TITLE:
Impact of the COVID-19 Pandemic on the Management Course of Paediatric Rheumatic Diseases in a Tertiary Care Hospital of Bangladesh
AUTHORS:
Mohammad Zahidul Islam, Muhammad Arif Hossain, Shafiqul Islam, Kamrul Laila, Shahana A. Rahman
KEYWORDS:
COVID-19, Pandemic, PRDs, Follow-Up, Compliance
JOURNAL NAME:
Open Journal of Pediatrics,
Vol.13 No.5,
September
5,
2023
ABSTRACT: Background: The COVID-19 pandemic had a significant impact on
every aspect of life. Like other chronic
diseases, pediatric rheumatic diseases (PRDs) also faced unique
challenges during the pandemic, including limited access to care, concerns
regarding infection risk, drug shortages and social isolation. Objective: The objective of the study was to identify the impact of the COVID-19 pandemic
on the management course of children with rheumatic diseases. Methods: This cross-sectional study was conducted in the department
of paediatrics, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka from
April 2021 to March 2022. Two hundred and twenty patients were enrolled. A
predesigned questionnaire was completed which included socio-demographic,
clinical and laboratory parameters. Disease activity was assessed clinically
and from laboratory profile. Data were calculated manually and by using SPSS
version 22. Z-proportion test and chi square test were done when applicable. Results: Among the enrolled PRD cases 87.7% were Juvenile Idiopathic
Arthritis (JIA), 7.7% were Systemic Lupus Erythematosus (SLE) and 4.6% were
other cases. Irregular follow-ups were found in 69.9% JIA cases, 82.4% SLE
cases and 60% other PRD cases. Poor drug compliance was present in 18.2% of
cases. A significant number of patients had higher disease activity or flare
during the COVID-19 pandemic. Conclusion: During COVID-19 pandemic most
(70.5%) of the PRD patients were irregular in their follow-ups. Poor drug
compliance was also more than in the pre-COVID period. Disease activity status
significantly worsened during this period.