieux et Émergents (A.F.), Paris; CIRE de Guyane, Santé Publique France (V.A.), Pôle Mère-Enfant, Centre Hospitalier de l’Ouest Guyanais (G.C.), INSERM Centre d’Investigation Clinique 1424 (M.D., M.N.), Laboratoire de Virologie, Institut Pasteur de la Guyane (D.R.), and Service de Gynécologie Obstétrique, Centre Hospitalier de Cayenne (S.Y.), French Guiana; and Unité de Maladies Infectieuses, Centre Hospitalier Louis Constant Fleming, St. Martin (S.S.-P.) — all in France
– sequence: 16
  givenname: Alice
  surname: Monthieux
  fullname: Monthieux, Alice
  organization: From INSERM Centre d’Investigation Clinique 1424 (B.H., C.C., B.T.), Service de Maladies Infectieuses et Tropicales, Dermatologie, Médecine Interne (B.H., K.S.), Cellule d’Intervention en Région (CIRE) Antilles, Santé Publique France (S.C.), Laboratoire de Microbiologie (C.H.-S.), Service de Gynécologie Obstétrique (P.K.), Centre Pluridisciplinaire de Diagnostic Prénatal (C.R.), and Pôle Parent-Enfant (E.J.), Centre Hospitalier Universitaire (CHU) de Pointe-à-Pitre/Abymes, and Université des Antilles et de la Guyane, Faculté de Médecine Hyacinthe Bastaraud (B.H.), Pointe-à-Pitre, Guadeloupe; Centre Pluridisciplinaire de Diagnostic Prénatal, Maison de la Femme de la Mère et de l’Enfant (B.S.), INSERM Centre d’Investigation Clinique (M.B., A.C.), Centre de Ressources Biologiques (R.C.), Unit of Obstetrics and Gynecology, Maison de la Femme de la Mère et de l’Enfant (A.M., J.-L.V.), and Laboratoire de Virologie (F.N.), CHU Martinique, Fort-de-France, Martinique; the Emerging Diseases Epidemiology Unit (A.L.F., Y.M., A.F.) and Center for Global Health (A.F.), Institut Pasteur, INSERM, IAME (Infection, Antimicrobials, Modeling, Evolution), Paris Diderot University (C.L.), and Conservatoire National des Arts et Métiers, Unité Pasteur-Cnam Risques Infectieux et Émergents (A.F.), Paris; CIRE de Guyane, Santé Publique France (V.A.), Pôle Mère-Enfant, Centre Hospitalier de l’Ouest Guyanais (G.C.), INSERM Centre d’Investigation Clinique 1424 (M.D., M.N.), Laboratoire de Virologie, Institut Pasteur de la Guyane (D.R.), and Service de Gynécologie Obstétrique, Centre Hospitalier de Cayenne (S.Y.), French Guiana; and Unité de Maladies Infectieuses, Centre Hospitalier Louis Constant Fleming, St. Martin (S.S.-P.) — all in France
– sequence: 17
  givenname: Mathieu
  surname: Nacher
  fullname: Nacher, Mathieu
  organization: From INSERM Centre d’Investigation Clinique 1424 (B.H., C.C., B.T.), Service de Maladies Infectieuses et Tropicales, Dermatologie, Médecine Interne (B.H., K.S.), Cellule d’Intervention en Région (CIRE) Antilles, Santé Publique France (S.C.), Laboratoire de Microbiologie (C.H.-S.), Service de Gynécologie Obstétrique (P.K.), Centre Pluridisciplinaire de Diagnostic Prénatal (C.R.), and Pôle Parent-Enfant (E.J.), Centre Hospitalier Universitaire (CHU) de Pointe-à-Pitre/Abymes, and Université des Antilles et de la Guyane, Faculté de Médecine Hyacinthe Bastaraud (B.H.), Pointe-à-Pitre, Guadeloupe; Centre Pluridisciplinaire de Diagnostic Prénatal, Maison de la Femme de la Mère et de l’Enfant (B.S.), INSERM Centre d’Investigation Clinique (M.B., A.C.), Centre de Ressources Biologiques (R.C.), Unit of Obstetrics and Gynecology, Maison de la Femme de la Mère et de l’Enfant (A.M., J.-L.V.), and Laboratoire de Virologie (F.N.), CHU Martinique, Fort-de-France, Martinique; the Emerging Diseases Epidemiology Unit (A.L.F., Y.M., A.F.) and Center for Global Health (A.F.), Institut Pasteur, INSERM, IAME (Infection, Antimicrobials, Modeling, Evolution), Paris Diderot University (C.L.), and Conservatoire National des Arts et Métiers, Unité Pasteur-Cnam Risques Infectieux et Émergents (A.F.), Paris; CIRE de Guyane, Santé Publique France (V.A.), Pôle Mère-Enfant, Centre Hospitalier de l’Ouest Guyanais (G.C.), INSERM Centre d’Investigation Clinique 1424 (M.D., M.N.), Laboratoire de Virologie, Institut Pasteur de la Guyane (D.R.), and Service de Gynécologie Obstétrique, Centre Hospitalier de Cayenne (S.Y.), French Guiana; and Unité de Maladies Infectieuses, Centre Hospitalier Louis Constant Fleming, St. Martin (S.S.-P.) — all in France
– sequence: 18
  givenname: Fatiha
  surname: Najioullah
  fullname: Najioullah, Fatiha
  organization: From INSERM Centre d’Investigation Clinique 1424 (B.H., C.C., B.T.), Service de Maladies Infectieuses et Tropicales, Dermatologie, Médecine Interne (B.H., K.S.), Cellule d’Intervention en Région (CIRE) Antilles, Santé Publique France (S.C.), Laboratoire de Microbiologie (C.H.-S.), Service de Gynécologie Obstétrique (P.K.), Centre Pluridisciplinaire de Diagnostic Prénatal (C.R.), and Pôle Parent-Enfant (E.J.), Centre Hospitalier Universitaire (CHU) de Pointe-à-Pitre/Abymes, and Université des Antilles et de la Guyane, Faculté de Médecine Hyacinthe Bastaraud (B.H.), Pointe-à-Pitre, Guadeloupe; Centre Pluridisciplinaire de Diagnostic Prénatal, Maison de la Femme de la Mère et de l’Enfant (B.S.), INSERM Centre d’Investigation Clinique (M.B., A.C.), Centre de Ressources Biologiques (R.C.), Unit of Obstetrics and Gynecology, Maison de la Femme de la Mère et de l’Enfant (A.M., J.-L.V.), and Laboratoire de Virologie (F.N.), CHU Martinique, Fort-de-France, Martinique; the Emerging Diseases Epidemiology Unit (A.L.F., Y.M., A.F.) and Center for Global Health (A.F.), Institut Pasteur, INSERM, IAME (Infection, Antimicrobials, Modeling, Evolution), Paris Diderot University (C.L.), and Conservatoire National des Arts et Métiers, Unité Pasteur-Cnam Risques Infectieux et Émergents (A.F.), Paris; CIRE de Guyane, Santé Publique France (V.A.), Pôle Mère-Enfant, Centre Hospitalier de l’Ouest Guyanais (G.C.), INSERM Centre d’Investigation Clinique 1424 (M.D., M.N.), Laboratoire de Virologie, Institut Pasteur de la Guyane (D.R.), and Service de Gynécologie Obstétrique, Centre Hospitalier de Cayenne (S.Y.), French Guiana; and Unité de Maladies Infectieuses, Centre Hospitalier Louis Constant Fleming, St. Martin (S.S.-P.) — all in France
– sequence: 19
  givenname: Dominique
  surname: Rousset
  fullname: Rousset, Dominique
  organization: From INSERM Centre d’Investigation Clinique 1424 (B.H., C.C., B.T.), Service de Maladies Infectieuses et Tropicales, Dermatologie, Médecine Interne (B.H., K.S.), Cellule d’Intervention en Région (CIRE) Antilles, Santé Publique France (S.C.), Laboratoire de Microbiologie (C.H.-S.), Service de Gynécologie Obstétrique (P.K.), Centre Pluridisciplinaire de Diagnostic Prénatal (C.R.), and Pôle Parent-Enfant (E.J.), Centre Hospitalier Universitaire (CHU) de Pointe-à-Pitre/Abymes, and Université des Antilles et de la Guyane, Faculté de Médecine Hyacinthe Bastaraud (B.H.), Pointe-à-Pitre, Guadeloupe; Centre Pluridisciplinaire de Diagnostic Prénatal, Maison de la Femme de la Mère et de l’Enfant (B.S.), INSERM Centre d’Investigation Clinique (M.B., A.C.), Centre de Ressources Biologiques (R.C.), Unit of Obstetrics and Gynecology, Maison de la Femme de la Mère et de l’Enfant (A.M., J.-L.V.), and Laboratoire de Virologie (F.N.), CHU Martinique, Fort-de-France, Martinique; the Emerging Diseases Epidemiology Unit (A.L.F., Y.M., A.F.) and Center for Global Health (A.F.), Institut Pasteur, INSERM, IAME (Infection, Antimicrobials, Modeling, Evolution), Paris Diderot University (C.L.), and Conservatoire National des Arts et Métiers, Unité Pasteur-Cnam Risques Infectieux et Émergents (A.F.), Paris; CIRE de Guyane, Santé Publique France (V.A.), Pôle Mère-Enfant, Centre Hospitalier de l’Ouest Guyanais (G.C.), INSERM Centre d’Investigation Clinique 1424 (M.D., M.N.), Laboratoire de Virologie, Institut Pasteur de la Guyane (D.R.), and Service de Gynécologie Obstétrique, Centre Hospitalier de Cayenne (S.Y.), French Guiana; and Unité de Maladies Infectieuses, Centre Hospitalier Louis Constant Fleming, St. Martin (S.S.-P.) — all in France
– sequence: 20
  givenname: Catherine
  surname: Ryan
  fullname: Ryan, Catherine
  organization: From INSERM Centre d’Investigation Clinique 1424 (B.H., C.C., B.T.), Service de Maladies Infectieuses et Tropicales, Dermatologie, Médecine Interne (B.H., K.S.), Cellule d’Intervention en Région (CIRE) Antilles, Santé Publique France (S.C.), Laboratoire de Microbiologie (C.H.-S.), Service de Gynécologie Obstétrique (P.K.), Centre Pluridisciplinaire de Diagnostic Prénatal (C.R.), and Pôle Parent-Enfant (E.J.), Centre Hospitalier Universitaire (CHU) de Pointe-à-Pitre/Abymes, and Université des Antilles et de la Guyane, Faculté de Médecine Hyacinthe Bastaraud (B.H.), Pointe-à-Pitre, Guadeloupe; Centre Pluridisciplinaire de Diagnostic Prénatal, Maison de la Femme de la Mère et de l’Enfant (B.S.), INSERM Centre d’Investigation Clinique (M.B., A.C.), Centre de Ressources Biologiques (R.C.), Unit of Obstetrics and Gynecology, Maison de la Femme de la Mère et de l’Enfant (A.M., J.-L.V.), and Laboratoire de Virologie (F.N.), CHU Martinique, Fort-de-France, Martinique; the Emerging Diseases Epidemiology Unit (A.L.F., Y.M., A.F.) and Center for Global Health (A.F.), Institut Pasteur, INSERM, IAME (Infection, Antimicrobials, Modeling, Evolution), Paris Diderot University (C.L.), and Conservatoire National des Arts et Métiers, Unité Pasteur-Cnam Risques Infectieux et Émergents (A.F.), Paris; CIRE de Guyane, Santé Publique France (V.A.), Pôle Mère-Enfant, Centre Hospitalier de l’Ouest Guyanais (G.C.), INSERM Centre d’Investigation Clinique 1424 (M.D., M.N.), Laboratoire de Virologie, Institut Pasteur de la Guyane (D.R.), and Service de Gynécologie Obstétrique, Centre Hospitalier de Cayenne (S.Y.), French Guiana; and Unité de Maladies Infectieuses, Centre Hospitalier Louis Constant Fleming, St. Martin (S.S.-P.) — all in France
– sequence: 21
  givenname: Kinda
  surname: Schepers
  fullname: Schepers, Kinda
  organization: From INSERM Centre d’Investigation Clinique 1424 (B.H., C.C., B.T.), Service de Maladies Infectieuses et Tropicales, Dermatologie, Médecine Interne (B.H., K.S.), Cellule d’Intervention en Région (CIRE) Antilles, Santé Publique France (S.C.), Laboratoire de Microbiologie (C.H.-S.), Service de Gynécologie Obstétrique (P.K.), Centre Pluridisciplinaire de Diagnostic Prénatal (C.R.), and Pôle Parent-Enfant (E.J.), Centre Hospitalier Universitaire (CHU) de Pointe-à-Pitre/Abymes, and Université des Antilles et de la Guyane, Faculté de Médecine Hyacinthe Bastaraud (B.H.), Pointe-à-Pitre, Guadeloupe; Centre Pluridisciplinaire de Diagnostic Prénatal, Maison de la Femme de la Mère et de l’Enfant (B.S.), INSERM Centre d’Investigation Clinique (M.B., A.C.), Centre de Ressources Biologiques (R.C.), Unit of Obstetrics and Gynecology, Maison de la Femme de la Mère et de l’Enfant (A.M., J.-L.V.), and Laboratoire de Virologie (F.N.), CHU Martinique, Fort-de-France, Martinique; the Emerging Diseases Epidemiology Unit (A.L.F., Y.M., A.F.) and Center for Global Health (A.F.), Institut Pasteur, INSERM, IAME (Infection, Antimicrobials, Modeling, Evolution), Paris Diderot University (C.L.), and Conservatoire National des Arts et Métiers, Unité Pasteur-Cnam Risques Infectieux et Émergents (A.F.), Paris; CIRE de Guyane, Santé Publique France (V.A.), Pôle Mère-Enfant, Centre Hospitalier de l’Ouest Guyanais (G.C.), INSERM Centre d’Investigation Clinique 1424 (M.D., M.N.), Laboratoire de Virologie, Institut Pasteur de la Guyane (D.R.), and Service de Gynécologie Obstétrique, Centre Hospitalier de Cayenne (S.Y.), French Guiana; and Unité de Maladies Infectieuses, Centre Hospitalier Louis Constant Fleming, St. Martin (S.S.-P.) — all in France
– sequence: 22
  givenname: Sofia
  surname: Stegmann-Planchard
  fullname: Stegmann-Planchard, Sofia
  organization: From INSERM Centre d’Investigation Clinique 1424 (B.H., C.C., B.T.), Service de Maladies Infectieuses et Tropicales, Dermatologie, Médecine Interne (B.H., K.S.), Cellule d’Intervention en Région (CIRE) Antilles, Santé Publique France (S.C.), Laboratoire de Microbiologie (C.H.-S.), Service de Gynécologie Obstétrique (P.K.), Centre Pluridisciplinaire de Diagnostic Prénatal (C.R.), and Pôle Parent-Enfant (E.J.), Centre Hospitalier Universitaire (CHU) de Pointe-à-Pitre/Abymes, and Université des Antilles et de la Guyane, Faculté de Médecine Hyacinthe Bastaraud (B.H.), Pointe-à-Pitre, Guadeloupe; Centre Pluridisciplinaire de Diagnostic Prénatal, Maison de la Femme de la Mère et de l’Enfant (B.S.), INSERM Centre d’Investigation Clinique (M.B., A.C.), Centre de Ressources Biologiques (R.C.), Unit of Obstetrics and Gynecology, Maison de la Femme de la Mère et de l’Enfant (A.M., J.-L.V.), and Laboratoire de Virologie (F.N.), CHU Martinique, Fort-de-France, Martinique; the Emerging Diseases Epidemiology Unit (A.L.F., Y.M., A.F.) and Center for Global Health (A.F.), Institut Pasteur, INSERM, IAME (Infection, Antimicrobials, Modeling, Evolution), Paris Diderot University (C.L.), and Conservatoire National des Arts et Métiers, Unité Pasteur-Cnam Risques Infectieux et Émergents (A.F.), Paris; CIRE de Guyane, Santé Publique France (V.A.), Pôle Mère-Enfant, Centre Hospitalier de l’Ouest Guyanais (G.C.), INSERM Centre d’Investigation Clinique 1424 (M.D., M.N.), Laboratoire de Virologie, Institut Pasteur de la Guyane (D.R.), and Service de Gynécologie Obstétrique, Centre Hospitalier de Cayenne (S.Y.), French Guiana; and Unité de Maladies Infectieuses, Centre Hospitalier Louis Constant Fleming, St. Martin (S.S.-P.) — all in France
– sequence: 23
  givenname: Benoît
  surname: Tressières
  fullname: Tressières, Benoît
  organization: From INSERM Centre d’Investigation Clinique 1424 (B.H., C.C., B.T.), Service de Maladies Infectieuses et Tropicales, Dermatologie, Médecine Interne (B.H., K.S.), Cellule d’Intervention en Région (CIRE) Antilles, Santé Publique France (S.C.), Laboratoire de Microbiologie (C.H.-S.), Service de Gynécologie Obstétrique (P.K.), Centre Pluridisciplinaire de Diagnostic Prénatal (C.R.), and Pôle Parent-Enfant (E.J.), Centre Hospitalier Universitaire (CHU) de Pointe-à-Pitre/Abymes, and Université des Antilles et de la Guyane, Faculté de Médecine Hyacinthe Bastaraud (B.H.), Pointe-à-Pitre, Guadeloupe; Centre Pluridisciplinaire de Diagnostic Prénatal, Maison de la Femme de la Mère et de l’Enfant (B.S.), INSERM Centre d’Investigation Clinique (M.B., A.C.), Centre de Ressources Biologiques (R.C.), Unit of Obstetrics and Gynecology, Maison de la Femme de la Mère et de l’Enfant (A.M., J.-L.V.), and Laboratoire de Virologie (F.N.), CHU Martinique, Fort-de-France, Martinique; the Emerging Diseases Epidemiology Unit (A.L.F., Y.M., A.F.) and Center for Global Health (A.F.), Institut Pasteur, INSERM, IAME (Infection, Antimicrobials, Modeling, Evolution), Paris Diderot University (C.L.), and Conservatoire National des Arts et Métiers, Unité Pasteur-Cnam Risques Infectieux et Émergents (A.F.), Paris; CIRE de Guyane, Santé Publique France (V.A.), Pôle Mère-Enfant, Centre Hospitalier de l’Ouest Guyanais (G.C.), INSERM Centre d’Investigation Clinique 1424 (M.D., M.N.), Laboratoire de Virologie, Institut Pasteur de la Guyane (D.R.), and Service de Gynécologie Obstétrique, Centre Hospitalier de Cayenne (S.Y.), French Guiana; and Unité de Maladies Infectieuses, Centre Hospitalier Louis Constant Fleming, St. Martin (S.S.-P.) — all in France
– sequence: 24
  givenname: Jean-Luc
  surname: Voluménie
  fullname: Voluménie, Jean-Luc
  organization: From INSERM Centre d’Investigation Clinique 1424 (B.H., C.C., B.T.), Service de Maladies Infectieuses et Tropicales, Dermatologie, Médecine Interne (B.H., K.S.), Cellule d’Intervention en Région (CIRE) Antilles, Santé Publique France (S.C.), Laboratoire de Microbiologie (C.H.-S.), Service de Gynécologie Obstétrique (P.K.), Centre Pluridisciplinaire de Diagnostic Prénatal (C.R.), and Pôle Parent-Enfant (E.J.), Centre Hospitalier Universitaire (CHU) de Pointe-à-Pitre/Abymes, and Université des Antilles et de la Guyane, Faculté de Médecine Hyacinthe Bastaraud (B.H.), Pointe-à-Pitre, Guadeloupe; Centre Pluridisciplinaire de Diagnostic Prénatal, Maison de la Femme de la Mère et de l’Enfant (B.S.), INSERM Centre d’Investigation Clinique (M.B., A.C.), Centre de Ressources Biologiques (R.C.), Unit of Obstetrics and Gynecology, Maison de la Femme de la Mère et de l’Enfant (A.M., J.-L.V.), and Laboratoire de Virologie (F.N.), CHU Martinique, Fort-de-France, Martinique; the Emerging Diseases Epidemiology Unit (A.L.F., Y.M., A.F.) and Center for Global Health (A.F.), Institut Pasteur, INSERM, IAME (Infection, Antimicrobials, Modeling, Evolution), Paris Diderot University (C.L.), and Conservatoire National des Arts et Métiers, Unité Pasteur-Cnam Risques Infectieux et Émergents (A.F.), Paris; CIRE de Guyane, Santé Publique France (V.A.), Pôle Mère-Enfant, Centre Hospitalier de l’Ouest Guyanais (G.C.), INSERM Centre d’Investigation Clinique 1424 (M.D., M.N.), Laboratoire de Virologie, Institut Pasteur de la Guyane (D.R.), and Service de Gynécologie Obstétrique, Centre Hospitalier de Cayenne (S.Y.), French Guiana; and Unité de Maladies Infectieuses, Centre Hospitalier Louis Constant Fleming, St. Martin (S.S.-P.) — all in France
– sequence: 25
  givenname: Samson
  surname: Yassinguezo
  fullname: Yassinguezo, Samson
  organization: From INSERM Centre d’Investigation Clinique 1424 (B.H., C.C., B.T.), Service de Maladies Infectieuses et Tropicales, Dermatologie, Médecine Interne (B.H., K.S.), Cellule d’Intervention en Région (CIRE) Antilles, Santé Publique France (S.C.), Laboratoire de Microbiologie (C.H.-S.), Service de Gynécologie Obstétrique (P.K.), Centre Pluridisciplinaire de Diagnostic Prénatal (C.R.), and Pôle Parent-Enfant (E.J.), Centre Hospitalier Universitaire (CHU) de Pointe-à-Pitre/Abymes, and Université des Antilles et de la Guyane, Faculté de Médecine Hyacinthe Bastaraud (B.H.), Pointe-à-Pitre, Guadeloupe; Centre Pluridisciplinaire de Diagnostic Prénatal, Maison de la Femme de la Mère et de l’Enfant (B.S.), INSERM Centre d’Investigation Clinique (M.B., A.C.), Centre de Ressources Biologiques (R.C.), Unit of Obstetrics and Gynecology, Maison de la Femme de la Mère et de l’Enfant (A.M., J.-L.V.), and Laboratoire de Virologie (F.N.), CHU Martinique, Fort-de-France, Martinique; the Emerging Diseases Epidemiology Unit (A.L.F., Y.M., A.F.) and Center for Global Health (A.F.), Institut Pasteur, INSERM, IAME (Infection, Antimicrobials, Modeling, Evolution), Paris Diderot University (C.L.), and Conservatoire National des Arts et Métiers, Unité Pasteur-Cnam Risques Infectieux et Émergents (A.F.), Paris; CIRE de Guyane, Santé Publique France (V.A.), Pôle Mère-Enfant, Centre Hospitalier de l’Ouest Guyanais (G.C.), INSERM Centre d’Investigation Clinique 1424 (M.D., M.N.), Laboratoire de Virologie, Institut Pasteur de la Guyane (D.R.), and Service de Gynécologie Obstétrique, Centre Hospitalier de Cayenne (S.Y.), French Guiana; and Unité de Maladies Infectieuses, Centre Hospitalier Louis Constant Fleming, St. Martin (S.S.-P.) — all in France
– sequence: 26
  givenname: Eustase
  surname: Janky
  fullname: Janky, Eustase
  organization: From INSERM Centre d’Investigation Clinique 1424 (B.H., C.C., B.T.), Service de Maladies Infectieuses et Tropicales, Dermatologie, Médecine Interne (B.H., K.S.), Cellule d’Intervention en Région (CIRE) Antilles, Santé Publique France (S.C.), Laboratoire de Microbiologie (C.H.-S.), Service de Gynécologie Obstétrique (P.K.), Centre Pluridisciplinaire de Diagnostic Prénatal (C.R.), and Pôle Parent-Enfant (E.J.), Centre Hospitalier Universitaire (CHU) de Pointe-à-Pitre/Abymes, and Université des Antilles et de la Guyane, Faculté de Médecine Hyacinthe Bastaraud (B.H.), Pointe-à-Pitre, Guadeloupe; Centre Pluridisciplinaire de Diagnostic Prénatal, Maison de la Femme de la Mère et de l’Enfant (B.S.), INSERM Centre d’Investigation Clinique (M.B., A.C.), Centre de Ressources Biologiques (R.C.), Unit of Obstetrics and Gynecology, Maison de la Femme de la Mère et de l’Enfant (A.M., J.-L.V.), and Laboratoire de Virologie (F.N.), CHU Martinique, Fort-de-France, Martinique; the Emerging Diseases Epidemiology Unit (A.L.F., Y.M., A.F.) and Center for Global Health (A.F.), Institut Pasteur, INSERM, IAME (Infection, Antimicrobials, Modeling, Evolution), Paris Diderot University (C.L.), and Conservatoire National des Arts et Métiers, Unité Pasteur-Cnam Risques Infectieux et Émergents (A.F.), Paris; CIRE de Guyane, Santé Publique France (V.A.), Pôle Mère-Enfant, Centre Hospitalier de l’Ouest Guyanais (G.C.), INSERM Centre d’Investigation Clinique 1424 (M.D., M.N.), Laboratoire de Virologie, Institut Pasteur de la Guyane (D.R.), and Service de Gynécologie Obstétrique, Centre Hospitalier de Cayenne (S.Y.), French Guiana; and Unité de Maladies Infectieuses, Centre Hospitalier Louis Constant Fleming, St. Martin (S.S.-P.) — all in France
– sequence: 27
  givenname: Arnaud
  surname: Fontanet
  fullname: Fontanet, Arnaud
  organization: From INSERM Centre d’Investigation Clinique 1424 (B.H., C.C., B.T.), Service de Maladies Infectieuses et Tropicales, Dermatologie, Médecine Interne (B.H., K.S.), Cellule d’Intervention en Région (CIRE) Antilles, Santé Publique France (S.C.), Laboratoire de Microbiologie (C.H.-S.), Service de Gynécologie Obstétrique (P.K.), Centre Pluridisciplinaire de Diagnostic Prénatal (C.R.), and Pôle Parent-Enfant (E.J.), Centre Hospitalier Universitaire (CHU) de Pointe-à-Pitre/Abymes, and Université des Antilles et de la Guyane, Faculté de Médecine Hyacinthe Bastaraud (B.H.), Pointe-à-Pitre, Guadeloupe; Centre Pluridisciplinaire de Diagnostic Prénatal, Maison de la Femme de la Mère et de l’Enfant (B.S.), INSERM Centre d’Investigation Clinique (M.B., A.C.), Centre de Ressources Biologiques (R.C.), Unit of Obstetrics and Gynecology, Maison de la Femme de la Mère et de l’Enfant (A.M., J.-L.V.), and Laboratoire de Virologie (F.N.), CHU Martinique, Fort-de-France, Martinique; the Emerging Diseases Epidemiology Unit (A.L.F., Y.M., A.F.) and Center for Global Health (A.F.), Institut Pasteur, INSERM, IAME (Infection, Antimicrobials, Modeling, Evolution), Paris Diderot University (C.L.), and Conservatoire National des Arts et Métiers, Unité Pasteur-Cnam Risques Infectieux et Émergents (A.F.), Paris; CIRE de Guyane, Santé Publique France (V.A.), Pôle Mère-Enfant, Centre Hospitalier de l’Ouest Guyanais (G.C.), INSERM Centre d’Investigation Clinique 1424 (M.D., M.N.), Laboratoire de Virologie, Institut Pasteur de la Guyane (D.R.), and Service de Gynécologie Obstétrique, Centre Hospitalier de Cayenne (S.Y.), French Guiana; and Unité de Maladies Infectieuses, Centre Hospitalier Louis Constant Fleming, St. Martin (S.S.-P.) — all in France
BackLink https://www.ncbi.nlm.nih.gov/pubmed/29539287$$D View this record in MEDLINE/PubMed
https://univ-rennes.hal.science/hal-01744446$$DView record in HAL
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Snippet Zika virus was recently linked to birth defects, especially microcephaly. In this report from French territories in the Americas, the rate of birth defects...
The risk of congenital neurologic defects related to Zika virus (ZIKV) infection has ranged from 6 to 42% in various reports. The aim of this study was to...
Background The risk of congenital neurologic defects related to Zika virus (ZIKV) infection has ranged from 6 to 42% in various reports. The aim of this study...
BACKGROUND:The risk of congenital neurologic defects related to Zika virus (ZIKV) infection has ranged from 6 to 42% in various reports. The aim of this study...
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SubjectTerms Adolescent
Adult
Age
Amniotic Fluid
Amniotic Fluid - virology
Birth defects
Chromosome Disorders
Chromosome Disorders - epidemiology
Cohort Studies
Congenital Abnormalities
Congenital Abnormalities - epidemiology
Congenital defects
Congenital diseases
Cytomegalovirus
Data processing
Enrollments
Epidemics
Family medical history
Female
Fetal Diseases
Fetal Diseases - epidemiology
Fetuses
Flavivirus
French Guiana
French Guiana - epidemiology
Gestational age
Guadeloupe
Guadeloupe - epidemiology
Health risk assessment
Humans
Infant, Newborn
Infants
Infections
Laboratories
Life Sciences
Martinique
Martinique - epidemiology
Microcephaly
Microcephaly - epidemiology
Microencephaly
Middle Aged
Miscarriage
NMR
Nuclear magnetic resonance
Polymerase chain reaction
Pregnancy
Pregnancy Complications, Infectious
Pregnancy Outcome
Pregnancy Outcome - epidemiology
Pregnancy Trimesters
Stillbirth
Urine
Womens health
Young Adult
Zika Virus
Zika Virus - isolation & purification
Zika Virus Infection
Zika Virus Infection - complications
Zika Virus Infection - epidemiology
Title Pregnancy Outcomes after ZIKV Infection in French Territories in the Americas
URI https://nejm.org/doi/full/10.1056/NEJMoa1709481
https://www.ncbi.nlm.nih.gov/pubmed/29539287
https://www.proquest.com/docview/2023003751
https://www.proquest.com/docview/2014145920
https://univ-rennes.hal.science/hal-01744446
Volume 378
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