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The Development and Evaluation of a Combined Infection–Rheumatology Assessment Service in Response to the Chikungunya Fever Epidemic

The chikungunya virus is an arthritogenic alphavirus. Acute infection may be followed by persistent arthralgia, often causing significant functional impairment. The 2014–2015 chikungunya fever (CHIKF) epidemic resulted in a marked increase in cases presenting to rheumatology and tropical diseases se...

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Autores principales: Krutikov, Maria, Donovan, Joseph, Lambourne, Jonathan, Ciurtin, Coziana, Brown, Mike, Bailey, Robin, Manson, Jessica J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The American Society of Tropical Medicine and Hygiene 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10160878/
https://www.ncbi.nlm.nih.gov/pubmed/36940667
http://dx.doi.org/10.4269/ajtmh.22-0698
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author Krutikov, Maria
Donovan, Joseph
Lambourne, Jonathan
Ciurtin, Coziana
Brown, Mike
Bailey, Robin
Manson, Jessica J.
author_facet Krutikov, Maria
Donovan, Joseph
Lambourne, Jonathan
Ciurtin, Coziana
Brown, Mike
Bailey, Robin
Manson, Jessica J.
author_sort Krutikov, Maria
collection PubMed
description The chikungunya virus is an arthritogenic alphavirus. Acute infection may be followed by persistent arthralgia, often causing significant functional impairment. The 2014–2015 chikungunya fever (CHIKF) epidemic resulted in a marked increase in cases presenting to rheumatology and tropical diseases services. A combined multidisciplinary rheumatology–tropical diseases service for assessment, management, and follow-up of patients with proven CHIKF and persistent (≥ 4 weeks) arthralgia was proposed and rapidly developed at The Hospital for Tropical Diseases in London. Rapid set up of a multidisciplinary clinic in response to the epidemic was achieved. Of a total of 54 patients, 21 (38.9%) patients with CHIKF developed persistent arthralgia and were reviewed by the multidisciplinary service. A combined assessment approach enabled comprehensive multidisciplinary assessment of CHIKF, assessment of joint pathology through ultrasound, and appropriate follow-up. A combined rheumatology–tropical diseases service was successfully used to identify and assess CHIKF-associated morbidity. Future outbreaks may be approached by establishing tailored multidisciplinary clinics.
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spelling pubmed-101608782023-05-06 The Development and Evaluation of a Combined Infection–Rheumatology Assessment Service in Response to the Chikungunya Fever Epidemic Krutikov, Maria Donovan, Joseph Lambourne, Jonathan Ciurtin, Coziana Brown, Mike Bailey, Robin Manson, Jessica J. Am J Trop Med Hyg Short Report The chikungunya virus is an arthritogenic alphavirus. Acute infection may be followed by persistent arthralgia, often causing significant functional impairment. The 2014–2015 chikungunya fever (CHIKF) epidemic resulted in a marked increase in cases presenting to rheumatology and tropical diseases services. A combined multidisciplinary rheumatology–tropical diseases service for assessment, management, and follow-up of patients with proven CHIKF and persistent (≥ 4 weeks) arthralgia was proposed and rapidly developed at The Hospital for Tropical Diseases in London. Rapid set up of a multidisciplinary clinic in response to the epidemic was achieved. Of a total of 54 patients, 21 (38.9%) patients with CHIKF developed persistent arthralgia and were reviewed by the multidisciplinary service. A combined assessment approach enabled comprehensive multidisciplinary assessment of CHIKF, assessment of joint pathology through ultrasound, and appropriate follow-up. A combined rheumatology–tropical diseases service was successfully used to identify and assess CHIKF-associated morbidity. Future outbreaks may be approached by establishing tailored multidisciplinary clinics. The American Society of Tropical Medicine and Hygiene 2023-03-20 2023-05 /pmc/articles/PMC10160878/ /pubmed/36940667 http://dx.doi.org/10.4269/ajtmh.22-0698 Text en © The author(s) https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution (CC-BY) License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Short Report
Krutikov, Maria
Donovan, Joseph
Lambourne, Jonathan
Ciurtin, Coziana
Brown, Mike
Bailey, Robin
Manson, Jessica J.
The Development and Evaluation of a Combined Infection–Rheumatology Assessment Service in Response to the Chikungunya Fever Epidemic
title The Development and Evaluation of a Combined Infection–Rheumatology Assessment Service in Response to the Chikungunya Fever Epidemic
title_full The Development and Evaluation of a Combined Infection–Rheumatology Assessment Service in Response to the Chikungunya Fever Epidemic
title_fullStr The Development and Evaluation of a Combined Infection–Rheumatology Assessment Service in Response to the Chikungunya Fever Epidemic
title_full_unstemmed The Development and Evaluation of a Combined Infection–Rheumatology Assessment Service in Response to the Chikungunya Fever Epidemic
title_short The Development and Evaluation of a Combined Infection–Rheumatology Assessment Service in Response to the Chikungunya Fever Epidemic
title_sort development and evaluation of a combined infection–rheumatology assessment service in response to the chikungunya fever epidemic
topic Short Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10160878/
https://www.ncbi.nlm.nih.gov/pubmed/36940667
http://dx.doi.org/10.4269/ajtmh.22-0698
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