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Ramadan fasting and infectious diseases: a systematic review
Nicola Luigi Bragazzi1, Walid Briki, Hicham Khabbache
1School of Public Health, University of Genoa, Genoa, Italy. robertobragazzi@gmail.com.
Journal of Infection in Developing Countries
|December 2, 2015
Summary
Patients with infectious diseases can fast during Ramadan with specific considerations. While some conditions like diabetes and active ulcers necessitate avoiding fasting, others like diarrhea and parasitic infections show minimal impact.
Area of Science:
- Infectious Diseases
- Public Health
- Islamic Studies
Background:
- Ramadan fasting is a religious duty for Muslims.
- Patients with infectious diseases may wish to fast but lack guidance.
- Physicians need evidence-based recommendations for these patients.
Purpose of the Study:
- To systematically review the impact of Ramadan fasting on patients with infectious diseases.
- To provide guidance for physicians managing such patients during Ramadan.
Main Methods:
- A systematic review of 51 articles was conducted.
- Literature was analyzed for findings on Ramadan fasting and various infectious conditions.
Main Results:
- Fasting is contraindicated for diabetic patients at risk of infection and those with active ulcers.
- Ramadan fasting has minimal impact on diarrheal patients.
- HIV patients require specific drug combinations and dietary advice (avoiding fatty meals).
- Anti-helminthic therapy effectiveness is unaffected by Ramadan fasting.
Conclusions:
- Physicians should assess individual patient risks before advising on Ramadan fasting.
- Tailored recommendations are necessary for patients with infectious diseases observing Ramadan.
- Further research may be needed for specific infectious disease management during fasting.
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