Title |
Pregnant Women Hospitalized with Chikungunya Virus Infection, Colombia, 2015 - Volume 23, Number 11—November 2017 - Emerging Infectious Diseases journal - CDC
|
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Published in |
Emerging Infectious Diseases, November 2017
|
DOI | 10.3201/eid2311.170480 |
Pubmed ID | |
Authors |
Maria Escobar, Albaro J. Nieto, Sara Loaiza-Osorio, Juan S. Barona, Fernando Rosso |
Abstract |
In 2015 in Colombia, 60 pregnant women were hospitalized with chikungunya virus infections confirmed by reverse transcription PCR. Nine of these women required admission to the intensive care unit because of sepsis with hypoperfusion and organ dysfunction; these women met the criteria for severe acute maternal morbidity. No deaths occurred. Fifteen women delivered during acute infection; some received tocolytics to delay delivery until after the febrile episode and prevent possible vertical transmission. As recommended by a pediatric neonatologist, 12 neonates were hospitalized to rule out vertical transmission; no clinical findings suggestive of neonatal chikungunya virus infection were observed. With 36 women (60%), follow-up was performed 1 year after acute viremia; 13 patients had arthralgia in >2 joints (a relapse of infection). Despite disease severity, pregnant women with chikungunya should be treated in high-complexity obstetric units to rule out adverse outcomes. These women should also be followed up to treat potential relapses. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
United States | 2 | 33% |
Argentina | 1 | 17% |
Unknown | 3 | 50% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 5 | 83% |
Science communicators (journalists, bloggers, editors) | 1 | 17% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 105 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Master | 11 | 10% |
Student > Doctoral Student | 11 | 10% |
Researcher | 9 | 9% |
Student > Bachelor | 8 | 8% |
Other | 7 | 7% |
Other | 21 | 20% |
Unknown | 38 | 36% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 24 | 23% |
Nursing and Health Professions | 12 | 11% |
Agricultural and Biological Sciences | 5 | 5% |
Biochemistry, Genetics and Molecular Biology | 4 | 4% |
Unspecified | 3 | 3% |
Other | 15 | 14% |
Unknown | 42 | 40% |