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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

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dc.contributor.author Monge, P.
dc.contributor.author Vega Dienstmaier, Johann Martín
dc.contributor.author Sapag, A.M.
dc.contributor.author Moreno, I.
dc.contributor.author Montúfar, R.
dc.contributor.author Khoury, V.
dc.contributor.author Camilo, P.
dc.contributor.author Rivera, R.
dc.contributor.author Rueda, J.C.
dc.contributor.author Jaramillo-Arroyave, D.
dc.contributor.author Londoño, J.
dc.contributor.author Del Carmen Ruiz, M.
dc.contributor.author Fernández, F.
dc.contributor.author Quintero, M.
dc.contributor.author Fuentes-Silva, Y.
dc.contributor.author Aguilar Olano, José Luis
dc.contributor.author Vallejo-Flores, C.
dc.contributor.author Caballero-Uribe, C.V.
dc.contributor.author Sandoval, H.
dc.contributor.author Pineda, C.
dc.date.accessioned 2019-12-06T21:02:54Z
dc.date.available 2019-12-06T21:02:54Z
dc.date.issued 2019
dc.identifier.uri https://hdl.handle.net/20.500.12866/7484
dc.description.abstract 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. en_US
dc.language.iso eng
dc.publisher Wolters Kluwer Health
dc.relation.ispartofseries Journal of Clinical Rheumatology
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Aedes aegypti en_US
dc.subject Aedes albopictus en_US
dc.subject arthropathies en_US
dc.subject arthropathy en_US
dc.subject Article en_US
dc.subject chikungunya en_US
dc.subject chikungunya (CHIK) en_US
dc.subject chikungunya virus (CHIKV) en_US
dc.subject clinical feature en_US
dc.subject Consensus Development Conference en_US
dc.subject disease modifying antirheumatic drug en_US
dc.subject epidemic en_US
dc.subject fever en_US
dc.subject human en_US
dc.subject mosquito vectors en_US
dc.subject musculoskeletal pain en_US
dc.subject paracetamol en_US
dc.subject patient care en_US
dc.subject polyarthritis en_US
dc.subject priority journal en_US
dc.subject South and Central America en_US
dc.title 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 en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.1097/RHU.0000000000000868
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.02.17
dc.relation.issn 1536-7355


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