Zika Virus Infection on Fetus and Child During the Pregnancy
Conditions
Keywords
Zika, microcephaly, congenital abnormalities, new-born, infant
Brief summary
The Zika epidemic has spread into the three French Overseas Departments in the Caribbean (DFAs). It is therefore urgent to set up tools to collect clinical and paraclinical data for the evaluation of potential complications due to having ZIKV infection during pregnancy. This study is meant to collect, within usual care practices, clinical and paraclinical information (including imaging and laboratory results) as well as biological samples allowing the precise description of the consequences of ZIKV infection during pregnancy. This study is the 2nd arm of a global research program in the 3 French Overseas Departments in the Caribbean. It is complementary to the first arm (ZIKA-DFA-FE) consisting in the follow-up of women in the French Overseas Departments who are pregnant during the Zika epidemic period. The study population is made up of infants born during and up to 9 months after the end of the Zika epidemic period in the French Overseas Departments. The data and biological specimens collected for this project will be done so through the recommended standard of care which has been put in place considering the ZIKV epidemic in the 3 French Overseas Departments, upholding existing recommendations (profession and/or recommendation from the public health authorities)
Detailed description
At birth (from Day 0 to Day 4): * Standardized clinical examination by a pediatrician * Capillary blood sample to do ZIKV serology (in the case that no cord-blood sample was taken at birth) through neonatal heel prick (Guthrie's test) * Cranial ultrasound * Screening test for hearing capabilities by auditory evoked potentials * Fundus of the eye or retinal image capture by RetCam®. Follow-up from Day 4 to 2 years: \- Clinical examination focusing on neuropsychomotor development at the 2nd, 4th, 9th, 18th and 24th month.
Interventions
OTHERfundus examination
In cohort 3, a fundus examination will be carried in addition to the current medical practice. This exam is part of current medical practice for other groups.
OTHERHead ultrasound
In cohort 3, a head ultrasound will be carried in addition to the current medical practice. This exam is part of current medical practice for other groups.
Sponsors
Institut National de la Santé Et de la Recherche Médicale, France
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
0 Days to 2 Years
Healthy volunteers
No
Inclusion criteria
Cohort 1: Inclusion criteria: 1. symptomatic acute infection ZIKV has been confirmed in mother by RT-PCR in blood or urine or serology neutralization or other specific technique that would be validated and become available before the end of the epidemic period OR 2. Mother enrollment in ZIKA DFA FE study (Module 1) OR 3. ZIKA seroconversion documented during pregnancy, especially objectified in the pregnant women's monitoring in the modules 3 and 4 of ZIKA-DFA-FE study AND 4. No birth defects in newborn at birth (see Appendix 5).
Exclusion criteria
1. premature birth (\< 35 weeks amenorrhea) 2. Parents refuse or not able to sign the consent form. Cohort 2: Inclusion Criteria: 1. Mother enrollment in ZIKA DFA FE study (Module 2) OR 2. Children born from mothers enrolled in ZIKA-DFA-FE study (modules 3 and 4) and having congenital abnormalities discovered at birth And having at least one of these following abnormalities: Head circumference (HC) \< 2 SD, using Intergrowth curves: (http://intergrowth21.ndog.ox.ac.uk/Newborn/en/ManualEntry) Presence of birth defects in newborn at birth (see Annex 5)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Embryofoetopathy incidence within cohort 1 and 3 | 24 months | incidence comparison between the 2 groups and the calcul of adjusted incidence ratios |
| Comparison of congenital abnormality incidence rates between cohorts 1 and 3 | 24 months | * Whether or not the mother was symptomatic for ZIKV infection during pregnancy * Gestational age at the moment of ZIKV infection * The level of ZIKV viremia at the moment of acute ZIKV infection |
Countries
France
Outcome results
None listed