Knowledge and Perceptions of Reactive Arthritis Diagnosis and Management Among Healthcare Workers During the COVID-19 Pandemic: Online Survey
Bekaryssova D. Joshi M. Gupta L. Yessirkepov M. Gupta P. Zimba O. Gasparyan A.Y. Ahmed S. Kitas G.D. Agarwal V.
2022Korean Academy of Medical Science
Journal of Korean Medical Science
2022#37Issue 50
Background: Reactive arthritis (ReA) is an often neglected disease that received some attention during the coronavirus disease 2019 (COVID-19) pandemic. There is some evidence that infection with severe acute respiratory syndrome coronavirus 2 can lead to “reactive” arthritis. However, this does not follow the classical definition of ReA that limits the organisms leading to this condition. Also, there is no recommendation by any international society on the management of ReA during the current pandemic. Thus, a survey was conducted to gather information about how modern clinicians across the world approach ReA. Methods: An e-survey was carried out based on convenient sampling via social media platforms. Twenty questions were validated on the pathogenesis, clinical presentation, and management of ReA. These also included information on post-COVID-19 arthritis. Duplicate entries were prevented and standard guidelines were followed for reporting internet-based surveys. Results: There were 193 respondents from 24 countries. Around one-fifth knew the classical definition of ReA. Nearly half considered the triad of conjunctivitis, urethritis and asymmetric oligoarthritis a “must” for diagnosis of ReA. Other common manifestations reported include enthesitis, dermatitis, dactylitis, uveitis, and oral or genital ulcers. Three-fourths opined that no test was specific for ReA. Drugs for ReA were non-steroidal anti-inflammatory drugs, intra-articular injections, and conventional disease-modifying agents with less than 10% supporting biological use.Conclusion: The survey brought out the gap in existing concepts of ReA. The current definition needs to be updated. There is an unmet need for consensus recommendations for the management of ReA, including the use of biologicals.
Covid-19 , Definition , Post-infectious arthritis , Reactive arthritis , Surveys and questionnaires , Treatment
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Department of Biology and Biochemistry, South Kazakhstan Medical Academy, Shymkent, Kazakhstan
Byramjee Jeejeebhoy Government Medical College and Sassoon General Hospitals, Pune, India
Department of Clinical Immunology and Rheumatology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India
Department of Rheumatology, Royal Wolverhampton Hospitals NHS Trust, Wolverhampton, United Kingdom
Department of Rheumatology, City Hospital, Sandwell and West Birmingham Hospitals NHS Trust, Birmingham, United Kingdom
Division of Musculoskeletal and Dermatological Sciences, Centre for Musculoskeletal Research, School of Biological Sciences, The University of Manchester, Manchester, United Kingdom
Virgen Milagrosa University Foundation College of Medicine, San Carlos City,Pangasinan, Philippines
Department of Internal Medicine #2, Danylo Halytsky Lviv National Medical University, Lviv, Ukraine
Departments of Rheumatology and Research and Development, Dudley Group NHS Foundation Trust (Teaching Trust of the University of Birmingham,UK), Russells Hall Hospital, Dudley, United Kingdom
Department of Clinical Immunology and Rheumatology, Kalinga Institute of Medical Sciences (KIMS), KIIT University, Bhubaneswar, India
Department of Biology and Biochemistry
Byramjee Jeejeebhoy Government Medical College and Sassoon General Hospitals
Department of Clinical Immunology and Rheumatology
Department of Rheumatology
Department of Rheumatology
Division of Musculoskeletal and Dermatological Sciences
Virgen Milagrosa University Foundation College of Medicine
Department of Internal Medicine #2
Departments of Rheumatology and Research and Development
Department of Clinical Immunology and Rheumatology
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