<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2176-6223</journal-id>
<journal-title><![CDATA[Revista Pan-Amazônica de Saúde]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Pan-Amaz Saude]]></abbrev-journal-title>
<issn>2176-6223</issn>
<publisher>
<publisher-name><![CDATA[Instituto Evandro Chagas. Secretaria de Vigilância em Saúde e Ambiente. Ministério da Saúde]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2176-62232020000100011</article-id>
<article-id pub-id-type="doi">10.5123/s2176-6223202000216</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[Seguimento de crianças expostas intraútero ao vírus Zika na Região Metropolitana de Belém, Pará, Brasil]]></article-title>
<article-title xml:lang="en"><![CDATA[Clinical follow-up of children with in utero Zika virus exposure in the Metropolitan Region of Belém, Pará State, Brazil]]></article-title>
<article-title xml:lang="es"><![CDATA[Acompañamiento de niños expuestos intraútero al virus Zika en la Región Metropolitana de Belém, Pará, Brasil]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Oliveira]]></surname>
<given-names><![CDATA[Consuelo Silva de]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Matos]]></surname>
<given-names><![CDATA[Haroldo José de]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gomes]]></surname>
<given-names><![CDATA[Luna Thais Sousa]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Serra]]></surname>
<given-names><![CDATA[Emilene Monteiro Furtado]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fraiha]]></surname>
<given-names><![CDATA[Marcella Cruz]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Nunes]]></surname>
<given-names><![CDATA[Déborah Silva]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Evandro Chagas  ]]></institution>
<addr-line><![CDATA[Belém Pará]]></addr-line>
<country>Brasil</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidade do Estado do Pará  ]]></institution>
<addr-line><![CDATA[Belém Pará]]></addr-line>
<country>Brasil</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2020</year>
</pub-date>
<volume>11</volume>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iec.gov.br/scielo.php?script=sci_arttext&amp;pid=S2176-62232020000100011&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iec.gov.br/scielo.php?script=sci_abstract&amp;pid=S2176-62232020000100011&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iec.gov.br/scielo.php?script=sci_pdf&amp;pid=S2176-62232020000100011&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[RESUMO  INTRODUÇÃO: A emergência do vírus Zika (ZIKV), que afetou gravemente o nordeste do Brasil, revelou a ocorrência de malformações congênitas durante a gestação. Atualmente, têm sido registradas alterações que envolvem desde anormalidades físicas, como microcefalia, artrogripose e anomalias cerebrais detectadas por exames de neuroimagem, até alterações de comportamento, como irritabilidade e excitabilidade.  OBJETIVO: Sob essa perspectiva, procurou-se, por meio do acompanhamento clínico e de exames laboratoriais e de imagem, uma abordagem multiprofissional com ênfase na investigação do desenvolvimento neuropsicomotor, da visão e da audição para a obtenção de informações sobre a infecção materno-fetal.  MATERIAIS E MÉTODOS: Para tal, 92 crianças nascidas de mulheres infectadas durante a gravidez pelo ZIKV foram acompanhadas no período de agosto de 2017 a julho de 2018.  RESULTADOS: Entre os investigados, 55 (59,8%) crianças eram do gênero masculino; 46 (50,0%) mães foram infectadas no segundo trimestre da gestação; duas (2,2%) crianças apresentaram microcefalia ao nascimento e uma (1,1%) apresentou características clínicas compatíveis com microcefalia pós-natal. Ademais, no acompanhamento, constatou-se a existência de alterações de comportamento que podem comprometer o neurodesenvolvimento infantil, como a irritabilidade extrema, com incidência significativa (p &lt; 0,0001), seguida de agressividade e hiperexcitabilidade, apesar de exames de imagens normais.  CONCLUSÃO: Diante desses achados, reforça-se a necessidade de um acompanhamento multiprofissional sistemático das crianças expostas intraútero, para identificar alterações precoces e tardias associadas ao ZIKV e implementar atividades psicomotoras que possam atenuar as sequelas no neurodesenvolvimento infantil.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  INTRODUCTION: The emergence of the Zika virus (ZIKV), which severely affected Northeastern Brazil, revealed the occurrence of congenital malformations during pregnancy. Currently, changes have been recorded from physical abnormalities, such as microcephaly, arthrogryposis, and brain abnormalities detected by neuroimaging tests, to behavioral changes as irritability and excitability.  OBJECTIVE: From this perspective, a multidisciplinary approach was conducted by clinical follow up and lab and imaging tests, with emphasis on investigating the neurological and psychomotor development, vision and hearing in order to get information on maternal and fetal infection.  MATERIALS AND METHODS: For that purpose, 92 children born to women infected by ZIKV during pregnancy were followed up from August 2017 to July 2018.  RESULTS: Among the patients investigated, 55 (59.8%) children were male; 46 (50.0%) mothers were infected in the second trimester of pregnancy; two (2.2%) children had microcephaly at birth and one (1.1%) presented signs and symptoms associated with postnatal microcephaly. In addition, during clinical follow-up, behavioral changes that could affect child neurodevelopment were found, such as extreme irritability, with significant incidence (p &lt; 0.0001), followed by aggressiveness and hyperexcitability, despite normal imaging tests.  CONCLUSION: According to these results, must be enhanced the need for multi-professional follow up of children with in utero ZIKV exposure in order to identify early and late changes associated with ZIKV and to conduct psychomotor activities that can reduce the sequelae in child neurodevelopment.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  INTRODUCCIÓN: La aparición del virus del Zika (ZIKV), que afectó gravemente al Nordeste de Brasil, reveló la aparición de malformaciones congénitas durante el embarazo. Actualmente, se han registrado alteraciones que implican en anormalidades físicas tales como microcefalia, artrogriposis y alteraciones del cerebro detectadas por pruebas de neuroimagen, hasta cambios de comportamiento tales como irritabilidad y excitabilidad.  OBJETIVO: Desde esta perspectiva, se buscó un abordaje multiprofesional a través del acompañamiento clínico y pruebas de laboratorio y de imagen, con énfasis en la investigación del desarrollo neuropsicomotor, la visión y la audición para obtener información sobre la infección materno-fetal.  MATERIALES Y MÉTODOS: Con este fin, se realizó un seguimiento de 92 niños nacidos de mujeres infectadas durante el embarazo por ZIKV desde agosto de 2017 hasta julio de 2018.  RESULTADOS: Entre los investigados, 55 (59,8%) niños eran varones; 46 (50,0%) infectaron a las madres en el segundo trimestre del embarazo; dos (2,2%) de los niños tenían microcefalia al nacer y uno (1,1%) características clínicas presentadas compatibles con microcefalia postnatal. Además, en el seguimiento, se verificó la existencia de alteraciones conductuales que pueden comprometer el neurodesarrollo del niño, como irritabilidad extrema, con incidencia significativa (p &lt; 0,0001), seguida de agresividad e hiperexcitabilidad, a pesar de la normalización de las imágenes.  CONCLUSIÓN: Debido a estos hallazgos, se manifiesta la necesidad de un acompañamiento multiprofesional sistemático de niños expuestos intraútero, para identificar las alteraciones tempranas y tardías asociadas al ZIKV y para poner en ejecución las actividades psicomotoras que puedan atenuar las secuelas en el neurodesarrollo del niño.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[Zika Vírus]]></kwd>
<kwd lng="pt"><![CDATA[Gravidez]]></kwd>
<kwd lng="pt"><![CDATA[Infecção]]></kwd>
<kwd lng="pt"><![CDATA[Desenvolvimento Infantil]]></kwd>
<kwd lng="pt"><![CDATA[Microcefalia]]></kwd>
<kwd lng="en"><![CDATA[Zika Virus]]></kwd>
<kwd lng="en"><![CDATA[Pregnancy]]></kwd>
<kwd lng="en"><![CDATA[Infection]]></kwd>
<kwd lng="en"><![CDATA[Child Development]]></kwd>
<kwd lng="en"><![CDATA[Microcephaly]]></kwd>
<kwd lng="es"><![CDATA[Virus del Zika]]></kwd>
<kwd lng="es"><![CDATA[Embarazo]]></kwd>
<kwd lng="es"><![CDATA[Infección]]></kwd>
<kwd lng="es"><![CDATA[Desarrollo Infantil]]></kwd>
<kwd lng="es"><![CDATA[Microcefalia]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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