Please use this identifier to cite or link to this item: https://www.arca.fiocruz.br/handle/icict/16597
Title: Pharmacologic management of pain in patients with Chikungunya: a guideline
Authors: Brito, Carlos Alexandre Antunes de
Sohsten, Ana Karla Arraes von
Leitão, Clezio Cordeiro de Sá
Brito, Rita de Cássia Coelho Moraes de
Valadares, Lilian David de Azevedo
Fonte, Caroline Araújo Magnata da
Mesquita, Zelina Barbosa de
Cunha, Rivaldo Venâncio
Luz, Kleber
Leão, Helena Maria Carneiro
Brito, Cecília Moraes de
Frutuoso, Lívia Carla Vinhal
Affilliation: Universidade Federal de Pernambuco. Departamento de Medicina Clínica. Recife, PE, Brasil.
Real Hospital Português de Beneficência em Pernambuco. Instituto de Tratamento da Dor. Recife, PE, Brasil.
Universidade Federal de Pernambuco. Departamento de Medicina Clínica. Recife, PE, Brasil.
Universidade de Pernambuco. Departamento de Pediatria. Recife, PE, Brasil.
Hospital Agamenom Magalhães. Departamento de Reumatologia. Recife, PE, Brasil.
Hospital Getúlio Vargas. Departamento de Reumatologia. Recife, PE, Brasil.
Instituto de Medicina Integral Professor Fernando Figueira. Departamento de Pediatria. Recife, PE, Brasil.
Fundação Oswaldo Cruz, Mato Grosso do Sul. Campo Grande, MS, Brasil / Universidade Federal de Mato Grosso do Sul. Departamento de Infectologia. Campo grande, MS, Brasil.
Universidade Federal do Rio Grande do Norte. Departamento de Infectologia. Natal, RN, Brasil.
Conselho Regional de Medicina de Pernambuco. Escola Superior de Ética e Bioética. Recife, PE, Brasil.
Universidade de Pernambuco. Curso de Graduação em Medicina, Recife, PE, Brasil.
Ministério da Saúde. Programa Nacional de Controle da Dengue. Brasília, DF, Brasil.
Abstract: Abstract From the arrival of Chikungunya virus in the Americas in 2013 until March 2016, approximately two million cases of the disease have been reported. In Brazil, the virus was identifi ed in 2014 and thousands of people have been affected. The disease has high attack rates, infecting 50% of a population within a few months. Approximately 50% of infected people develop chronic symptoms lasting for months or years. Joint involvement is the main clinical manifestation of Chikungunya. It is characterized by swelling and intense pain that is poorly responsive to analgesics, both in the acute and chronic phase of the disease. This signifi cantly compromises quality of life and may have immeasurable psychosocial and economic repercussions, constituting therefore, a serious public health problem requiring a targeted approach. Physicians are often not familiar with how to approach the management of pain, frequently prescribing limited analgesics, such as dipyrone, in sub-therapeutic doses. In addition, there are few published studies or guidelines on the approach to the treatment of pain in patients with Chikungunya. Some groups of specialists from different fi elds have thus developed a protocol for the pharmacologic treatment of Chikungunya-associated acute and chronic joint pain; this will be presented in this review.
Keywords: Chikungunya
Chikungunya virus
Arthralgia
Arbovirus
Treatment
Pain
keywords: Chikungunya
Vírus Chikungunya
Febre de Chikungunya
Artralgia
Dor
Tratamento
DeCS: Vírus Chikungunya
Febre de Chikungunya
Artralgia
Dor
Issue Date: 2016
Publisher: Universidade Federal do Triângulo Mineiro
Citation: BRITO, Carlos Alexandre Antunes de; SOHSTEN, Ana Karla Arraes von; LEITÃO, Clezio Cordeiro de Sá; BRITO, Rita de Cássia Coelho Moraes de; VALADARES, Lilian David de Azevedo; FONTE, Caroline Araújo Magnata da; MESQUITA, Zelina Barbosa de; CUNHA, Rivaldo Venâncio; LUZ, Kleber; LEÃO, Helena Maria Carneiro; BRITO, Cecília Moraes de; FRUTUOSO, Lívia Carla Vinhal. Pharmacologic management of pain in patients with Chikungunya: a guideline. Revista da Sociedade Brasileira de Medicina Tropical, Uberaba, MG, v. 49, n. 6, p. 668-679, Nov./Dec. 2016.
DOI: 10.1590/0037-8682-0279-2016
ISSN: 0037-8682
Copyright: open access
Appears in Collections:MS - Artigos de Periódicos

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