Prime

Type your tag names separated by a space and hit enter

The Identification of Risk Factors for Chronic Chikungunya Arthralgia in Grenada, West Indies: A Cross-Sectional Cohort Study.

Abstract

Background

Chikungunya virus (CHIKV) is a re-emerging arboviral pathogen. In 2014, an explosive CHIKV outbreak occurred in Grenada, West Indies, infecting approximately 60% of the population. In approximately 50% of cases, CHIKV infection transitions to painful arthralgia that can persist for years. Elucidation of the risk factors for chronic disease is imperative to the development of effective risk management strategies and specific therapeutics.

Methods

We conducted a cross-sectional study of 240 people who were tested for CHIKV during the outbreak. We administered questionnaires to examine demographic, behavioral, psychological, social, and environmental factors to identify associations with chronic disease. Physical examinations were performed and persistent symptoms were recorded.

Results

Ethnicity and socioeconomic status were not associated with risk of chronic joint pain. Female sex increased risk, and age was demonstrated to be predictive of chronic CHIKV sequelae. Mosquito avoidance behaviors did not reduce risk. Patients suffering joint pains, generalized body ache, and weakness in the extremities during acute infection were more likely to develop chronic arthralgia, and an increased duration of acute disease also increased risk.

Conclusions

These data demonstrate that chronic CHIKV affects people across the ethnic and socioeconomic spectrum, and it is not reduced by vector avoidance activity. Increased duration of acute symptoms, in particular acute joint pain, was strongly correlated with the risk of persistent arthralgia, thus effective clinical management of acute CHIKV disease could reduce burden of chronic CHIKV.

Links

  • PMC Free PDF
  • Authors+Show Affiliations

    ,

    Stanford University, School of Medicine, California. WINDREF, St. George's, Grenada.

    ,

    WINDREF, St. George's, Grenada. St. George's University, School of Medicine, Grenada.

    ,

    WINDREF, St. George's, Grenada. St. George's University, School of Medicine, Grenada.

    ,

    WINDREF, St. George's, Grenada.

    ,

    Stanford University, School of Medicine, California.

    ,

    Ministry of Health, St. George's, Grenada.

    ,

    WINDREF, St. George's, Grenada. St. George's University, School of Medicine, Grenada.

    Stanford University, School of Medicine, California.

    Source

    Open forum infectious diseases 5:1 2018 Jan pg ofx234

    Pub Type(s)

    Journal Article

    Language

    eng

    PubMed ID

    29308412