Enteric Pathogens and Reactive Arthritis: A Systematic Review of Campylobacter , Salmonella and Shigella -associated Reactive Arthritis

Reactive arthritis (ReA) is a spondyloarthropathic disorder characterized by inflammation of the joints and tissues occurring after gastrointestinal or genitourinary infections. Diagnostic criteria for ReA do not exist and, therefore, it is subject to clinical opinion resulting in cases with a wide...

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Bibliographic Details
Published in:Journal of health, population and nutrition population and nutrition, 2013-09, Vol.31 (3), p.299-307
Main Authors: Ajene, Anuli N, Walker, Christa L. Fischer, Black, Robert E
Format: Article
Language:English
Subjects:
Arthritis
Arthritis, Infectious
Arthritis, Reactive - epidemiology
Bacterial infections
Burden
Campylobacter
Campylobacter Infections - epidemiology
Care and treatment
Causality
Control
Diagnosis
Dysentery, Bacillary - epidemiology
Enteric infections
Enterobacteriaceae infections
Health aspects
Humans
Incidence
Infection
Infectious arthritis
Inflammation
Internationality
Pathogens
Public health
Reactive arthritis
Review
Salmonella
Salmonella Infections - epidemiology
Shigella
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Description
Summary:Reactive arthritis (ReA) is a spondyloarthropathic disorder characterized by inflammation of the joints and tissues occurring after gastrointestinal or genitourinary infections. Diagnostic criteria for ReA do not exist and, therefore, it is subject to clinical opinion resulting in cases with a wide range of symptoms and definitions. Using standardized diagnostic criteria, we conducted a systematic literature review to establish the global incidence of ReA for each of the three most commonly-associated enteric pathogens: Campylobacter , Salmonella and Shigella . The weighted mean incidence of reactive arthritis was 9, 12, and 12 cases per 1,000 cases of Campylobacter, Salmonella and Shigella infections respectively. To our knowledge, this is the first systematic review of worldwide data that use well-defined criteria to characterize diarrhoea-associated ReA. This information will aid in determining the burden of disease and act as a planning tool for public-health programmes.
ISSN:1606-0997
2072-1315
DOI:10.3329/jhpn.v31i3.16515