Recommendations of the Brazilian Society of Rheumatology for diagnosis and treatment of Chikungunya fever. Part 1 - Diagnosis and special situations
Autor(a) principal: | |
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Data de Publicação: | 2017 |
Outros Autores: | , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista Brasileira de Reumatologia (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0482-50042017000800003 |
Resumo: | Abstract Chikungunya fever has become a relevant public health problem in countries where epidemics occur. Until 2013, only imported cases occurred in the Americas, but in October of that year, the first cases were reported in Saint Marin island in the Caribbean. The first autochthonous cases were confirmed in Brazil in September 2014; until epidemiological week 37 of 2016, 236,287 probable cases of infection with Chikungunya virus had been registered, 116,523 of which had serological confirmation. Environmental changes caused by humans, disorderly urban growth and an ever-increasing number of international travelers were described as the factors responsible for the emergence of large-scale epidemics. Clinically characterized by fever and joint pain in the acute stage, approximately half of patients progress to the chronic stage (beyond 3 months), which is accompanied by persistent and disabling pain. The aim of the present study was to formulate recommendations for the diagnosis and treatment of Chikungunya fever in Brazil. A literature review was performed in the MEDLINE, SciELO and PubMed databases to ground the decisions for recommendations. The degree of concordance among experts was established through the Delphi method, involving 2 in-person meetings and several online voting rounds. In total, 25 recommendations were formulated and divided into 3 thematic groups: (1) clinical, laboratory and imaging diagnosis; (2) special situations; and (3) treatment. The first 2 themes are presented in part 1, and treatment is presented in part 2. |
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Recommendations of the Brazilian Society of Rheumatology for diagnosis and treatment of Chikungunya fever. Part 1 - Diagnosis and special situationsChikungunya feverEpidemicConsensusBrazilAbstract Chikungunya fever has become a relevant public health problem in countries where epidemics occur. Until 2013, only imported cases occurred in the Americas, but in October of that year, the first cases were reported in Saint Marin island in the Caribbean. The first autochthonous cases were confirmed in Brazil in September 2014; until epidemiological week 37 of 2016, 236,287 probable cases of infection with Chikungunya virus had been registered, 116,523 of which had serological confirmation. Environmental changes caused by humans, disorderly urban growth and an ever-increasing number of international travelers were described as the factors responsible for the emergence of large-scale epidemics. Clinically characterized by fever and joint pain in the acute stage, approximately half of patients progress to the chronic stage (beyond 3 months), which is accompanied by persistent and disabling pain. The aim of the present study was to formulate recommendations for the diagnosis and treatment of Chikungunya fever in Brazil. A literature review was performed in the MEDLINE, SciELO and PubMed databases to ground the decisions for recommendations. The degree of concordance among experts was established through the Delphi method, involving 2 in-person meetings and several online voting rounds. In total, 25 recommendations were formulated and divided into 3 thematic groups: (1) clinical, laboratory and imaging diagnosis; (2) special situations; and (3) treatment. The first 2 themes are presented in part 1, and treatment is presented in part 2.Sociedade Brasileira de Reumatologia2017-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0482-50042017000800003Revista Brasileira de Reumatologia v.57 suppl.2 2017reponame:Revista Brasileira de Reumatologia (Online)instname:Sociedade Brasileira de Reumatologia (SBR)instacron:SBR10.1016/j.rbre.2017.05.006info:eu-repo/semantics/openAccessMarques,Claudia Diniz LopesDuarte,Angela Luzia Branco PintoRanzolin,AlineDantas,Andrea TavaresCavalcanti,Nara GualbertoGonçalves,Rafaela Silva GuimarãesRocha Junior,Laurindo Ferreira daValadares,Lilian David de AzevedoMelo,Ana Karla Guedes deFreire,Eutilia Andrade MedeirosTeixeira,RobertoBezerra Neto,Francisco AlvesMedeiros,Marta Maria das ChagasCarvalho,Jozélio Freire deSantos,Mario Sergio F.Océa,Regina Adalva de L. CoutoLevy,Roger A.Andrade,Carlos Augusto Ferreira dePinheiro,Geraldo da Rocha CastelarAbreu,Mirhelen MendesVerztman,José FernandoMerenlender,SelmaRibeiro,Sandra Lucia EuzebioCosta,Izaias Pereira daPileggi,GecilmaraTrevisani,Virginia Fernandes MoçaLopes,Max Igor BanksBrito,CarlosFigueiredo,EduardoQueiroga,FabioFeitosa,TiagoTenório,Angélica da SilvaSiqueira,Gisela Rocha dePaiva,RenataVasconcelos,José Tupinambá SousaChristopoulos,Georgeseng2017-10-05T00:00:00Zoai:scielo:S0482-50042017000800003Revistahttp://www.scielo.br/scielo.php?script=sci_serial&pid=0482-5004&lng=pt&nrm=isoONGhttps://old.scielo.br/oai/scielo-oai.php||sbre@terra.com.br1809-45700482-5004opendoar:2017-10-05T00:00Revista Brasileira de Reumatologia (Online) - Sociedade Brasileira de Reumatologia (SBR)false |
dc.title.none.fl_str_mv |
Recommendations of the Brazilian Society of Rheumatology for diagnosis and treatment of Chikungunya fever. Part 1 - Diagnosis and special situations |
title |
Recommendations of the Brazilian Society of Rheumatology for diagnosis and treatment of Chikungunya fever. Part 1 - Diagnosis and special situations |
spellingShingle |
Recommendations of the Brazilian Society of Rheumatology for diagnosis and treatment of Chikungunya fever. Part 1 - Diagnosis and special situations Marques,Claudia Diniz Lopes Chikungunya fever Epidemic Consensus Brazil |
title_short |
Recommendations of the Brazilian Society of Rheumatology for diagnosis and treatment of Chikungunya fever. Part 1 - Diagnosis and special situations |
title_full |
Recommendations of the Brazilian Society of Rheumatology for diagnosis and treatment of Chikungunya fever. Part 1 - Diagnosis and special situations |
title_fullStr |
Recommendations of the Brazilian Society of Rheumatology for diagnosis and treatment of Chikungunya fever. Part 1 - Diagnosis and special situations |
title_full_unstemmed |
Recommendations of the Brazilian Society of Rheumatology for diagnosis and treatment of Chikungunya fever. Part 1 - Diagnosis and special situations |
title_sort |
Recommendations of the Brazilian Society of Rheumatology for diagnosis and treatment of Chikungunya fever. Part 1 - Diagnosis and special situations |
author |
Marques,Claudia Diniz Lopes |
author_facet |
Marques,Claudia Diniz Lopes Duarte,Angela Luzia Branco Pinto Ranzolin,Aline Dantas,Andrea Tavares Cavalcanti,Nara Gualberto Gonçalves,Rafaela Silva Guimarães Rocha Junior,Laurindo Ferreira da Valadares,Lilian David de Azevedo Melo,Ana Karla Guedes de Freire,Eutilia Andrade Medeiros Teixeira,Roberto Bezerra Neto,Francisco Alves Medeiros,Marta Maria das Chagas Carvalho,Jozélio Freire de Santos,Mario Sergio F. Océa,Regina Adalva de L. Couto Levy,Roger A. Andrade,Carlos Augusto Ferreira de Pinheiro,Geraldo da Rocha Castelar Abreu,Mirhelen Mendes Verztman,José Fernando Merenlender,Selma Ribeiro,Sandra Lucia Euzebio Costa,Izaias Pereira da Pileggi,Gecilmara Trevisani,Virginia Fernandes Moça Lopes,Max Igor Banks Brito,Carlos Figueiredo,Eduardo Queiroga,Fabio Feitosa,Tiago Tenório,Angélica da Silva Siqueira,Gisela Rocha de Paiva,Renata Vasconcelos,José Tupinambá Sousa Christopoulos,Georges |
author_role |
author |
author2 |
Duarte,Angela Luzia Branco Pinto Ranzolin,Aline Dantas,Andrea Tavares Cavalcanti,Nara Gualberto Gonçalves,Rafaela Silva Guimarães Rocha Junior,Laurindo Ferreira da Valadares,Lilian David de Azevedo Melo,Ana Karla Guedes de Freire,Eutilia Andrade Medeiros Teixeira,Roberto Bezerra Neto,Francisco Alves Medeiros,Marta Maria das Chagas Carvalho,Jozélio Freire de Santos,Mario Sergio F. Océa,Regina Adalva de L. Couto Levy,Roger A. Andrade,Carlos Augusto Ferreira de Pinheiro,Geraldo da Rocha Castelar Abreu,Mirhelen Mendes Verztman,José Fernando Merenlender,Selma Ribeiro,Sandra Lucia Euzebio Costa,Izaias Pereira da Pileggi,Gecilmara Trevisani,Virginia Fernandes Moça Lopes,Max Igor Banks Brito,Carlos Figueiredo,Eduardo Queiroga,Fabio Feitosa,Tiago Tenório,Angélica da Silva Siqueira,Gisela Rocha de Paiva,Renata Vasconcelos,José Tupinambá Sousa Christopoulos,Georges |
author2_role |
author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author |
dc.contributor.author.fl_str_mv |
Marques,Claudia Diniz Lopes Duarte,Angela Luzia Branco Pinto Ranzolin,Aline Dantas,Andrea Tavares Cavalcanti,Nara Gualberto Gonçalves,Rafaela Silva Guimarães Rocha Junior,Laurindo Ferreira da Valadares,Lilian David de Azevedo Melo,Ana Karla Guedes de Freire,Eutilia Andrade Medeiros Teixeira,Roberto Bezerra Neto,Francisco Alves Medeiros,Marta Maria das Chagas Carvalho,Jozélio Freire de Santos,Mario Sergio F. Océa,Regina Adalva de L. Couto Levy,Roger A. Andrade,Carlos Augusto Ferreira de Pinheiro,Geraldo da Rocha Castelar Abreu,Mirhelen Mendes Verztman,José Fernando Merenlender,Selma Ribeiro,Sandra Lucia Euzebio Costa,Izaias Pereira da Pileggi,Gecilmara Trevisani,Virginia Fernandes Moça Lopes,Max Igor Banks Brito,Carlos Figueiredo,Eduardo Queiroga,Fabio Feitosa,Tiago Tenório,Angélica da Silva Siqueira,Gisela Rocha de Paiva,Renata Vasconcelos,José Tupinambá Sousa Christopoulos,Georges |
dc.subject.por.fl_str_mv |
Chikungunya fever Epidemic Consensus Brazil |
topic |
Chikungunya fever Epidemic Consensus Brazil |
description |
Abstract Chikungunya fever has become a relevant public health problem in countries where epidemics occur. Until 2013, only imported cases occurred in the Americas, but in October of that year, the first cases were reported in Saint Marin island in the Caribbean. The first autochthonous cases were confirmed in Brazil in September 2014; until epidemiological week 37 of 2016, 236,287 probable cases of infection with Chikungunya virus had been registered, 116,523 of which had serological confirmation. Environmental changes caused by humans, disorderly urban growth and an ever-increasing number of international travelers were described as the factors responsible for the emergence of large-scale epidemics. Clinically characterized by fever and joint pain in the acute stage, approximately half of patients progress to the chronic stage (beyond 3 months), which is accompanied by persistent and disabling pain. The aim of the present study was to formulate recommendations for the diagnosis and treatment of Chikungunya fever in Brazil. A literature review was performed in the MEDLINE, SciELO and PubMed databases to ground the decisions for recommendations. The degree of concordance among experts was established through the Delphi method, involving 2 in-person meetings and several online voting rounds. In total, 25 recommendations were formulated and divided into 3 thematic groups: (1) clinical, laboratory and imaging diagnosis; (2) special situations; and (3) treatment. The first 2 themes are presented in part 1, and treatment is presented in part 2. |
publishDate |
2017 |
dc.date.none.fl_str_mv |
2017-01-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0482-50042017000800003 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0482-50042017000800003 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1016/j.rbre.2017.05.006 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Reumatologia |
publisher.none.fl_str_mv |
Sociedade Brasileira de Reumatologia |
dc.source.none.fl_str_mv |
Revista Brasileira de Reumatologia v.57 suppl.2 2017 reponame:Revista Brasileira de Reumatologia (Online) instname:Sociedade Brasileira de Reumatologia (SBR) instacron:SBR |
instname_str |
Sociedade Brasileira de Reumatologia (SBR) |
instacron_str |
SBR |
institution |
SBR |
reponame_str |
Revista Brasileira de Reumatologia (Online) |
collection |
Revista Brasileira de Reumatologia (Online) |
repository.name.fl_str_mv |
Revista Brasileira de Reumatologia (Online) - Sociedade Brasileira de Reumatologia (SBR) |
repository.mail.fl_str_mv |
||sbre@terra.com.br |
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1750318051755032576 |