Enteric pathogens and reactive arthritis

A systematic review of Campylobacter, Salmonella and Shigella-associated reactive arthritis

Anuli N. Ajene, Christa L. Fischer Walker, Robert E Black

Research output: Contribution to journalArticle

Abstract

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.

Original languageEnglish (US)
Pages (from-to)299-307
Number of pages9
JournalJournal of Health, Population and Nutrition
Volume31
Issue number3
StatePublished - 2013

Fingerprint

Reactive Arthritis
Shigella
Campylobacter
systematic review
arthritis
Salmonella
pathogens
incidence
burden of disease
Salmonella Infections
Incidence
infection
Diarrhea
diarrhea
public health
Public Health
planning
Joints
inflammation
Inflammation

Keywords

  • Campylobacter
  • Enteric infections
  • Incidence
  • Reactive arthritis
  • Salmonella
  • Shigella

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Food Science
  • Health, Toxicology and Mutagenesis

Cite this

Enteric pathogens and reactive arthritis : A systematic review of Campylobacter, Salmonella and Shigella-associated reactive arthritis. / Ajene, Anuli N.; Fischer Walker, Christa L.; Black, Robert E.

In: Journal of Health, Population and Nutrition, Vol. 31, No. 3, 2013, p. 299-307.

Research output: Contribution to journalArticle

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