Clinical and epidemiological aspects of elderly patients with Chikungunya fever
DOI:
https://doi.org/10.15253/2175-6783.20192041184Keywords:
Chikungunya Fever; Aged; Epidemiology; Public Health Nursing.Abstract
Objectives: to characterize the clinical and epidemiological aspects of elderly people affected by Chikungunya fever. Methods: cross-sectional and retrospective study of confirmed cases of Chikungunya fever in elderly people. Frequencies and percentages were calculated for categorical variables. The chi-square test was used for intragroup comparisons of the proportional distribution of variables. Results: three hundred elderly were evaluated. There was a predominance of women (63.0%), with a mean age of 70.49 years, brown and black skin color (92.0%), living in the urban area (95.3%), reporting the disease in the chronic phase (57.3%), requiring hospitalization (74.3%), and with comorbidities (63.0%). The most prevalent symptoms were fever and arthralgia (100.0%), headache (98.0%), and low back pain (96.3%). Conclusion: cases of Chikungunya fever tend to be more severe in elderly patients and have greater clinical repercussions, especially with the presence of symptoms of pain.
References
Silva NM, Teixeira RAG, Cardoso CG, Siqueira Junior JB, Coelho GE, Oliveira ESF. Chikungunya surveillance in Brazil: challenges in the context of Public Health. Epidemiol Serv Saúde. 2018; 27(3):e2017127. doi: https://doi.org/10.5123/S1679-49742018000300003
Ministério da Saúde (BR). Secretaria de Vigilância em Saúde. Monitoramento dos casos de dengue, febre de Chikungunya e a doença aguda pelo vírus Zika até semana epidemiológica 49 [Internet]. 2018 [citado 2019 abr 30]. Disponível em: http://portalarquivos2.saude.gov.br/images/pdf/2019/janeiro/02/2018-067.pdf
Castro AP, Lima RA, Nascimento JS. Chikungunya: vision of the pain clinician. Rev Dor [Internet]. 2016 [citado 2019 abr 30]; 17(4):299-302. Disponível em: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-00132016000400299
Amaral JK, Taylor PC, Teixeira MM, Morrison TE, Schoen RT. The Clinical features, pathogenesis and methotrexate therapy of chronic Chikungunya arthritis. Viruses. 2019; 11(3):289. doi: https://doi.org/10.3390/v11030289
Van Aalst M, Nelen CM, Goorhuis A, Stijnis C, Grobusch MP. Long-term sequelae of chikungunya virus disease: A systematic review. Travel Med Infec Dis. 2017; 15:8-22. doi: http://dx.doi.org/10.1016/j.tmaid.2017.01.004
Masri H. Chikungunya virus in the geriatric patient: an imported case. JAMDA. 2015; 16(3):6. doi: http://doi.org/10.1016/j.jamda.2015.01.011
Reis CB, Jesus RS, Silva CSO, Pinho L. Health conditions of young and old elderly. Rev Rene. 2016; 17(1):120-7. doi: http://dx.doi.org/10.15253/2175-6783.2016000100016
Milte CM, Walker R, Luszcz MA, Lancsar E, Kaambwa B, Ratcliffe J. How important is health status in defining quality of life for older people? An exploratory study of the views of older South Australians. Appl Health Econ Health Policy. 2014; 12(1):73-84. doi: http://dx.doi.org/10.1007/s40258-013-0068-3
Almeida AV, Mafra SCT, Silva EP, Kanso SA. Feminização da Velhice: em foco as características socioeconômicas, pessoais e familiares das idosas e o risco social. Textos Contextos. 2015; 14(1):115-31. doi: http://dx.doi.org/10.15448/1677-9509.2015.1.19830
Fiorati RC, Arcêncio RA, Souza LB. Social inequalities and access to health: challenges for society and the nursing field. Rev Latino-Am Enfermagem. 2016; 24:e2687. doi: https://dx.doi.org/10.1590/1518-8345.0945.2687
Lesser J, Kitron U. A geografia social do zika no Brasil. Rev Estud Av. 2016; 30(88):167-75. doi: http://dx.doi.org/10.1590/s0103-40142016.30880012
Azevedo RSS, Oliveira CS, Vasconcelos PFC. Chikungunya risk for Brazil. Rev Saúde Pública. 2015; 49(58):1-6. doi: https://doi.org/10.1590/S0034-8910.2015049006219
Honório NA, Câmara DCP, Calvet GA, Brasil P. Chikungunya: an arbovirus infection in the process of establishment and expansion in Brazil. Cad Saúde Pública. 2015; 31(5):906-08. doi: http://dx.doi.org/10.1590/0102-311XPE020515
Marques CDL, Duarte ALBP, Ranzolin A, Dantas AT, Cavalcanti NG, Gonçalves RSG, et al. Recommendations of the Brazilian Society of Rheumatology for diagnosis and treatment of Chikungunya fever. Part 1 – Diagnosis and special situations. Rev Bras Reumatol. 2017; 57(2):421-37. doi: http://dx.doi.org/10.1016/j.rbre.2017.05.006
Ministério da Saúde (BR). Secretaria de Vigilância em Saúde. Febre Chikungunya: manejo clínico [Internet]. 2017 [citado 2019 abr 30]. Disponível em: http://bvsms.saude.gov.br/bvs/publicacoes/febre_chikungunya_manejo_clinico.pdf
Souza KMJ, Seixas CT, David HMSL, Costa AQ. Contributions of public health to nursing practice. Rev Bras Enferm. 2017; 70(3):543-49. doi: http://dx.doi.org/10.1590/0034-7167-2016-0401.
Paixão ES, Rodrigues LC, Costa MCN, Itaparica M, Barreto F, Gérardin P, et al. Chikungunya chronic disease: a systematic review and meta-analysis. Trans R Trop Med Hyg. 2018; 112(7):301-16. doi: https://doi.org/10.1093/trstmh/try063
Duvignaud A, Fianu A, Bertolotti A, Jaubert J, Michault A, Poubeau P, et al. Rheumatism and chronic fatigue, the two facets of post-chikungunya disease: the TELECHIK cohort study. Epidemiol Infect. 2018; 146(5):633-41 doi: http://dx.doi.org/10.1017/S0950268818000031
Marimoutou C, Ferraro J, Javelle E, Deparis X, Somin F. Chikungunya infection: selfreported rheumatic morbidity and impaired quality of life persist 6 years later. Clin Microbiol Infect. 2015; 21(7):688-93. doi: http://dx.doi.org/10.1016/j.cmi.2015.02.024
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2019 Rev Rene

This work is licensed under a Creative Commons Attribution 4.0 International License.