@article{fdi:010077915, title = {{S}tudy protocol for the multicentre cohorts of {Z}ika virus infection in pregnant women, infants, and acute clinical cases in {L}atin {A}merica and the {C}aribbean : the {ZIKA}lliance consortium}, author = {{A}velino-{S}ilva, {V}. {I}. and {M}ayaud, {P}. and {T}ami, {A}. and {M}iranda, {M}. {C}. and {R}osenberger, {K}. {D}. and {A}lexander, {N}. and {N}acul, {L}. and {S}egurado, {A}. and {P}ohl, {M}. and {B}ethencourt, {S}. and {V}illar, {L}. {A}. and {V}iana, {I}. {F}. {T}. and {R}abello, {R}. and {S}oria, {C}. and {S}algado, {S}. {P}. and {G}otuzzo, {E}. and {G}uzman, {M}. {G}. and {M}artinez, {P}. {A}. and {L}opez-{G}atell, {H}. and {H}egewisch-{T}aylor, {J}. and {B}orja-{A}burto, {V}. {H}. and {G}onzalez, {C}. and {N}etto, {E}. {M}. and {V}illarroel, {P}. {M}. {S}. and {H}oen, {B}. and {B}rasil, {P}. and {M}arques, {E}. {T}. {A}. and {R}ockx, {B}. and {K}oopmans, {M}. and {L}amballerie, {X}. de and {J}aenisch, {T}. and {T}hirion, {L}aurence and {ZIKA}lliance {C}linical {S}tudy {G}roup}, editor = {}, language = {{ENG}}, abstract = {{B}ackground: {T}he {E}uropean {C}ommission ({EC}) {H}orizon 2020 ({H}2020)-funded {ZIKA}lliance {C}onsortium designed a multicentre study including pregnant women ({PW}), children ({CH}) and natural history ({NH}) cohorts. {C}linical sites were selected over a wide geographic range within {L}atin {A}merica and the {C}aribbean, taking into account the dynamic course of the {ZIKV} epidemic. {M}ethods: {R}ecruitment to the {PW} cohort will take place in antenatal care clinics. {PW} will be enrolled regardless of symptoms and followed over the course of pregnancy, approximately every 4 weeks. {PW} will be revisited at delivery (or after miscarriage/abortion) to assess birth outcomes, including microcephaly and other congenital abnormalities according to the evolving definition of congenital {Z}ika syndrome ({CZS}). {A}fter birth, children will be followed for 2 years in the {CH} cohort. {F}ollow-up visits are scheduled at ages 1-3, 4-6, 12, and 24 months to assess neurocognitive and developmental milestones. {I}n addition, a {NH} cohort for the characterization of symptomatic rash/fever illness was designed, including follow-up to capture persisting health problems. {B}lood, urine, and other biological materials will be collected, and tested for {ZIKV} and other relevant arboviral diseases (dengue, chikungunya, yellow fever) using {RT}-{PCR} or serological methods. {A} virtual, decentralized biobank will be created. {R}eciprocal clinical monitoring has been established between partner sites. {S}ubstudies of {ZIKV} seroprevalence, transmission clustering, disabilities and health economics, viral kinetics, the potential role of antibody enhancement, and co-infections will be linked to the cohort studies. {D}iscussion: {R}esults of these large cohort studies will provide better risk estimates for birth defects and other developmental abnormalities associated with {ZIKV} infection including possible co-factors for the variability of risk estimates between other countries and regions. {A}dditional outcomes include incidence and transmission estimates of {ZIKV} during and after pregnancy, characterization of short and long-term clinical course following infection and viral kinetics of {ZIKV}.}, keywords = {{Z}ika ; {P}regnant women ; {C}hildren ; {C}ohort ; {L}atin {A}merica ; {C}aribbean ; {R}isk ; {C}ongenital abnormalities ; {N}atural history ; {A}rboviruses ; {M}osquito-borne viruses ; {V}ector-borne viruses ; {AMERIQUE} {LATINE} ; {CARAIBE} ; {CUBA} ; {VENEZUELA} ; {GUADELOUPE} ; {MARTINIQUE} ; {GUYANE} {FRANCAISE} ; {MEXIQUE} ; {COLOMBIE} ; {EQUATEUR} ; {PEROU} ; {BOLIVIE} ; {BRESIL}}, booktitle = {}, journal = {{BMC} {I}nfectious {D}iseases}, volume = {19}, numero = {1}, pages = {art. 1081 [14p.]}, year = {2019}, DOI = {10.1186/s12879-019-4685-9}, URL = {https://www.documentation.ird.fr/hor/fdi:010077915}, }