Zika virus testing and outcomes during pregnancy, Florida, USA, 2016

Colette Shiu, Rebecca Starker, Jaclyn Kwal, Michelle Bartlett, Anise Crane, Samantha Greissman, Naiomi Gunaratne, Meghan Lardy, Michelle Picon, Patricia Rodriguez, Ivan Gonzalez, Christine Curry

Research output: Contribution to journalArticle

9 Scopus citations

Abstract

Zika virus infection during pregnancy can lead to congenital Zika syndrome. Implementation of screening programs and interpretation of test results can be particularly challenging during ongoing local mosquitoborne transmission. We conducted a retrospective chart review of 2,327 pregnant women screened for Zika virus in Miami–Dade County, Florida, USA, during 2016. Of these, 86 had laboratory evidence of Zika virus infection; we describe 2 infants with probable congenital Zika syndrome. Delays in receipt of laboratory test results (median 42 days) occurred during the first month of local transmission. Odds of screening positive for Zika virus were higher for women without health insurance or who did not speak English. Our findings indicate the increase in screening for Zika virus can overwhelm hospital and public health systems, resulting in delayed receipt of results of screening and confirmatory tests and the potential to miss cases or delay diagnoses.

Original languageEnglish (US)
Pages (from-to)1-8
Number of pages8
JournalEmerging Infectious Diseases
Volume24
Issue number1
DOIs
StatePublished - Jan 1 2018

ASJC Scopus subject areas

  • Epidemiology
  • Microbiology (medical)
  • Infectious Diseases

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    Shiu, C., Starker, R., Kwal, J., Bartlett, M., Crane, A., Greissman, S., Gunaratne, N., Lardy, M., Picon, M., Rodriguez, P., Gonzalez, I., & Curry, C. (2018). Zika virus testing and outcomes during pregnancy, Florida, USA, 2016. Emerging Infectious Diseases, 24(1), 1-8. https://doi.org/10.3201/eid2401.170979