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

Détails

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Etat: Public
Version: Final published version
Licence: CC BY-NC 4.0
ID Serval
serval:BIB_A8691B46321F
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Synthèse (review): revue aussi complète que possible des connaissances sur un sujet, rédigée à partir de l'analyse exhaustive des travaux publiés.
Collection
Publications
Institution
Titre
Dengue, Zika and chikungunya during pregnancy: pre- and post-travel advice and clinical management.
Périodique
Journal of travel medicine
Auteur(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
Statut éditorial
Publié
Date de publication
23/12/2019
Peer-reviewed
Oui
Volume
26
Numéro
8
Pages
1-13
Langue
anglais
Notes
Publication types: Journal Article ; Review
Publication Status: ppublish
Résumé
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.
Mots-clé
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
Oui
Création de la notice
17/10/2019 22:03
Dernière modification de la notice
15/01/2021 8:11
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