Table 2.

Frequency of Severe Abnormalities in Children Stratified by Laboratory Diagnostic Testing

Laboratory-Confirmed Zika Infectiona
FrequencyPositiveNegative
OutcomeNo. (%)95% CINo. (%)95% CINo. (%)95% CIP Valueb
Microcephaly
 Yes7 (7.14)2.92–14.176 (10.17)3.82–20.831 (3.45).09–17.77.499
 No91 (92.86)85.84–97.0853 (89.83)79.17–96.1828 (96.55)82.23–99.91
SGA
 Yes7 (7.14)2.92–14.174 (6.78)1.88–16.463 (10.34)2.19–27.35.871
 No91 (92.86)85.84–97.0855 (93.22)83.54–98.1226 (89.66)72.64–97.81
Abnormal eye fundus
 Yes4 (4.08)1.12–10.124 (6.78)1.88–16.460 (0.00).00–11.97… c
 No72 (73.47)63.59–81.8841 (69.49)56.13–80.8226 (89.66)72.64–97.81
 Unknown22 (22.45)14.63–31.9914 (23.73)13.62–36.603 (10.34)2.19–27.35
Abnormal BERA
 Yes7 (7.14)2.92–14.176 (10.17)3.82–20.831 (3.45).09–17.77.540
 No55 (56.12)45.73–66.1433 (55.93)42.40–68.8518 (62.07)42.26–79.32
 Unknown36 (36.73)27.22–47.0820 (33.90)22.08–47.3910 (34.48)17.94–54.33
Structural brain abnormality
 Yes12 (12.24)6.49–20.4110 (16.95)8.44–28.971 (3.45.09–17.77.178
 No71 (73.47)62.50–81.0042 (71.19)57.92–82.2425 (86.21)68.34–96.11
 Unknown15 (14.29)8.83–23.997 (11.86)4.90–22.933 (10.34)2.19–27.35
Premature birth
 Yes15 (15.31)8.83-23-9911 (18.64)9.69–30.924 (13.79)3.89–31.67.789
 No83 (84.69)76.01–91.1748 (81.36)69.08–90.3125 (86.21)68.34–96.11
Any of the above abnormalities
 Yes32 (32.65)23.52–42.8722 (37.29)25.04–50.869 (31.03)15.28–50.83.734
 No66 (67.35)57.13–76.4937 (62.71)49.14–74.9620 (68.97)49.17–84.72
Total98 (100)5929
Laboratory-Confirmed Zika Infectiona
FrequencyPositiveNegative
OutcomeNo. (%)95% CINo. (%)95% CINo. (%)95% CIP Valueb
Microcephaly
 Yes7 (7.14)2.92–14.176 (10.17)3.82–20.831 (3.45).09–17.77.499
 No91 (92.86)85.84–97.0853 (89.83)79.17–96.1828 (96.55)82.23–99.91
SGA
 Yes7 (7.14)2.92–14.174 (6.78)1.88–16.463 (10.34)2.19–27.35.871
 No91 (92.86)85.84–97.0855 (93.22)83.54–98.1226 (89.66)72.64–97.81
Abnormal eye fundus
 Yes4 (4.08)1.12–10.124 (6.78)1.88–16.460 (0.00).00–11.97… c
 No72 (73.47)63.59–81.8841 (69.49)56.13–80.8226 (89.66)72.64–97.81
 Unknown22 (22.45)14.63–31.9914 (23.73)13.62–36.603 (10.34)2.19–27.35
Abnormal BERA
 Yes7 (7.14)2.92–14.176 (10.17)3.82–20.831 (3.45).09–17.77.540
 No55 (56.12)45.73–66.1433 (55.93)42.40–68.8518 (62.07)42.26–79.32
 Unknown36 (36.73)27.22–47.0820 (33.90)22.08–47.3910 (34.48)17.94–54.33
Structural brain abnormality
 Yes12 (12.24)6.49–20.4110 (16.95)8.44–28.971 (3.45.09–17.77.178
 No71 (73.47)62.50–81.0042 (71.19)57.92–82.2425 (86.21)68.34–96.11
 Unknown15 (14.29)8.83–23.997 (11.86)4.90–22.933 (10.34)2.19–27.35
Premature birth
 Yes15 (15.31)8.83-23-9911 (18.64)9.69–30.924 (13.79)3.89–31.67.789
 No83 (84.69)76.01–91.1748 (81.36)69.08–90.3125 (86.21)68.34–96.11
Any of the above abnormalities
 Yes32 (32.65)23.52–42.8722 (37.29)25.04–50.869 (31.03)15.28–50.83.734
 No66 (67.35)57.13–76.4937 (62.71)49.14–74.9620 (68.97)49.17–84.72
Total98 (100)5929

Abbreviations: BERA, brain-steam auditory evoked response; CI, confidence interval; IgM, immunoglobulin M; SGA, small for gestational age; ZIKV, Zika virus.

aZika infection was confirmed in infants presenting at least 1 positive result for the detection of ZIKV IgM, and ZIKV RNA in blood or urine. Data were not available for 10 infants.

bStatistical analysis of the frequency of confirmed Zika infection in infants according to the presence or absence of congenital abnormalities was performed by Fisher exact test, and P value < .05 was considered significant.

cP value not determined due to cells with zero values.

Table 2.

Frequency of Severe Abnormalities in Children Stratified by Laboratory Diagnostic Testing

Laboratory-Confirmed Zika Infectiona
FrequencyPositiveNegative
OutcomeNo. (%)95% CINo. (%)95% CINo. (%)95% CIP Valueb
Microcephaly
 Yes7 (7.14)2.92–14.176 (10.17)3.82–20.831 (3.45).09–17.77.499
 No91 (92.86)85.84–97.0853 (89.83)79.17–96.1828 (96.55)82.23–99.91
SGA
 Yes7 (7.14)2.92–14.174 (6.78)1.88–16.463 (10.34)2.19–27.35.871
 No91 (92.86)85.84–97.0855 (93.22)83.54–98.1226 (89.66)72.64–97.81
Abnormal eye fundus
 Yes4 (4.08)1.12–10.124 (6.78)1.88–16.460 (0.00).00–11.97… c
 No72 (73.47)63.59–81.8841 (69.49)56.13–80.8226 (89.66)72.64–97.81
 Unknown22 (22.45)14.63–31.9914 (23.73)13.62–36.603 (10.34)2.19–27.35
Abnormal BERA
 Yes7 (7.14)2.92–14.176 (10.17)3.82–20.831 (3.45).09–17.77.540
 No55 (56.12)45.73–66.1433 (55.93)42.40–68.8518 (62.07)42.26–79.32
 Unknown36 (36.73)27.22–47.0820 (33.90)22.08–47.3910 (34.48)17.94–54.33
Structural brain abnormality
 Yes12 (12.24)6.49–20.4110 (16.95)8.44–28.971 (3.45.09–17.77.178
 No71 (73.47)62.50–81.0042 (71.19)57.92–82.2425 (86.21)68.34–96.11
 Unknown15 (14.29)8.83–23.997 (11.86)4.90–22.933 (10.34)2.19–27.35
Premature birth
 Yes15 (15.31)8.83-23-9911 (18.64)9.69–30.924 (13.79)3.89–31.67.789
 No83 (84.69)76.01–91.1748 (81.36)69.08–90.3125 (86.21)68.34–96.11
Any of the above abnormalities
 Yes32 (32.65)23.52–42.8722 (37.29)25.04–50.869 (31.03)15.28–50.83.734
 No66 (67.35)57.13–76.4937 (62.71)49.14–74.9620 (68.97)49.17–84.72
Total98 (100)5929
Laboratory-Confirmed Zika Infectiona
FrequencyPositiveNegative
OutcomeNo. (%)95% CINo. (%)95% CINo. (%)95% CIP Valueb
Microcephaly
 Yes7 (7.14)2.92–14.176 (10.17)3.82–20.831 (3.45).09–17.77.499
 No91 (92.86)85.84–97.0853 (89.83)79.17–96.1828 (96.55)82.23–99.91
SGA
 Yes7 (7.14)2.92–14.174 (6.78)1.88–16.463 (10.34)2.19–27.35.871
 No91 (92.86)85.84–97.0855 (93.22)83.54–98.1226 (89.66)72.64–97.81
Abnormal eye fundus
 Yes4 (4.08)1.12–10.124 (6.78)1.88–16.460 (0.00).00–11.97… c
 No72 (73.47)63.59–81.8841 (69.49)56.13–80.8226 (89.66)72.64–97.81
 Unknown22 (22.45)14.63–31.9914 (23.73)13.62–36.603 (10.34)2.19–27.35
Abnormal BERA
 Yes7 (7.14)2.92–14.176 (10.17)3.82–20.831 (3.45).09–17.77.540
 No55 (56.12)45.73–66.1433 (55.93)42.40–68.8518 (62.07)42.26–79.32
 Unknown36 (36.73)27.22–47.0820 (33.90)22.08–47.3910 (34.48)17.94–54.33
Structural brain abnormality
 Yes12 (12.24)6.49–20.4110 (16.95)8.44–28.971 (3.45.09–17.77.178
 No71 (73.47)62.50–81.0042 (71.19)57.92–82.2425 (86.21)68.34–96.11
 Unknown15 (14.29)8.83–23.997 (11.86)4.90–22.933 (10.34)2.19–27.35
Premature birth
 Yes15 (15.31)8.83-23-9911 (18.64)9.69–30.924 (13.79)3.89–31.67.789
 No83 (84.69)76.01–91.1748 (81.36)69.08–90.3125 (86.21)68.34–96.11
Any of the above abnormalities
 Yes32 (32.65)23.52–42.8722 (37.29)25.04–50.869 (31.03)15.28–50.83.734
 No66 (67.35)57.13–76.4937 (62.71)49.14–74.9620 (68.97)49.17–84.72
Total98 (100)5929

Abbreviations: BERA, brain-steam auditory evoked response; CI, confidence interval; IgM, immunoglobulin M; SGA, small for gestational age; ZIKV, Zika virus.

aZika infection was confirmed in infants presenting at least 1 positive result for the detection of ZIKV IgM, and ZIKV RNA in blood or urine. Data were not available for 10 infants.

bStatistical analysis of the frequency of confirmed Zika infection in infants according to the presence or absence of congenital abnormalities was performed by Fisher exact test, and P value < .05 was considered significant.

cP value not determined due to cells with zero values.

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