Crimean-Congo hemorrhagic fever in pregnancy: A systematic review and case series from Russia, Kazakhstan and Turkey
| Autor: | Pshenichnaya, Natalia Yurievna, Leblebicioglu, Hakan, Bozkurt, Ilkay, Sannikova, Irina Viktorovna, Abuova, Gulzhan Narkenovna, Zhuravlev, Andrey Sergeevich, Barut, Sener, Shermetova, Mutabar Bekovna, Fletcher, Tom |
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| Rok vydání: | 2016 |
| Předmět: |
Microbiology (medical)
Cross Infection Turkey healthcare associated infection Infant wc_534 Communicable Diseases Emerging Kazakhstan Article lcsh:Infectious and parasitic diseases Russia Infectious Diseases Pregnancy Hemorrhagic Fever Virus Crimean-Congo Infant Mortality Humans Crimean-Congo hemorrhagic fever lcsh:RC109-216 Female Hemorrhagic Fever Crimean viral hemorrhagic fever wq_256 Pregnancy Complications Infectious |
| Zdroj: | International Journal of Infectious Diseases International Journal of Infectious Diseases, Vol 58, Iss C, Pp 58-64 (2017) |
| ISSN: | 1878-3511 1201-9712 |
| Popis: | Highlights • CCHF in pregnancy is rare but has high rates of maternal (34%) and fetal mortality (59%). • Maternal hemorrhage is associated with maternal and fetal/neonatal death. • Nosocomial transmission of CCHF from 6/37 index pregnant cases resulted in 38 cases. • Early recognition and risk-assessment allows appropriate IP & C precautions and supportive care provision. Background Crimean-Congo hemorrhagic fever (CCHF) is acute viral infection and a major emerging infectious diseases threat, affecting a large geographical area. There is no proven antiviral therapy and it has a case fatality rate of 4–30%. The natural history of disease and outcomes of CCHF in pregnant women is poorly understood. Objectives To systematically review the characteristics of CCHF in pregnancy, and report a case series of 8 CCHF cases in pregnant women from Russia, Kazakhstan and Turkey. Methods A systematic review was performed following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement protocol. PubMed, SCOPUS, Science Citation Index (SCI) were searched for reports published between January 1960 and June 2016. Two independent reviewers selected and reviewed studies and extracted data. Results Thirty-four cases of CCHF in pregnancy were identified, and combined with the case series data, 42 cases were analyzed. The majority of cases originated in Turkey (14), Iran (10) and Russia (6). There was a maternal mortality of 14/41(34%) and fetal/neonatal mortality of in 24/41 cases (58.5%). Hemorrhage was associated with maternal (p = 0.009) and fetal/neonatal death (p |
| Databáze: | OpenAIRE |
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