Dengue, Zika and chikungunya during pregnancy: pre- and post-travel advice and clinical management.

Details

Serval ID
serval:BIB_A8691B46321F
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
Dengue, Zika and chikungunya during pregnancy: pre- and post-travel advice and clinical management.
Journal
Journal of travel medicine
Author(s)
Vouga M., Chiu Y.C., Pomar L., de Meyer S.V., Masmejan S., Genton B., Musso D., Baud D., Stojanov M.
ISSN
1708-8305 (Electronic)
ISSN-L
1195-1982
Publication state
Published
Issued date
23/12/2019
Peer-reviewed
Oui
Volume
26
Number
8
Pages
1-13
Language
english
Notes
Publication types: Journal Article ; Review
Publication Status: ppublish
Abstract
Young adults of childbearing age and pregnant women are travelling more frequently to tropical areas, exposing them to specific arboviral infections such as dengue, zika and chikungunya viruses, which may impact ongoing and future pregnancies. In this narrative review, we analyse their potential consequences on pregnancy outcomes and discuss current travel recommendations.
Dengue virus may be associated with severe maternal complications, particularly post-partum haemorrhage. Its association with adverse fetal outcomes remains unclear, but prematurity, growth retardation and stillbirths may occur, particularly in cases of severe maternal infection. Zika virus is a teratogenic infectious agent associated with severe brain lesions, with similar risks to other well-known TORCH pathogens. Implications of chikungunya virus in pregnancy are mostly related to intrapartum transmission that may be associated with severe neonatal infections and long-term morbidity.
Few agencies provide specific travel recommendations for travelling pregnant patients or couples trying to conceive and discrepancies exist, particularly regarding Zika virus prevention. The risks significantly depend on epidemiological factors that may be difficult to predict. Prevention relies principally on mosquito control measures. Couples trying to conceive and pregnant women should receive adequate information about the potential risks. It seems reasonable to advise pregnant women to avoid unnecessary travel to Aedes spp. endemic regions. The current rationale to avoid travel and delay conception is debatable in the absence of any epidemic. Post-travel laboratory testing should be reserved for symptomatic patients.
Keywords
Chikungunya Fever/epidemiology, Dengue/epidemiology, Female, Humans, Pregnancy, Pregnancy Complications, Infectious/virology, Travel, Zika Virus Infection/epidemiology, Chikungunya, Dengue, Zika
Pubmed
Web of science
Open Access
Yes
Create date
17/10/2019 22:03
Last modification date
12/08/2020 6:22
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