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  1. AU="Portilho, Moyra M"
  2. AU="Ming-Huang Lin"
  3. AU="Fontaine, Magali J"
  4. AU="Mehvari, Fatemeh"
  5. AU="García Chàvez, Tonatiuh"
  6. AU="Kobara, Satoshi"
  7. AU="Garcia-Garcia, Oscar"
  8. AU="Schmidt, Norina M"
  9. AU="Junior, Roberto Carlos Vieira"
  10. AU="Lee, Darren"
  11. AU="Letheule, Martine"
  12. AU="Price, Tyler"
  13. AU="Nicolaidou, Paola"
  14. AU=Selvidge S D
  15. AU=Gonzalez-Alcaide Gregorio
  16. AU=Van Allen Eliezer M.
  17. AU="Lim, Adrian"
  18. AU="Roloff-Handschin, Tim-Christoph"
  19. AU="Portocarrero, Carla P"
  20. AU=Sokouti Massoud

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  1. Artikel ; Online: Detection of Chikungunya Virus RNA in Oral Fluid and Urine: An Alternative Approach to Diagnosis?

    Jacob-Nascimento, Leile Camila / Portilho, Moyra M / Anjos, Rosângela O / Moreira, Patrícia S S / Stauber, Christine / Weaver, Scott C / Kitron, Uriel / Reis, Mitermayer G / Ribeiro, Guilherme S

    Viruses

    2024  Band 16, Heft 2

    Abstract: To evaluate whether oral fluids (OF) and urine can serve as alternative, non-invasive samples to diagnose chikungunya virus (CHIKV) infection via RT-qPCR, we employed the same RNA extraction and RT-qPCR protocols on paired serum, OF and urine samples ... ...

    Abstract To evaluate whether oral fluids (OF) and urine can serve as alternative, non-invasive samples to diagnose chikungunya virus (CHIKV) infection via RT-qPCR, we employed the same RNA extraction and RT-qPCR protocols on paired serum, OF and urine samples collected from 51 patients with chikungunya during the acute phase of the illness. Chikungunya patients were confirmed through RT-qPCR in acute-phase sera (N = 19), IgM seroconversion between acute- and convalescent-phase sera (N = 12), or IgM detection in acute-phase sera (N = 20). The controls included paired serum, OF and urine samples from patients with non-arbovirus acute febrile illness (N = 28) and RT-PCR-confirmed dengue (N = 16). Nine (47%) of the patients with positive RT-qPCR for CHIKV in sera and two (17%) of those with CHIKV infection confirmed solely via IgM seroconversion had OF positive for CHIKV in RT-qPCR. One (5%) patient with CHIKV infection confirmed via serum RT-qPCR was positive in the RT-qPCR performed on urine. None of the negative control group samples were positive. Although OF may serve as an alternative sample for diagnosing acute chikungunya in specific settings, a negative result cannot rule out an infection. Further research is needed to investigate whether OF and urine collected later in the disease course when serum becomes RT-qPCR-negative may be helpful in CHIKV diagnosis and surveillance, as well as to determine whether urine and OF pose any risk of CHIKV transmission.
    Mesh-Begriff(e) Humans ; Chikungunya virus/genetics ; Chikungunya Fever ; RNA, Viral/genetics ; Disease Progression ; Immunoglobulin M ; Antibodies, Viral ; Dengue/epidemiology
    Chemische Substanzen RNA, Viral ; Immunoglobulin M ; Antibodies, Viral
    Sprache Englisch
    Erscheinungsdatum 2024-02-02
    Erscheinungsland Switzerland
    Dokumenttyp Journal Article
    ZDB-ID 2516098-9
    ISSN 1999-4915 ; 1999-4915
    ISSN (online) 1999-4915
    ISSN 1999-4915
    DOI 10.3390/v16020235
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  2. Artikel ; Online: Density of Aedes aegypti (Diptera: Culicidae) in a low-income Brazilian urban community where dengue, Zika, and chikungunya viruses co-circulate.

    Souza, Raquel L / Nazare, Romero J / Argibay, Hernan D / Pellizzaro, Maysa / Anjos, Rosângela O / Portilho, Moyra M / Jacob-Nascimento, Leile Camila / Reis, Mitermayer G / Kitron, Uriel D / Ribeiro, Guilherme S

    Parasites & vectors

    2023  Band 16, Heft 1, Seite(n) 159

    Abstract: Background: Low-income urban communities in the tropics often lack sanitary infrastructure and are overcrowded, favoring Aedes aegypti proliferation and arboviral transmission. However, as Ae. aegypti density is not spatially homogeneous, understanding ... ...

    Abstract Background: Low-income urban communities in the tropics often lack sanitary infrastructure and are overcrowded, favoring Aedes aegypti proliferation and arboviral transmission. However, as Ae. aegypti density is not spatially homogeneous, understanding the role of specific environmental characteristics in determining vector distribution is critical for planning control interventions. The objectives of this study were to identify the main habitat types for Ae. Aegypti, assess their spatial densities to identify major hotspots of arbovirus transmission over time and investigate underlying factors in a low-income urban community in Salvador, Brazil. We also tested the field-collected mosquitoes for arboviruses.
    Methods: A series of four entomological and socio-environmental surveys was conducted in a random sample of 149 households and their surroundings between September 2019 and April 2021. The surveys included searching for potential breeding sites (water-containing habitats) and for Ae. aegypti immatures in them, capturing adult mosquitoes and installing ovitraps. The spatial distribution of Ae. aegypti density indices were plotted using kernel density-ratio maps, and the spatial autocorrelation was assessed for each index. Visual differences on the spatial distribution of the Ae. aegypti hotspots were compared over time. The association of entomological findings with socio-ecological characteristics was examined. Pools of female Ae. aegypti were tested for dengue, Zika and chikungunya virus infection.
    Results: Overall, 316 potential breeding sites were found within the study households and 186 in the surrounding public spaces. Of these, 18 (5.7%) and 7 (3.7%) harbored a total of 595 and 283 Ae. aegypti immatures, respectively. The most productive breeding sites were water storage containers within the households and puddles and waste materials in public areas. Potential breeding sites without cover, surrounded by vegetation and containing organic matter were significantly associated with the presence of immatures, as were households that had water storage containers. None of the entomological indices, whether based on immatures, eggs or adults, detected a consistent pattern of vector clustering in the same areas over time. All the mosquito pools were negative for the tested arboviruses.
    Conclusions: This low-income community displayed high diversity of Ae. aegypti habitats and a high degree of heterogeneity of vector abundance in both space and time, a scenario that likely reflects other low-income communities. Improving basic sanitation in low-income urban communities through the regular water supply, proper management of solid wastes and drainage may reduce water storage and the formation of puddles, minimizing opportunities for Ae. aegypti proliferation in such settings.
    Mesh-Begriff(e) Animals ; Female ; Aedes ; Chikungunya virus ; Chikungunya Fever ; Brazil/epidemiology ; Dengue ; Mosquito Vectors ; Zika Virus Infection/epidemiology ; Zika Virus ; Water
    Chemische Substanzen Water (059QF0KO0R)
    Sprache Englisch
    Erscheinungsdatum 2023-05-06
    Erscheinungsland England
    Dokumenttyp Journal Article
    ZDB-ID 2409480-8
    ISSN 1756-3305 ; 1756-3305
    ISSN (online) 1756-3305
    ISSN 1756-3305
    DOI 10.1186/s13071-023-05766-5
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  3. Artikel ; Online: Validation of the use of dried blood spots in a chikungunya virus IgG serological assay.

    Magalhaes, Tereza / Portilho, Moyra M / Moreira, Patricia S S / Marinho, Milena L / Dias, Wiler P / Gonçalves, Natália M / Rodrigues, Osiyallê A S / Montes, Jane / Reis, Leila / Jesus, Dilma F / Silva, Tarcísio O / Dultra, Lua S / Nery, Joilda S / Ribeiro, Guilherme S

    Journal of immunological methods

    2023  Band 522, Seite(n) 113571

    Abstract: Dried blood spot (DBS) sampling is a simple, fast, and minimally invasive blood collection method that is particularly useful for diagnostic or epidemiological studies in hard-to-reach populations. Nevertheless, the use of DBS in assays that have been ... ...

    Abstract Dried blood spot (DBS) sampling is a simple, fast, and minimally invasive blood collection method that is particularly useful for diagnostic or epidemiological studies in hard-to-reach populations. Nevertheless, the use of DBS in assays that have been optimized with gold-standard samples (serum or plasma) must be optimized to yield reliable results. Here, we describe the validation of DBS in a commercial assay to measure IgG against chikungunya virus (CHIKV IgG ELISA; Euroimmun, Lübeck, Germany). During a health survey of people experiencing homelessness in Salvador, Brazil, between September 2021 and February 2022, a subset (75/523; 14.3%) of the study participants had paired capillary (for DBS preparation) and venous (for serum separation) blood samples collected. A pilot optimization test was initially performed with 17 paired samples to compare the CHIKV IgG ELISA absorbance values between serum and three different dilutions of DBS. Based on the preliminary results, the best DBS dilution was selected for a final evaluation comparing paired serum and DBS samples from 58 participants. The sensitivity and specificity of the CHIKV ELISA of DBS compared to sera were 100% (95% C.I.: 85.8-100%) and 100% (95% C.I.: 93-100%), respectively. In the linear regression analysis, a coefficient of determination (R
    Mesh-Begriff(e) Humans ; Chikungunya virus ; Sensitivity and Specificity ; Enzyme-Linked Immunosorbent Assay/methods ; Antibodies, Viral ; Immunoglobulin G ; Dried Blood Spot Testing/methods
    Chemische Substanzen Antibodies, Viral ; Immunoglobulin G
    Sprache Englisch
    Erscheinungsdatum 2023-09-22
    Erscheinungsland Netherlands
    Dokumenttyp Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 120142-6
    ISSN 1872-7905 ; 0022-1759
    ISSN (online) 1872-7905
    ISSN 0022-1759
    DOI 10.1016/j.jim.2023.113571
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  4. Artikel ; Online: Analyses of Early ZIKV Genomes Are Consistent with Viral Spread from Northeast Brazil to the Americas.

    de Moraes, Laise / Portilho, Moyra M / Vrancken, Bram / Van den Broeck, Frederik / Santos, Luciane Amorim / Cucco, Marina / Tauro, Laura B / Kikuti, Mariana / Silva, Monaise M O / Campos, Gúbio S / Reis, Mitermayer G / Barral, Aldina / Barral-Netto, Manoel / Boaventura, Viviane Sampaio / Vandamme, Anne-Mieke / Theys, Kristof / Lemey, Philippe / Ribeiro, Guilherme S / Khouri, Ricardo

    Viruses

    2023  Band 15, Heft 6

    Abstract: The Americas, particularly Brazil, were greatly impacted by the widespread Zika virus (ZIKV) outbreak in 2015 and 2016. Efforts were made to implement genomic surveillance of ZIKV as part of the public health responses. The accuracy of spatiotemporal ... ...

    Abstract The Americas, particularly Brazil, were greatly impacted by the widespread Zika virus (ZIKV) outbreak in 2015 and 2016. Efforts were made to implement genomic surveillance of ZIKV as part of the public health responses. The accuracy of spatiotemporal reconstructions of the epidemic spread relies on the unbiased sampling of the transmission process. In the early stages of the outbreak, we recruited patients exhibiting clinical symptoms of arbovirus-like infection from Salvador and Campo Formoso, Bahia, in Northeast Brazil. Between May 2015 and June 2016, we identified 21 cases of acute ZIKV infection and subsequently recovered 14 near full-length sequences using the amplicon tiling multiplex approach with nanopore sequencing. We performed a time-calibrated discrete phylogeographic analysis to trace the spread and migration history of the ZIKV. Our phylogenetic analysis supports a consistent relationship between ZIKV migration from Northeast to Southeast Brazil and its subsequent dissemination beyond Brazil. Additionally, our analysis provides insights into the migration of ZIKV from Brazil to Haiti and the role Brazil played in the spread of ZIKV to other countries, such as Singapore, the USA, and the Dominican Republic. The data generated by this study enhances our understanding of ZIKV dynamics and supports the existing knowledge, which can aid in future surveillance efforts against the virus.
    Mesh-Begriff(e) Humans ; Zika Virus/genetics ; Zika Virus Infection ; Brazil/epidemiology ; Phylogeny ; Americas/epidemiology
    Sprache Englisch
    Erscheinungsdatum 2023-05-25
    Erscheinungsland Switzerland
    Dokumenttyp Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2516098-9
    ISSN 1999-4915 ; 1999-4915
    ISSN (online) 1999-4915
    ISSN 1999-4915
    DOI 10.3390/v15061236
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  5. Artikel ; Online: Dynamics of chikungunya virus transmission in the first year after its introduction in Brazil: A cohort study in an urban community.

    Anjos, Rosângela O / Portilho, Moyra M / Jacob-Nascimento, Leile Camila / Carvalho, Caroline X / Moreira, Patrícia S S / Sacramento, Gielson A / Nery Junior, Nivison R R / de Oliveira, Daiana / Cruz, Jaqueline S / Cardoso, Cristiane W / Argibay, Hernan D / Plante, Kenneth S / Plante, Jessica A / Weaver, Scott C / Kitron, Uriel D / Reis, Mitermayer G / Ko, Albert I / Costa, Federico / Ribeiro, Guilherme S

    PLoS neglected tropical diseases

    2023  Band 17, Heft 12, Seite(n) e0011863

    Abstract: Background: The first chikungunya virus (CHIKV) outbreaks during the modern scientific era were identified in the Americas in 2013, reaching high attack rates in Caribbean countries. However, few cohort studies have been performed to characterize the ... ...

    Abstract Background: The first chikungunya virus (CHIKV) outbreaks during the modern scientific era were identified in the Americas in 2013, reaching high attack rates in Caribbean countries. However, few cohort studies have been performed to characterize the initial dynamics of CHIKV transmission in the New World.
    Methodology/principal findings: To describe the dynamics of CHIKV transmission shortly after its introduction in Brazil, we performed semi-annual serosurveys in a long-term community-based cohort of 652 participants aged ≥5 years in Salvador, Brazil, between Feb-Apr/2014 and Nov/2016-Feb/2017. CHIKV infections were detected using an IgG ELISA. Cumulative seroprevalence and seroincidence were estimated and spatial aggregation of cases was investigated. The first CHIKV infections were identified between Feb-Apr/2015 and Aug-Nov/2015 (incidence: 10.7%) and continued to be detected at low incidence in subsequent surveys (1.7% from Aug-Nov/2015 to Mar-May/2016 and 1.2% from Mar-May/2016 to Nov/206-Feb/2017). The cumulative seroprevalence in the last survey reached 13.3%. It was higher among those aged 30-44 and 45-59 years (16.1% and 15.6%, respectively), compared to younger (12.4% and 11.7% in <15 and 15-29 years, respectively) or older (10.3% in ≥60 years) age groups, but the differences were not statistically significant. The cumulative seroprevalence was similar between men (14.7%) and women (12.5%). Yet, among those aged 15-29 years, men were more often infected than women (18.1% vs. 7.4%, respectively, P = 0.01), while for those aged 30-44, a non-significant opposite trend was observed (9.3% vs. 19.0%, respectively, P = 0.12). Three spatial clusters of cases were detected in the study site and an increased likelihood of CHIKV infection was detected among participants who resided with someone with CHIKV IgG antibodies.
    Conclusions/significance: Unlike observations in other settings, the initial spread of CHIKV in this large urban center was limited and focal in certain areas, leaving a high proportion of the population susceptible to further outbreaks. Additional investigations are needed to elucidate the factors driving CHIKV spread dynamics, including understanding differences with respect to dengue and Zika viruses, in order to guide prevention and control strategies for coping with future outbreaks.
    Mesh-Begriff(e) Male ; Humans ; Female ; Chikungunya virus ; Cohort Studies ; Brazil/epidemiology ; Seroepidemiologic Studies ; Chikungunya Fever ; Zika Virus ; Zika Virus Infection ; Antibodies, Viral ; Immunoglobulin G
    Chemische Substanzen Antibodies, Viral ; Immunoglobulin G
    Sprache Englisch
    Erscheinungsdatum 2023-12-27
    Erscheinungsland United States
    Dokumenttyp Journal Article
    ZDB-ID 2429704-5
    ISSN 1935-2735 ; 1935-2735
    ISSN (online) 1935-2735
    ISSN 1935-2735
    DOI 10.1371/journal.pntd.0011863
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  6. Artikel ; Online: Reliable estimation of SARS-CoV-2 anti-spike protein IgG titers from single dilution optical density values in serologic surveys

    Andrade Belitardo, Emillia M.M. / Nery, Nivison / Aguilar Ticona, Juan P. / Portilho, Moyra M. / Riberiro, Guilherme S. / Reis, Mitermayer G. / Costa, Federico / Cummings, Derek A.T. / Ko, Albert I. / Fofana, Mariam O.

    medRxiv

    Abstract: Background: As the COVID-19 pandemic evolves, there is a need for reliable and scalable seroepidemiology methods to estimate incidence, monitor the dynamics of population-level immunity, and guide mitigation and immunization policies. Our aim was to ... ...

    Abstract Background: As the COVID-19 pandemic evolves, there is a need for reliable and scalable seroepidemiology methods to estimate incidence, monitor the dynamics of population-level immunity, and guide mitigation and immunization policies. Our aim was to evaluate the reliability of normalized ELISA optical density (nOD) at a single dilution as a predictor of SARS-CoV-2 immunoglobulin titers derived from serial dilutions. Methods: We conducted serial serological surveys of a community-based cohort from the city of Salvador, Brazil after two sequential COVID-19 epidemic waves. Anti-SARS-CoV-2 spike protein immunoglobulin G (anti-S IgG) ELISA (Euroimmun AG) was performed with serial 3-fold dilutions of sera from 54 of the 1101 cohort participants. We estimated interpolated ELISA titers, used parametric models to fit the relationship between nOD at a single 1:100 dilution and interpolated titers, and assessed the correlation between changes in nOD and changes in titers. Results: The relationship between nOD at a single 1:100 dilution and interpolated titers fit a log-log curve, with a residual standard error of 0.304. We derived a conversion table of nOD to interpolated titer values. Additionally, there was a high correlation between changes in nOD and changes in interpolated titers between paired serial samples (r = 0.836, ρ = 0.873). Changes in nOD reliably predicted increases and decreases in titers, with 98.1% agreement (κ = 95.9%). Conclusion: Single nOD measurements can reliably estimate SARS-CoV-2 antibody titers, significantly reducing time, labor, and resource needs when conducting large-scale serological surveys to ascertain population-level changes in exposure and immunity.
    Schlagwörter covid19
    Sprache Englisch
    Erscheinungsdatum 2022-02-15
    Verlag Cold Spring Harbor Laboratory Press
    Dokumenttyp Artikel ; Online
    DOI 10.1101/2022.02.13.22270904
    Datenquelle COVID19

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  7. Artikel ; Online: Risk of chronic arthralgia and impact of pain on daily activities in a cohort of patients with chikungunya virus infection from Brazil.

    Silva, Monaíse M O / Kikuti, Mariana / Anjos, Rosângela O / Portilho, Moyra M / Santos, Viviane C / Gonçalves, Thaiza S F / Tauro, Laura B / Moreira, Patrícia S S / Jacob-Nascimento, Leile C / Santana, Perla M / Campos, Gúbio S / Siqueira, André M / Kitron, Uriel / Reis, Mitermayer G / Ribeiro, Guilherme S

    International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases

    2021  Band 105, Seite(n) 608–616

    Abstract: Objectives: To investigate risk factors for persistent arthralgia in patients with chikungunya, and describe its impact on daily activities.: Methods: From September 2014 to July 2016, a surveillance study enrolled patients with acute febrile illness ...

    Abstract Objectives: To investigate risk factors for persistent arthralgia in patients with chikungunya, and describe its impact on daily activities.
    Methods: From September 2014 to July 2016, a surveillance study enrolled patients with acute febrile illness in Salvador, Brazil, and detected those with chikungunya virus infection using IgM enzyme-linked immunosorbent assay or reverse transcriptase polymerase chain reaction. Telephone follow-ups were performed to ascertain the progression of disease.
    Results: Of 153 followed cases, 65 (42.5%) reported chronic arthralgia that lasted >3 months, and 47 (30.7%) were still symptomatic at the time of the interview (approximately 1.5 years after symptom onset). Limitations in daily activities and mental distress were reported by 93.8% and 61.5% of those with chronic arthralgia, respectively. Female sex [risk ratio (RR) 1.79, 95% confidence interval (CI) 1.95-2.69] and age (RR 1.02 for each 1-year increase, 95% CI 1.01-1.03) were independent risk factors for chronic arthralgia. Chronic arthralgia was not associated with co-infection with dengue virus (RR 0.97, 95% CI 0.48-1.94) or chikungunya viral load at diagnosis (median chikungunya virus RNA of 5.60 and 5.52 log
    Conclusions: These findings reinforce the high frequency of chronic chikungunya arthralgia, and highlight the substantial disability associated with the persistence of pain. Development of novel strategies to mitigate the transmission of chikungunya virus and to provide long-term medical assistance for patients with chikungunya are needed urgently.
    Mesh-Begriff(e) Adolescent ; Adult ; Arthralgia/epidemiology ; Arthralgia/etiology ; Arthralgia/virology ; Brazil/epidemiology ; Chikungunya Fever/complications ; Chikungunya Fever/epidemiology ; Chikungunya Fever/virology ; Chikungunya virus/genetics ; Chikungunya virus/immunology ; Child ; Child, Preschool ; Chronic Pain/epidemiology ; Chronic Pain/etiology ; Chronic Pain/virology ; Cohort Studies ; Enzyme-Linked Immunosorbent Assay ; Female ; Humans ; Infant ; Male ; Middle Aged ; Odds Ratio ; Risk Factors ; Young Adult
    Sprache Englisch
    Erscheinungsdatum 2021-03-05
    Erscheinungsland Canada
    Dokumenttyp Journal Article
    ZDB-ID 1331197-9
    ISSN 1878-3511 ; 1201-9712
    ISSN (online) 1878-3511
    ISSN 1201-9712
    DOI 10.1016/j.ijid.2021.03.003
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  8. Artikel: Structural factors contributing to SARS-CoV-2 infection risk in the urban slum setting.

    Fofana, Mariam O / Nery, Nivison / Aguilar Ticona, Juan P / Belitardo, Emilia M M A / Victoriano, Renato / Anjos, Rôsangela O / Portilho, Moyra M / de Santana, Mayara C / Dos Santos, Laiara L / de Oliveira, Daiana / Cruz, Jaqueline S / Muencker, M Cate / Khouri, Ricardo / Wunder, Elsio A / Hitchings, Matthew D T / Johnson, Olatunji / Reis, Mitermayer G / Ribeiro, Guilherme S / Cummings, Derek A T /
    Costa, Federico / Ko, Albert I

    medRxiv : the preprint server for health sciences

    2022  

    Abstract: Background: The structural environment of urban slums, including physical, demographic and socioeconomic attributes, renders inhabitants more vulnerable to SARS-CoV-2 infection. Yet, little is known about the specific determinants that contribute to ... ...

    Abstract Background: The structural environment of urban slums, including physical, demographic and socioeconomic attributes, renders inhabitants more vulnerable to SARS-CoV-2 infection. Yet, little is known about the specific determinants that contribute to high transmission within these communities.
    Methods and findings: We performed a serosurvey of an established cohort of 2,035 urban slum residents from the city of Salvador, Brazil between November 2020 and February 2021, following the first COVID-19 pandemic wave in the country. We identified high SARS-CoV-2 seroprevalence (46.4%, 95% confidence interval [CI] 44.3-48.6%), particularly among female residents (48.7% [95% CI 45.9-51.6%] vs. 43.2% [95% CI 39.8-46.6%] among male residents), and among children (56.5% [95% CI 52.3-60.5%] vs. 42.4% [95% CI 39.9-45.0%] among adults). In multivariable models that accounted for household-level clustering, the odds ratio for SARS-CoV-2 seropositivity among children was 1.96 (95% CI 1.42-2.72) compared to adults aged 30-44 years. Adults residing in households with children were more likely to be seropositive; this effect was particularly prominent among individuals with age 30-44 and 60 years or more. Women living below the poverty threshold (daily per capita household income <$1.25) and those who were unemployed were more likely to be seropositive.
    Conclusions: During a single wave of the COVID-19 pandemic, cumulative incidence as assessed by serology approached 50% in a Brazilian urban slum population. In contrast to observations from industrialized countries, SARS-CoV-2 incidence was highest among children, as well as women living in extreme poverty. These findings emphasize the need for targeted interventions that provide safe environments for children and mitigate the structural risks posed by crowding and poverty for the most vulnerable residents of urban slum communities.
    Sprache Englisch
    Erscheinungsdatum 2022-02-15
    Erscheinungsland United States
    Dokumenttyp Preprint
    DOI 10.1101/2022.02.13.22270856
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  9. Artikel ; Online: Evaluation of two commercially available chikungunya virus IgM enzyme-linked immunoassays (ELISA) in a setting of concomitant transmission of chikungunya, dengue and Zika viruses.

    Kikuti, Mariana / Tauro, Laura B / Moreira, Patrícia S S / Nascimento, Leile Camila J / Portilho, Moyra M / Soares, Gúbio C / Weaver, Scott C / Reis, Mitermayer G / Kitron, Uriel / Ribeiro, Guilherme S

    International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases

    2019  Band 91, Seite(n) 38–43

    Abstract: Objective: To evaluate the diagnostic performance of the Inbios (Seattle, US) and Euroimmun (Luebeck, Germany) chikungunya virus (CHIKV) IgM enzyme-linked immunoassays (ELISAs).: Methods: We evaluated the tests' accuracy on sera from 372 patients ... ...

    Abstract Objective: To evaluate the diagnostic performance of the Inbios (Seattle, US) and Euroimmun (Luebeck, Germany) chikungunya virus (CHIKV) IgM enzyme-linked immunoassays (ELISAs).
    Methods: We evaluated the tests' accuracy on sera from 372 patients enrolled in an acute febrile illness surveillance study performed in Salvador, Brazil from Sept/2014 to Jul/2016, a period of simultaneous CHIKV, dengue (DENV), and Zika (ZIKV) virus transmission. We assessed the sensitivity on acute and paired convalescent sera from RT-PCR-confirmed CHIKV cases (collected at median one and 19 days post-onset of symptoms, respectively), and the specificity on sera of RT-PCR-confirmed DENV and ZIKV cases, and on negative patients.
    Results: The Inbios and Euroimmun tests' sensitivities for acute samples were 4.0% and 10.3%, while for convalescent samples they were 92.4% and 96.9%, respectively. Overall, Inbios IgM ELISA specificities for acute and convalescent samples were 97.7% and 90.5%, respectively, and Euroimmun specificities were 88.5% and 83.9%, respectively.
    Conclusions: Both tests presented high sensitivity for convalescent samples. However, the Euroimmun test returned more equivocal results and presented a slightly lower specificity, which might result in a higher rate of false positives if the test is used in scenarios of low CHIKV transmission, when the chance of CHIKV infection is lower.
    Mesh-Begriff(e) Adolescent ; Adult ; Antibodies, Viral/blood ; Brazil ; Chikungunya Fever/diagnosis ; Chikungunya Fever/immunology ; Chikungunya Fever/transmission ; Chikungunya virus/immunology ; Dengue/transmission ; Dengue Virus/immunology ; Enzyme-Linked Immunosorbent Assay ; Female ; Humans ; Immunoglobulin M/blood ; Male ; Middle Aged ; Sensitivity and Specificity ; Young Adult ; Zika Virus Infection/transmission
    Chemische Substanzen Antibodies, Viral ; Immunoglobulin M
    Sprache Englisch
    Erscheinungsdatum 2019-11-06
    Erscheinungsland Canada
    Dokumenttyp Evaluation Study ; Journal Article
    ZDB-ID 1331197-9
    ISSN 1878-3511 ; 1201-9712
    ISSN (online) 1878-3511
    ISSN 1201-9712
    DOI 10.1016/j.ijid.2019.11.001
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  10. Artikel ; Online: Transmission of Chikungunya Virus in an Urban Slum, Brazil.

    Anjos, Rosângela O / Mugabe, Vánio André / Moreira, Patrícia S S / Carvalho, Caroline X / Portilho, Moyra M / Khouri, Ricardo / Sacramento, Gielson A / Nery, Nivison R R / Reis, Mitermayer G / Kitron, Uriel D / Ko, Albert I / Costa, Federico / Ribeiro, Guilherme S

    Emerging infectious diseases

    2020  Band 26, Heft 7, Seite(n) 1364–1373

    Abstract: After a chikungunya outbreak in Salvador, Brazil, we performed a cross-sectional, community-based study of 1,776 inhabitants to determine chikungunya virus (CHIKV) seroprevalence, identify factors associated with exposure, and estimate the symptomatic ... ...

    Abstract After a chikungunya outbreak in Salvador, Brazil, we performed a cross-sectional, community-based study of 1,776 inhabitants to determine chikungunya virus (CHIKV) seroprevalence, identify factors associated with exposure, and estimate the symptomatic infection rate. From November 2016 through February 2017, we collected sociodemographic and clinical data by interview and tested serum samples for CHIKV IgG. CHIKV seroprevalence was 11.8% (95% CI 9.8%-13.7%), and 15.3% of seropositive persons reported an episode of fever and arthralgia. Infections were independently and positively associated with residences served by unpaved streets, a presumptive clinical diagnosis of chikungunya, and recall of an episode of fever with arthralgia in 2015-2016. Our findings indicate that the chikungunya outbreak in Salvador may not have conferred sufficient herd immunity to preclude epidemics in the near future. The unusually low frequency of symptomatic disease points to a need for further longitudinal studies to better investigate these findings.
    Mesh-Begriff(e) Antibodies, Viral ; Brazil/epidemiology ; Chikungunya Fever/epidemiology ; Chikungunya virus ; Cross-Sectional Studies ; Disease Outbreaks ; Humans ; Poverty Areas ; Seroepidemiologic Studies
    Chemische Substanzen Antibodies, Viral
    Sprache Englisch
    Erscheinungsdatum 2020-06-19
    Erscheinungsland United States
    Dokumenttyp Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't
    ZDB-ID 1380686-5
    ISSN 1080-6059 ; 1080-6040
    ISSN (online) 1080-6059
    ISSN 1080-6040
    DOI 10.3201/eid2607.190846
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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