The incidence of sexually acquired reactive arthritis: A systematic literature review

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dc.citation.issue11
dc.citation.volume35
dc.contributor.authorDenison HJ
dc.contributor.authorCurtis EM
dc.contributor.authorClynes MA
dc.contributor.authorBromhead C
dc.contributor.authorDennison EM
dc.contributor.authorGrainger R
dc.date.available2016-11
dc.date.available2016-07-19
dc.date.issued2016
dc.description.abstractReactive arthritis (ReA) is an inflammatory spondyloarthritis occurring after infection at a distant site. Chlamydia trachomatis is proposed to be the most common cause of ReA, yet the incidence of sexually acquired ReA (SARA) has not been well established. We therefore carried out a systematic literature review to collate and critically evaluate the published evidence regarding the incidence of SARA. MEDLINE and EMBASE databases were searched using free-text and MeSH terms relating to infection and ReA. The title and abstract of articles returned were screened independently by two reviewers and potentially relevant articles assessed in full. Data was extracted from relevant articles and a risk of bias assessment carried out using a validated tool. Heterogeneity of study methodology and results precluded meta-analysis. The search yielded a total of 11,680 articles, and a further 17 were identified from review articles. After screening, 55 papers were assessed in full, from which 3 met the relevant inclusion criteria for the review. The studies reported an incidence of SARA of 3.0-8.1 % and were found to be of low to moderate quality. More studies are required to address the lack of data regarding the incidence of SARA. Specific and sensitive classification criteria must be developed in order for consistent classification and valid conclusions to be drawn. In clinical practice, it is recommended clinicians discuss the possibility of ReA developing at the time of STI diagnosis and to encourage patients to return if they experience any relevant symptoms.
dc.description.publication-statusPublished
dc.format.extent2639 - 2648
dc.identifierhttp://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000386362000002&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=c5bb3b2499afac691c2e3c1a83ef6fef
dc.identifier.citationCLINICAL RHEUMATOLOGY, 2016, 35 (11), pp. 2639 - 2648
dc.identifier.doi10.1007/s10067-016-3364-0
dc.identifier.eissn1434-9949
dc.identifier.elements-id279433
dc.identifier.harvestedMassey_Dark
dc.identifier.issn0770-3198
dc.publisherSpringer
dc.relation.isPartOfCLINICAL RHEUMATOLOGY
dc.relation.urihttp://europepmc.org/articles/pmc5065716?pdf=render
dc.subjectIncidence
dc.subjectReactive arthritis < rheumatic diseases
dc.subjectSexually transmitted infections
dc.subjectSystematic review
dc.subject.anzsrc1103 Clinical Sciences
dc.titleThe incidence of sexually acquired reactive arthritis: A systematic literature review
dc.typeJournal article
pubs.notesNot known
pubs.organisational-group/Massey University
pubs.organisational-group/Massey University/College of Health
pubs.organisational-group/Massey University/College of Health/Research Centre for Hauora and Health
pubs.organisational-group/Massey University/College of Health/School of Health Science
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