Chikungunya medical therapy: Difference between revisions

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Revision as of 19:17, 5 June 2014

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Medical Therapy

There is no specific antiviral therapy. The treatment is symptomatic:
- Assess hydration and hemodynamic status and provide supportive care as needed
- Evaluate for other serious conditions (e.g., dengue, malaria, and bacterial infections) and treat or manage appropriately
- Collect specimens for diagnostic testing
- Use acetaminophen or paracetamol for initial fever and pain control
- If inadequate, consider using narcotics or NSAIDs
- If the patient may have dengue, do not use aspirin or other NSAIDs (e.g., ibuprofen, naproxen, toradol) until they have been afebrile ≥48 hours and have no warning signs for severe dengue*
- Persistent joint pain may benefit from use of NSAIDs, corticosteroids, or physiotherapy

References

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 ==Medical Therapy==
-There is no specific treatment for Chikungunya. [[Vaccine]] trials were carried out in 2000, but funding for the project was discontinued  and there is no vaccine currently available. A [[serology|serological]] test for Chikungunya is available from the University of Malaya in Kuala Lumpur, Malaysia.
-[[Chloroquine]] is gaining ground as a possible treatment for the symptoms associated with Chikungunya and as an antiviral agent to combat the Chikungunya virus. According to the University of Malaya, "In unresolved [[arthritis]] refractory to [[aspirin]] and nonsteroidal anti-inflammatory drugs, [[chloroquine]] phosphate (250 mg/day) has given promising results." [http://www.vadscorner.com/alphaviruses.html] Research by Italian scientist, Andrea Savarino, and his colleagues in addition a French government press release in March 2006 have added more credence to the claim that [[chloroquine]] may be effective in treating Chikungunya. The CDC fact sheet on Chikungunya advises against using Aspirin. Ibuprofen, Naproxen and other non-steroidal anti-inflammatory drugs are recommended for arthritic pain and fever.
+* There is no specific antiviral therapy. The treatment is symptomatic:
+** Assess hydration and hemodynamic status and provide supportive care as needed
-Infected persons should limit further exposure to mosquito bites, stay indoors and under a mosquito net. Further, "supportive care with rest is preferred during the acute [[joint]] symptoms. Movement and mild exercise tend to improve stiffness and morning [[arthralgia]], but heavy exercise may exacerbate [[rheumatism|rheumatic]] symptoms." [http://www.vadscorner.com/alphaviruses.html]
+** Evaluate for other serious conditions (e.g., dengue, malaria, and bacterial infections) and treat or manage appropriately
-Arthralgia remains troublesome even after 8 months.
+** Collect specimens for diagnostic testing
-In Andhra Pradesh patients use donkey milk as medicine.In Kerala patients have relief by honey/lime mix.Some people get relief by having turmeric in low volume.
+** Use acetaminophen or paracetamol for initial fever and pain control
-Homoeopathy claims to have successful treatment for chikungunya. As they treat on symptomatology and not the diagnosis, they claim to have many medicines successful for prevention and cure of chikungunya.
+** If inadequate, consider using narcotics or NSAIDs
+**If the patient may have dengue, do not use aspirin or other NSAIDs (e.g., ibuprofen, naproxen, toradol) until they have been afebrile ≥48 hours and have no warning signs for severe dengue*
+**Persistent joint pain may benefit from use of NSAIDs, corticosteroids, or physiotherapy
 ==References==

Chikungunya medical therapy: Difference between revisions

Revision as of 19:17, 5 June 2014

Medical Therapy

References

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