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Volume 23, Number 11—November 2017
CME ACTIVITY - Synopsis

Pregnant Women Hospitalized with Chikungunya Virus Infection, Colombia, 2015

Maria EscobarComments to Author , Albaro J. Nieto, Sara Loaiza-Osorio, Juan S. Barona, and Fernando Rosso
Author affiliations: Fundación Clínica Valle del Lili, Cali, Colombia (M. Escobar, A.J. Nieto, S. Loaiza-Osorio, F. Rosso); Icesi University, Cali (M. Escobar, A.J. Nieto, J.S. Barona, F. Rosso)

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Table 2

Criteria for severe acute maternal morbidity among 9 pregnant women with chikungunya virus infection who were admitted to intensive care, Colombia, 2015*

Criteria
No. (%) patients
Organ dysfunction† 7 (77.8)
Hepatic 2 (22.2)
Renal 3 (33.3)
Vascular
 2 (22.2)
Clinical diagnosis 9 (100)
Severe preeclampsia 3 (33.3)
Severe postpartum hemorrhage 1 (11.1)
Sepsis
 9 (100)
Interventions in critical care 9 (100)
Admission to intensive care unit 9 (100)
Transfusions of >3 units of red blood cells 2 (22.2)

*The World Health Organization’s definition for severe acute maternal morbidity was used (24,25).
†Hepatic dysfunction was defined as hyperbilirubinemia (bilirubin >100 µmol/L or 6 mg/dL). Renal dysfunction was defined as oliguria <400 mL that did not resolve after administration of fluids or diuretics. Vascular dysfunction was defined as hypovolemia requiring transfusion or use of vasoactives.

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Page updated: October 13, 2017
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