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Zika Virus Testing and Outcomes during Pregnancy, Florida, USA, 2016

2017; Centers for Disease Control and Prevention; Volume: 24; Issue: 1 Linguagem: Inglês

10.3201/eid2401.170979

1080-6059

Colette Shiu, Rebecca Starker, Jaclyn Kwal, Michelle Bartlett, Anise Crane, Samantha Greissman, Naiomi Gunaratne, Meghan Lardy, Michelle Picon, Patricia Rodríguez, Iván González, Christine L. Curry,

Global Maternal and Child Health

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.