Vertical transmission risk of SARS-CoV-2 infection in the third trimester: a systematic scoping review.
Identifieur interne : 000272 ( Main/Exploration ); précédent : 000271; suivant : 000273Vertical transmission risk of SARS-CoV-2 infection in the third trimester: a systematic scoping review.
Auteurs : Priya Thomas [Canada] ; Paul Elias Alexander [Canada] ; Usman Ahmed [Canada] ; Erica Elderhorst [Canada] ; Hussein El-Khechen [Canada] ; Manoj J. Mammen [États-Unis] ; Victoria Borg Debono [Canada] ; Zuleika Aponte Torres [Chili] ; Komal Aryal [Canada] ; Eva Brocard [France] ; Bego A Sagastuy [Barbade] ; Waleed Alhazzani [Canada]Source :
- The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians [ 1476-4954 ] ; 2020.
Abstract
Background: Studies on COVID-19 infection in pregnancy thus far have largely focused on characterizing maternal and neonatal clinical characteristics. However, another evolving focus is assessing and mitigating the risk of vertical transmission amongst COVID-19-positive mothers. The objective of this review was to summarize the current evidence on the vertical transmission potential of COVID-19 infection in the third trimester and its effects on the neonate.Methods: OVID MEDLINE, EMBASE, and Cochrane Central Register of Controlled Trial (CENTRAL) were searched from January 2020 to May 2020, with continuous surveillance.Results: 18 studies met the inclusion criteria, consisting of 157 mothers and 160 neonates. The mean age of the pregnant patients was 30.8 years and the mean gestational period was 37 weeks and 1 d. Currently, there is currently no conclusive evidence to suggest that vertical transmission of SARS-CoV-2 occurs. Amongst 81 (69%) neonates who were tested for SARS-CoV-2, 5 (6%) had a positive result. However, amongst these 5 neonates, the earliest test was performed at 16 h after birth, and only 1 neonate was positive when they were later re-tested. However, this neonate initially tested negative at birth, suggesting that the SARS-CoV-2 infection was likely hospital-acquired rather than vertically transmitted. 13 (8%) neonates had complications or symptoms.Conclusions: The findings of this rapid descriptive review based on early clinical evidence suggest that vertical transmission of SARS-CoV-2 from mother to neonate/newborn did not occur. Future studies are needed to determine the optimal management of neonates born to COVID-19-positive mothers.
DOI: 10.1080/14767058.2020.1786055
PubMed: 32611247
Affiliations:
- Barbade, Canada, Chili, France, États-Unis
- Ontario, État de New York, Île-de-France
- Hamilton (Ontario), Saint-Denis (Seine-Saint-Denis)
- Université McMaster
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Brocard</name><affiliation wicri:level="3"><nlm:affiliation>Ecole des Hautes Etudes en Santé Publique (EHESP), Saint Denis, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Ecole des Hautes Etudes en Santé Publique (EHESP), Saint Denis</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Saint-Denis (Seine-Saint-Denis)</settlement></placeName></affiliation></author><author><name sortKey="Sagastuy, Bego A" sort="Sagastuy, Bego A" uniqKey="Sagastuy B" first="Bego A" last="Sagastuy">Bego A Sagastuy</name><affiliation wicri:level="1"><nlm:affiliation>Consultant, Pan American Health Organization, Bridgetown, Barbados.</nlm:affiliation><country xml:lang="fr">Barbade</country><wicri:regionArea>Consultant, Pan American Health Organization, Bridgetown</wicri:regionArea><wicri:noRegion>Bridgetown</wicri:noRegion></affiliation></author><author><name sortKey="Alhazzani, 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wicri:stream="Main" wicri:step="Curation">000B35</idno><idno type="wicri:Area/Main/Exploration">000B35</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Vertical transmission risk of SARS-CoV-2 infection in the third trimester: a systematic scoping review.</title><author><name sortKey="Thomas, Priya" sort="Thomas, Priya" uniqKey="Thomas P" first="Priya" last="Thomas">Priya Thomas</name><affiliation wicri:level="4"><nlm:affiliation>Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton</wicri:regionArea><orgName type="university">Université McMaster</orgName><placeName><settlement type="city">Hamilton (Ontario)</settlement><region type="state">Ontario</region></placeName></affiliation></author><author><name sortKey="Alexander, Paul Elias" sort="Alexander, Paul Elias" uniqKey="Alexander P" first="Paul Elias" last="Alexander">Paul Elias Alexander</name><affiliation wicri:level="4"><nlm:affiliation>Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton</wicri:regionArea><orgName type="university">Université McMaster</orgName><placeName><settlement type="city">Hamilton (Ontario)</settlement><region type="state">Ontario</region></placeName></affiliation><affiliation wicri:level="4"><nlm:affiliation>GUIDE Research Methods Group, McMaster University, Hamilton, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>GUIDE Research Methods Group, McMaster University, Hamilton</wicri:regionArea><orgName type="university">Université McMaster</orgName><placeName><settlement type="city">Hamilton (Ontario)</settlement><region type="state">Ontario</region></placeName></affiliation></author><author><name sortKey="Ahmed, Usman" sort="Ahmed, Usman" uniqKey="Ahmed U" first="Usman" last="Ahmed">Usman Ahmed</name><affiliation wicri:level="4"><nlm:affiliation>Department of Medical Sciences, McMaster University, Hamilton, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Medical Sciences, McMaster University, Hamilton</wicri:regionArea><orgName type="university">Université McMaster</orgName><placeName><settlement type="city">Hamilton (Ontario)</settlement><region type="state">Ontario</region></placeName></affiliation></author><author><name sortKey="Elderhorst, Erica" sort="Elderhorst, Erica" uniqKey="Elderhorst E" first="Erica" last="Elderhorst">Erica Elderhorst</name><affiliation wicri:level="4"><nlm:affiliation>Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton</wicri:regionArea><orgName type="university">Université McMaster</orgName><placeName><settlement type="city">Hamilton (Ontario)</settlement><region type="state">Ontario</region></placeName></affiliation><affiliation wicri:level="4"><nlm:affiliation>McMaster Midwifery Research Centre, McMaster University, Hamilton, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>McMaster Midwifery Research Centre, McMaster University, Hamilton</wicri:regionArea><orgName type="university">Université McMaster</orgName><placeName><settlement type="city">Hamilton (Ontario)</settlement><region type="state">Ontario</region></placeName></affiliation></author><author><name sortKey="El Khechen, Hussein" sort="El Khechen, Hussein" uniqKey="El Khechen H" first="Hussein" last="El-Khechen">Hussein El-Khechen</name><affiliation wicri:level="4"><nlm:affiliation>Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton</wicri:regionArea><orgName type="university">Université McMaster</orgName><placeName><settlement type="city">Hamilton (Ontario)</settlement><region type="state">Ontario</region></placeName></affiliation></author><author><name sortKey="Mammen, Manoj J" sort="Mammen, Manoj J" uniqKey="Mammen M" first="Manoj J" last="Mammen">Manoj J. Mammen</name><affiliation wicri:level="2"><nlm:affiliation>Department of Medicine, Jacobs School of Medicine and Biomedical Sciences, State University of New York at Buffalo, Buffalo, NY, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Medicine, Jacobs School of Medicine and Biomedical Sciences, State University of New York at Buffalo, Buffalo, NY</wicri:regionArea><placeName><region type="state">État de New York</region></placeName></affiliation></author><author><name sortKey="Debono, Victoria Borg" sort="Debono, Victoria Borg" uniqKey="Debono V" first="Victoria Borg" last="Debono">Victoria Borg Debono</name><affiliation wicri:level="4"><nlm:affiliation>Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton</wicri:regionArea><orgName type="university">Université McMaster</orgName><placeName><settlement type="city">Hamilton (Ontario)</settlement><region type="state">Ontario</region></placeName></affiliation><affiliation wicri:level="4"><nlm:affiliation>Department of Anesthesia, Faculty of Health Sciences, McMaster University, Hamilton, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Anesthesia, Faculty of Health Sciences, McMaster University, Hamilton</wicri:regionArea><orgName type="university">Université McMaster</orgName><placeName><settlement type="city">Hamilton (Ontario)</settlement><region type="state">Ontario</region></placeName></affiliation></author><author><name sortKey="Aponte Torres, Zuleika" sort="Aponte Torres, Zuleika" uniqKey="Aponte Torres Z" first="Zuleika" last="Aponte Torres">Zuleika Aponte Torres</name><affiliation wicri:level="1"><nlm:affiliation>Independent Epidemiology Consultant, Santiago de Chile, Chile.</nlm:affiliation><country xml:lang="fr">Chili</country><wicri:regionArea>Independent Epidemiology Consultant, Santiago de Chile</wicri:regionArea><wicri:noRegion>Santiago de Chile</wicri:noRegion></affiliation></author><author><name sortKey="Aryal, Komal" sort="Aryal, Komal" uniqKey="Aryal K" first="Komal" last="Aryal">Komal Aryal</name><affiliation wicri:level="4"><nlm:affiliation>Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton</wicri:regionArea><orgName type="university">Université McMaster</orgName><placeName><settlement type="city">Hamilton (Ontario)</settlement><region type="state">Ontario</region></placeName></affiliation></author><author><name sortKey="Brocard, Eva" sort="Brocard, Eva" uniqKey="Brocard E" first="Eva" last="Brocard">Eva Brocard</name><affiliation wicri:level="3"><nlm:affiliation>Ecole des Hautes Etudes en Santé Publique (EHESP), Saint Denis, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Ecole des Hautes Etudes en Santé Publique (EHESP), Saint Denis</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Saint-Denis (Seine-Saint-Denis)</settlement></placeName></affiliation></author><author><name sortKey="Sagastuy, Bego A" sort="Sagastuy, Bego A" uniqKey="Sagastuy B" first="Bego A" last="Sagastuy">Bego A Sagastuy</name><affiliation wicri:level="1"><nlm:affiliation>Consultant, Pan American Health Organization, Bridgetown, Barbados.</nlm:affiliation><country xml:lang="fr">Barbade</country><wicri:regionArea>Consultant, Pan American Health Organization, Bridgetown</wicri:regionArea><wicri:noRegion>Bridgetown</wicri:noRegion></affiliation></author><author><name sortKey="Alhazzani, Waleed" sort="Alhazzani, Waleed" uniqKey="Alhazzani W" first="Waleed" last="Alhazzani">Waleed Alhazzani</name><affiliation wicri:level="4"><nlm:affiliation>Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton</wicri:regionArea><orgName type="university">Université McMaster</orgName><placeName><settlement type="city">Hamilton (Ontario)</settlement><region type="state">Ontario</region></placeName></affiliation><affiliation wicri:level="4"><nlm:affiliation>GUIDE Research Methods Group, McMaster University, Hamilton, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>GUIDE Research Methods Group, McMaster University, Hamilton</wicri:regionArea><orgName type="university">Université McMaster</orgName><placeName><settlement type="city">Hamilton (Ontario)</settlement><region type="state">Ontario</region></placeName></affiliation><affiliation wicri:level="4"><nlm:affiliation>Department of Medicine, McMaster University, Hamilton, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Medicine, McMaster University, Hamilton</wicri:regionArea><orgName type="university">Université McMaster</orgName><placeName><settlement type="city">Hamilton (Ontario)</settlement><region type="state">Ontario</region></placeName></affiliation></author></analytic><series><title level="j">The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians</title><idno type="eISSN">1476-4954</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><b>Background:</b> Studies on COVID-19 infection in pregnancy thus far have largely focused on characterizing maternal and neonatal clinical characteristics. However, another evolving focus is assessing and mitigating the risk of vertical transmission amongst COVID-19-positive mothers. The objective of this review was to summarize the current evidence on the vertical transmission potential of COVID-19 infection in the third trimester and its effects on the neonate.<b>Methods:</b> OVID MEDLINE, EMBASE, and Cochrane Central Register of Controlled Trial (CENTRAL) were searched from January 2020 to May 2020, with continuous surveillance.<b>Results:</b> 18 studies met the inclusion criteria, consisting of 157 mothers and 160 neonates. The mean age of the pregnant patients was 30.8 years and the mean gestational period was 37 weeks and 1 d. Currently, there is currently no conclusive evidence to suggest that vertical transmission of SARS-CoV-2 occurs. Amongst 81 (69%) neonates who were tested for SARS-CoV-2, 5 (6%) had a positive result. However, amongst these 5 neonates, the earliest test was performed at 16 h after birth, and only 1 neonate was positive when they were later re-tested. However, this neonate initially tested negative at birth, suggesting that the SARS-CoV-2 infection was likely hospital-acquired rather than vertically transmitted. 13 (8%) neonates had complications or symptoms.<b>Conclusions:</b> The findings of this rapid descriptive review based on early clinical evidence suggest that vertical transmission of SARS-CoV-2 from mother to neonate/newborn did not occur. Future studies are needed to determine the optimal management of neonates born to COVID-19-positive mothers.</div></front></TEI><pubmed><MedlineCitation Status="Publisher" Owner="NLM"><PMID Version="1">32611247</PMID><DateRevised><Year>2020</Year><Month>07</Month><Day>02</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1476-4954</ISSN><JournalIssue CitedMedium="Internet"><PubDate><Year>2020</Year><Month>Jul</Month><Day>01</Day></PubDate></JournalIssue><Title>The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians</Title><ISOAbbreviation>J. Matern. Fetal. Neonatal. Med.</ISOAbbreviation></Journal><ArticleTitle>Vertical transmission risk of SARS-CoV-2 infection in the third trimester: a systematic scoping review.</ArticleTitle><Pagination><MedlinePgn>1-8</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1080/14767058.2020.1786055</ELocationID><Abstract><AbstractText><b>Background:</b> Studies on COVID-19 infection in pregnancy thus far have largely focused on characterizing maternal and neonatal clinical characteristics. However, another evolving focus is assessing and mitigating the risk of vertical transmission amongst COVID-19-positive mothers. The objective of this review was to summarize the current evidence on the vertical transmission potential of COVID-19 infection in the third trimester and its effects on the neonate.<b>Methods:</b> OVID MEDLINE, EMBASE, and Cochrane Central Register of Controlled Trial (CENTRAL) were searched from January 2020 to May 2020, with continuous surveillance.<b>Results:</b> 18 studies met the inclusion criteria, consisting of 157 mothers and 160 neonates. The mean age of the pregnant patients was 30.8 years and the mean gestational period was 37 weeks and 1 d. Currently, there is currently no conclusive evidence to suggest that vertical transmission of SARS-CoV-2 occurs. Amongst 81 (69%) neonates who were tested for SARS-CoV-2, 5 (6%) had a positive result. However, amongst these 5 neonates, the earliest test was performed at 16 h after birth, and only 1 neonate was positive when they were later re-tested. However, this neonate initially tested negative at birth, suggesting that the SARS-CoV-2 infection was likely hospital-acquired rather than vertically transmitted. 13 (8%) neonates had complications or symptoms.<b>Conclusions:</b> The findings of this rapid descriptive review based on early clinical evidence suggest that vertical transmission of SARS-CoV-2 from mother to neonate/newborn did not occur. Future studies are needed to determine the optimal management of neonates born to COVID-19-positive mothers.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Thomas</LastName><ForeName>Priya</ForeName><Initials>P</Initials><Identifier Source="ORCID">http://orcid.org/0000-0001-9529-8863</Identifier><AffiliationInfo><Affiliation>Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Alexander</LastName><ForeName>Paul Elias</ForeName><Initials>PE</Initials><AffiliationInfo><Affiliation>Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Canada.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>GUIDE Research Methods Group, McMaster University, Hamilton, Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ahmed</LastName><ForeName>Usman</ForeName><Initials>U</Initials><AffiliationInfo><Affiliation>Department of Medical Sciences, McMaster University, Hamilton, Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Elderhorst</LastName><ForeName>Erica</ForeName><Initials>E</Initials><Identifier Source="ORCID">http://orcid.org/0000-0002-6497-4440</Identifier><AffiliationInfo><Affiliation>Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Canada.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>McMaster Midwifery Research Centre, McMaster University, Hamilton, Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>El-Khechen</LastName><ForeName>Hussein</ForeName><Initials>H</Initials><AffiliationInfo><Affiliation>Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Mammen</LastName><ForeName>Manoj J</ForeName><Initials>MJ</Initials><AffiliationInfo><Affiliation>Department of Medicine, Jacobs School of Medicine and Biomedical Sciences, State University of New York at Buffalo, Buffalo, NY, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Debono</LastName><ForeName>Victoria Borg</ForeName><Initials>VB</Initials><AffiliationInfo><Affiliation>Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Canada.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Anesthesia, Faculty of Health Sciences, McMaster University, Hamilton, Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Aponte Torres</LastName><ForeName>Zuleika</ForeName><Initials>Z</Initials><AffiliationInfo><Affiliation>Independent Epidemiology Consultant, Santiago de Chile, Chile.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Aryal</LastName><ForeName>Komal</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Brocard</LastName><ForeName>Eva</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>Ecole des Hautes Etudes en Santé Publique (EHESP), Saint Denis, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Sagastuy</LastName><ForeName>Begoña</ForeName><Initials>B</Initials><AffiliationInfo><Affiliation>Consultant, Pan American Health Organization, Bridgetown, Barbados.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Alhazzani</LastName><ForeName>Waleed</ForeName><Initials>W</Initials><AffiliationInfo><Affiliation>Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Canada.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>GUIDE Research Methods Group, McMaster University, Hamilton, Canada.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Medicine, McMaster University, Hamilton, Canada.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2020</Year><Month>07</Month><Day>01</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>J Matern Fetal Neonatal Med</MedlineTA><NlmUniqueID>101136916</NlmUniqueID><ISSNLinking>1476-4954</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Covid-19</Keyword><Keyword MajorTopicYN="N">maternal</Keyword><Keyword MajorTopicYN="N">neonatal</Keyword><Keyword MajorTopicYN="N">sars-cov-2</Keyword><Keyword MajorTopicYN="N">vertical transmission</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2020</Year><Month>7</Month><Day>3</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2020</Year><Month>7</Month><Day>3</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>7</Month><Day>3</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>aheadofprint</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">32611247</ArticleId><ArticleId IdType="doi">10.1080/14767058.2020.1786055</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Barbade</li><li>Canada</li><li>Chili</li><li>France</li><li>États-Unis</li></country><region><li>Ontario</li><li>État de New York</li><li>Île-de-France</li></region><settlement><li>Hamilton (Ontario)</li><li>Saint-Denis (Seine-Saint-Denis)</li></settlement><orgName><li>Université McMaster</li></orgName></list><tree><country name="Canada"><region name="Ontario"><name sortKey="Thomas, Priya" sort="Thomas, Priya" uniqKey="Thomas P" first="Priya" last="Thomas">Priya Thomas</name></region><name sortKey="Ahmed, Usman" sort="Ahmed, Usman" uniqKey="Ahmed U" first="Usman" last="Ahmed">Usman Ahmed</name><name sortKey="Alexander, Paul Elias" sort="Alexander, Paul Elias" uniqKey="Alexander P" first="Paul Elias" last="Alexander">Paul Elias Alexander</name><name sortKey="Alexander, Paul Elias" sort="Alexander, Paul Elias" uniqKey="Alexander P" first="Paul Elias" last="Alexander">Paul Elias Alexander</name><name sortKey="Alhazzani, Waleed" sort="Alhazzani, Waleed" uniqKey="Alhazzani W" first="Waleed" last="Alhazzani">Waleed Alhazzani</name><name sortKey="Alhazzani, Waleed" sort="Alhazzani, Waleed" uniqKey="Alhazzani W" first="Waleed" last="Alhazzani">Waleed Alhazzani</name><name sortKey="Alhazzani, Waleed" sort="Alhazzani, Waleed" uniqKey="Alhazzani W" first="Waleed" last="Alhazzani">Waleed Alhazzani</name><name sortKey="Aryal, Komal" sort="Aryal, Komal" uniqKey="Aryal K" first="Komal" last="Aryal">Komal Aryal</name><name sortKey="Debono, Victoria Borg" sort="Debono, Victoria Borg" uniqKey="Debono V" first="Victoria Borg" last="Debono">Victoria Borg Debono</name><name sortKey="Debono, Victoria Borg" sort="Debono, Victoria Borg" uniqKey="Debono V" first="Victoria Borg" last="Debono">Victoria Borg Debono</name><name sortKey="El Khechen, Hussein" sort="El Khechen, Hussein" uniqKey="El Khechen H" first="Hussein" last="El-Khechen">Hussein El-Khechen</name><name sortKey="Elderhorst, Erica" sort="Elderhorst, Erica" uniqKey="Elderhorst E" first="Erica" last="Elderhorst">Erica Elderhorst</name><name sortKey="Elderhorst, Erica" sort="Elderhorst, Erica" uniqKey="Elderhorst E" first="Erica" last="Elderhorst">Erica Elderhorst</name></country><country name="États-Unis"><region name="État de New York"><name sortKey="Mammen, Manoj J" sort="Mammen, Manoj J" uniqKey="Mammen M" first="Manoj J" last="Mammen">Manoj J. Mammen</name></region></country><country name="Chili"><noRegion><name sortKey="Aponte Torres, Zuleika" sort="Aponte Torres, Zuleika" uniqKey="Aponte Torres Z" first="Zuleika" last="Aponte Torres">Zuleika Aponte Torres</name></noRegion></country><country name="France"><region name="Île-de-France"><name sortKey="Brocard, Eva" sort="Brocard, Eva" uniqKey="Brocard E" first="Eva" last="Brocard">Eva Brocard</name></region></country><country name="Barbade"><noRegion><name sortKey="Sagastuy, Bego A" sort="Sagastuy, Bego A" uniqKey="Sagastuy B" first="Bego A" last="Sagastuy">Bego A Sagastuy</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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