Pan-American League of Associations for Rheumatology-Central American, Caribbean and Andean Rheumatology Association Consensus-Conference Endorsements and Recommendations on the Diagnosis and Treatment of Chikungunya-Related Inflammatory Arthropathies in Latin America
| Autor: | Daniel Jaramillo-Arroyave, Yurilis J Fuentes-Silva, Carlos Vallejo-Flores, Pablo Monge, Rubén Montufar, Maritza Quintero, John Londoño, José Aguilar, Juan C. Rueda, Ana Maria Sapag, Ilsa Moreno, Hugo Sandoval, María del Carmen Hernández Ruiz, Félix Fernández, Pablo R. Camilo, Jose Manuel Gonzalez de Vega, Carlos Pineda, Carlo V. Caballero-Uribe, Ruddy Rivera, Vianna Khoury |
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| Rok vydání: | 2018 |
| Předmět: |
chikungunya
Latin Americans paracetamol chikungunya virus (CHIKV) medicine.disease_cause epidemic Aedes aegypti 0302 clinical medicine disease modifying antirheumatic drug 030212 general & internal medicine Chikungunya musculoskeletal pain Societies Medical fever arthropathies Mortality rate Health Policy virus diseases Aedes albopictus priority journal chikungunya (CHIK) Polyarthritis arthropathy medicine.medical_specialty Consensus League mosquito vectors polyarthritis Article South and Central America 03 medical and health sciences Rheumatology Internal medicine medicine Humans human purl.org/pe-repo/ocde/ford#3.02.17 [https] Health policy 030203 arthritis & rheumatology Arthritis Infectious business.industry patient care Outbreak Consensus Development Conference medicine.disease clinical feature Latin America Family medicine Chikungunya Fever business |
| Zdroj: | Journal of clinical rheumatology : practical reports on rheumaticmusculoskeletal diseases. 25(2) |
| ISSN: | 1536-7355 |
| Popis: | Background/Objective Although mortality rates related with chikungunya (CHIK) outbreaks in Latin America's (LA's) dengue-endemic rural and new urban regions are low, dealing with symptoms and sequelae can both produce a significant burden of disease and diminish quality of life-from many months to years-after the acute phase of the infection, with a significant impact on public and individual health. The aim of this work was to establish Pan-American League of Associations for Rheumatology-Central American, Caribbean and Andean Rheumatology Association (ACCAR) consensus-conference endorsements and recommendations on the diagnosis and treatment of CHIK-related inflammatory arthropathies transmitted by Aedes aegypti and Aedes albopictus in LA. Methods Based on the Consensus Development Conference format, a panel of ACCAR rheumatologist voting members (n = 10) took part in this Pan-American League of Associations for Rheumatology initiative. Experts voted from a previous content analysis of the medical literature on CHIK, 4 subsequent topic conferences, and a workshop. Consensus represents the majority agreement (≥80%) achieved for each recommendation. Results The experts' panel reached 4 overarching principles: (1) CHIK virus (CHIKV) is a re-emergent virus transmitted by 2 species of mosquitoes: A. aegypti and A. albopictus; (2) CHIKV caused massive outbreaks in LA; (3) chronic CHIKV infection produces an inflammatory joint disease that, in some cases, can last for several months to years, and (4) currently, there are no vaccines or antivirals licensed for CHIKV infections. Recommendations Pan-American League of Associations for Rheumatology-ACCAR achieved 13 endorsements and recommendations on CHIK categorized in 3 groups: (1) epidemiology and clinical manifestations, (2) diagnosis, and (3) treatment, representing the consensus agreement from the panel's members. |
| Databáze: | OpenAIRE |
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