Le diagnostic repose sur les symptômes cliniques et des tests sérologiques ou PCR.
ChikungunyaDiagnostic médical
#2
Quels tests sont utilisés pour confirmer l'infection ?
Les tests sérologiques détectent les anticorps, tandis que la PCR identifie le virus.
Tests de laboratoireChikungunya
#3
Quels symptômes indiquent une infection ?
Fièvre, douleurs articulaires, éruptions cutanées et fatigue sont des indicateurs clés.
SymptômesChikungunya
#4
La fièvre chikungunya est-elle confondue avec d'autres maladies ?
Oui, elle peut être confondue avec la dengue ou le virus Zika en raison de symptômes similaires.
DengueZika
#5
Quel est le délai d'apparition des symptômes ?
Les symptômes apparaissent généralement 4 à 8 jours après la piqûre d'un moustique infecté.
IncubationChikungunya
Symptômes
5
#1
Quels sont les symptômes principaux de la fièvre chikungunya ?
Les symptômes incluent fièvre, douleurs articulaires, maux de tête et éruptions cutanées.
SymptômesChikungunya
#2
La douleur articulaire est-elle persistante ?
Oui, la douleur articulaire peut persister plusieurs mois après la guérison initiale.
ArthralgieChikungunya
#3
Y a-t-il des symptômes gastro-intestinaux ?
Des symptômes comme des nausées ou des vomissements peuvent survenir, mais sont moins fréquents.
Symptômes gastro-intestinauxChikungunya
#4
Les symptômes varient-ils selon l'âge ?
Les enfants et les personnes âgées peuvent présenter des symptômes plus sévères et prolongés.
ÂgeChikungunya
#5
Peut-on avoir des symptômes sans fièvre ?
Oui, certaines personnes peuvent éprouver des douleurs articulaires sans fièvre initiale.
ChikungunyaSymptômes
Prévention
5
#1
Comment prévenir la fièvre chikungunya ?
Évitez les piqûres de moustiques en utilisant des répulsifs et en portant des vêtements longs.
PréventionChikungunya
#2
Les moustiquaires sont-elles efficaces ?
Oui, les moustiquaires traitées avec insecticide protègent contre les piqûres de moustiques.
MoustiquairesChikungunya
#3
Faut-il éliminer les eaux stagnantes ?
Oui, éliminer les eaux stagnantes réduit les lieux de reproduction des moustiques.
Contrôle des vecteursChikungunya
#4
Les vaccins existent-ils pour cette maladie ?
Actuellement, il n'existe pas de vaccin approuvé contre la fièvre chikungunya.
VaccinsChikungunya
#5
Comment se protéger lors de voyages ?
Utilisez des répulsifs, portez des vêtements longs et choisissez des hébergements protégés.
VoyagesChikungunya
Traitements
5
#1
Quel est le traitement recommandé pour la fièvre chikungunya ?
Il n'existe pas de traitement antiviral spécifique; les soins sont symptomatiques.
TraitementChikungunya
#2
Les anti-inflammatoires sont-ils efficaces ?
Oui, les anti-inflammatoires non stéroïdiens peuvent soulager la douleur et l'inflammation.
Anti-inflammatoiresChikungunya
#3
Faut-il se reposer pendant la maladie ?
Un repos adéquat est conseillé pour aider à la récupération et réduire la fatigue.
ReposChikungunya
#4
Des remèdes naturels sont-ils utiles ?
Certains remèdes naturels peuvent aider à soulager les symptômes, mais peu de preuves existent.
Médecine alternativeChikungunya
#5
Quand consulter un médecin ?
Consultez un médecin si les symptômes s'aggravent ou si des complications apparaissent.
Consultation médicaleChikungunya
Complications
5
#1
Quelles sont les complications possibles de la fièvre chikungunya ?
Les complications incluent des douleurs articulaires chroniques et des problèmes neurologiques.
ComplicationsChikungunya
#2
La fièvre chikungunya peut-elle être mortelle ?
La fièvre chikungunya n'est généralement pas mortelle, mais des complications peuvent survenir.
MortalitéChikungunya
#3
Les personnes âgées sont-elles plus à risque ?
Oui, les personnes âgées peuvent développer des complications plus graves et prolongées.
Personnes âgéesChikungunya
#4
Y a-t-il des risques de co-infection ?
Oui, la co-infection avec d'autres virus comme la dengue peut compliquer le tableau clinique.
Co-infectionChikungunya
#5
Comment gérer les douleurs chroniques post-chikungunya ?
La gestion inclut des traitements anti-inflammatoires et des thérapies physiques.
Douleur chroniqueChikungunya
Facteurs de risque
5
#1
Qui est le plus à risque de contracter la maladie ?
Les personnes vivant dans des zones endémiques et celles exposées aux moustiques sont à risque.
Facteurs de risqueChikungunya
#2
Les femmes enceintes sont-elles plus vulnérables ?
Oui, les femmes enceintes peuvent avoir des complications plus graves et affecter le fœtus.
Femmes enceintesChikungunya
#3
Les personnes immunodéprimées sont-elles à risque ?
Oui, les personnes immunodéprimées peuvent développer des formes plus sévères de la maladie.
ImmunodépressionChikungunya
#4
Les enfants sont-ils plus touchés ?
Les enfants peuvent contracter la maladie, mais les symptômes sont souvent moins sévères.
EnfantsChikungunya
#5
Les voyages dans des zones endémiques augmentent-ils le risque ?
Oui, voyager dans des zones où le chikungunya est présent augmente le risque d'infection.
VoyagesChikungunya
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"text": "Les personnes vivant dans des zones endémiques et celles exposées aux moustiques sont à risque."
}
},
{
"@type": "Question",
"name": "Les femmes enceintes sont-elles plus vulnérables ?",
"position": 27,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les femmes enceintes peuvent avoir des complications plus graves et affecter le fœtus."
}
},
{
"@type": "Question",
"name": "Les personnes immunodéprimées sont-elles à risque ?",
"position": 28,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les personnes immunodéprimées peuvent développer des formes plus sévères de la maladie."
}
},
{
"@type": "Question",
"name": "Les enfants sont-ils plus touchés ?",
"position": 29,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les enfants peuvent contracter la maladie, mais les symptômes sont souvent moins sévères."
}
},
{
"@type": "Question",
"name": "Les voyages dans des zones endémiques augmentent-ils le risque ?",
"position": 30,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, voyager dans des zones où le chikungunya est présent augmente le risque d'infection."
}
}
]
}
]
}
Serviço de Reumatologia - Hospital das Clínicas da Universidade Federal de Pernambuco, Núcleo de Pesquisa em Inovação Terapêutica Suely Galdino (Nupit-SG)/ UFPE, Endereço: Av. Prof. Moraes Rego, 1235 - Cidade Universitária, Recife, PE, CEP: 50670-901, Brazil.
Serviço de Reumatologia - Hospital das Clínicas da Universidade Federal de Pernambuco, Núcleo de Pesquisa em Inovação Terapêutica Suely Galdino (Nupit-SG)/ UFPE, Endereço: Av. Prof. Moraes Rego, 1235 - Cidade Universitária, Recife, PE, CEP: 50670-901, Brazil. Electronic address: nara.gual@gmail.com.
Serviço de Reumatologia - Hospital das Clínicas da Universidade Federal de Pernambuco, Núcleo de Pesquisa em Inovação Terapêutica Suely Galdino (Nupit-SG)/ UFPE, Endereço: Av. Prof. Moraes Rego, 1235 - Cidade Universitária, Recife, PE, CEP: 50670-901, Brazil.
Serviço de Reumatologia - Hospital das Clínicas da Universidade Federal de Pernambuco, Núcleo de Pesquisa em Inovação Terapêutica Suely Galdino (Nupit-SG)/ UFPE, Endereço: Av. Prof. Moraes Rego, 1235 - Cidade Universitária, Recife, PE, CEP: 50670-901, Brazil.
Serviço de Reumatologia - Hospital das Clínicas da Universidade Federal de Pernambuco, Núcleo de Pesquisa em Inovação Terapêutica Suely Galdino (Nupit-SG)/ UFPE, Endereço: Av. Prof. Moraes Rego, 1235 - Cidade Universitária, Recife, PE, CEP: 50670-901, Brazil.
Programa de Pós-Graduação em Inovação Terapêutica (PPGIT)/ UFPE, Brazil; Núcleo de Pesquisa em Inovação Terapêutica - Sueli Galdino (Nupit-SG), Brazil.
KEMRI-Wellcome Trust Research Programme, P.O. Box 230-80108, Kilifi, Kenya. gwarimwe@kemri-wellcome.org.
Centre for Tropical Medicine and Global Health, University of Oxford, Old Road Campus, NDM Research Building, Oxford, OX3 7FZ, UK. gwarimwe@kemri-wellcome.org.
Institute for Medical Microbiology and Virology, University Hospital and Medical Faculty, University of Leipzig, Johannisallee 30, 04103 Leipzig, Germany.
Division of Infectious Diseases and Vaccinology, School of Public Health, University of California Berkeley, Berkeley, California, United States of America.
The purpose of this narrative review is to give an overview about the effects of multimodal prehabilitation and current existing and prospectively planned studies. The potential efficacy of exercise i...
Current studies show that prehabilitation is capable of reducing certain postoperative complications and length of hospital stay in certain patient populations. These findings are based on small to mi...
The concept of prehabilitation contains the features, namely preoperative exercise, nutritional intervention and psychological support. Preoperative exercise holds potential molecular effects that can...
There is lack of evidence regarding safety, effectiveness and applicability of prehabilitation on cardiac surgery population, particularly in patients candidates to cardiac valve replacement. The aim ...
Secondary analysis from a randomised controlled trial whose main objective was to analyze the efficacy of a 4-6 weeks multimodal prehabilitation program in cardiac surgery on reducing postoperative co...
68 patients were included in this secondary analysis, 34 (20 AoS and 14 MR) were allocated to the prehabilitation group and 34 (20 AoS and 14 MR) to control group. At baseline, patients with AoS had b...
A 4-6 week exercise training program is safe and overall improves functional capacity in patients with severe AoS and MR. However, exercise response is different according to the cardiac valve type di...
The study has been registered on the Registry of National Institutes of Health ClinicalTrials.gov (NCT03466606) (05/03/2018)....
Cardiopulmonary complications and cognitive impairment following craniotomy have a significantly impact on the general health of individuals with brain tumours. Observational research indicates that e...
In this randomised controlled trial, 160 participants with supratentorial brain tumours aged 18-65 years, with a preoperative waiting time of more than 3-4 weeks and without conditions that would inte...
The study protocol has been approved by Ethics Committee of Xiangya Hospital of Central South University (approval number: 202305117). The findings of the research will be shared via publications that...
NCT05930288....
Frailty is a strong predictor of adverse postoperative outcomes. Prehabilitation may improve outcomes after surgery for older people with frailty by addressing physical and physiologic deficits. The o...
We will conduct a multicentre, randomised controlled trial of home-based prehabilitation versus standard care among consenting patients >60 years with frailty (Clinical Frailty Scale...
Ethical approval has been granted by Clinical Trials Ontario (Project ID: 1785) and our ethics review board (Protocol Approval #20190409-01T). Results will be disseminated through presentation at scie...
NCT04221295....
To evaluate if the 5-factor modified frailty index (mFI) is associated with postoperative complications, readmissions or non-home discharge in gynecologic cancer patients undergoing surgery....
Patients with a diagnosis of gynecologic cancer (cervical, uterine, or ovarian cancer) who underwent surgery between 2014 and 2018 were identified through the National Surgical Quality Improvement Pro...
At total of 31,181 gynecologic cancer cases were included in the analysis: N = 2968 (9.4%) cervical, N = 20,862 (66.4%) uterine, and N = 7351 (23.4%) ovarian cancers. Of all patients, 46.1% were in ca...
The 5-factor mFI universally predicts postoperative readmissions, 30-day complications and non-home discharge in patients with gynecologic cancer. Incorporation of mFI into routine preoperative assess...
Lumbar disc disease is a leading cause of low back pain. Lumbar discectomy (LD) may be indicated if symptoms are not managed conservatively. Rehabilitation has traditionally been delivered postoperati...
To develop an understanding of patient and healthcare provider (HCP) experiences, perspectives and preferences of preoperative LD rehabilitation, including why patients do not attend....
A qualitative interpretive approach using focus groups and individual interviews....
Data were collected from; a) patients listed for surgery and attended the preoperative rehabilitation (October 2019 to March 2020), b) patients listed for surgery but did not attend rehabilitation, an...
Twenty participants were included, twelve patients and eight HCPs. The preoperative class was a valuable service for both patients and HCPs. It provided a solution to staffing and time pressures. It p...
For most patients and HCPs, the preoperative class was valuable. Addressing the challenges and barriers could improve attendance. Future research should focus on management of patient expectations and...
Age-related loss of skeletal muscle strength and mass is linked to adverse postoperative outcomes in older individuals with sarcopenia. Half of patients suffer from severe associated osteoarthritis re...
The current literature concerning the effectiveness of prehabilitation and dietary supplementation before knee arthroplasty in sarcopenic older individuals was reviewed, following the SANRA criteria, ...
Merged prehabilitation and dietary supplementation strategies extrapolated from the current literature and involving strength, resistance, balance, and flexibility training, as well as essential amino...
Addressing complex links between knee osteoarthritis and sarcopenia in older individuals undergoing knee arthroplasty requires a multidimensional approach. Prehabilitation emerges as a crucial prelimi...
Malignant hyperthermia (MH) is a life-threatening reaction triggered by volatile anesthetics and succinylcholine. MH is caused by mutations in the skeletal muscle ryanodine receptor (RYR1) gene, as is...
Recently, recommendations on perioperative care have been published to optimize postoperative outcomes in preoperative patients with inflammatory bowel disease. This study evaluated the current use of...
Patients with CD who underwent an elective ICR were identified from a Dutch prospective cohort study. Primary endpoint was to evaluate to what extent IBD-relevant PS were applied in patients with CD p...
In total, 109 CD patients were included. Screening of nutritional status was performed in 56% of the patients and revealed malnutrition in 46% of these patients. Of the malnourished patients, 46% was ...
PS are not routinely applied and not individually tailored in the preoperative setting prior to elective ICR in patients with CD. Prior to implementation, future research on the costs and effectivenes...
Multimodal prehabilitation, an emerging field within the Perioperative Medicine specialty, requires close multidisciplinary team coordination. The goal is to optimise the patient's health status in th...
One hundred patients undergoing major elective surgery (cardiac, colorectal, hepatobiliary-pancreatic and urology) will be recruited into a two-group, parallel, superiority, single-blinded randomised ...
The Joint CUHK-NTEC Clinical Research Ethics Committee approved the study protocol (CREC Ref. No. 2021.518-T). The findings will be presented at scientific meetings, in peer-reviewed journals and to s...
ChiCTR2100053637....