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COVID-19: Overview of rheumatology fellows
Andrea Garcia-Guillén1, Sicylle Jeria1, David Lobo-Prat1
1Servei de Reumatologia, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain.
Insights
The COVID-19 pandemic created a global health crisis, prompting rheumatologists to adapt and use their expertise in arthritis drugs to treat patients during the SARS-CoV-2 outbreak.
Area of Science:
- Infectious Diseases
- Rheumatology
- Public Health
Background:
- The COVID-19 pandemic, caused by SARS-CoV-2, emerged in December 2019, presenting a significant global health challenge.
- The pandemic has strained healthcare systems worldwide, highlighting the need for effective treatment strategies.
- A lack of randomized clinical trials for COVID-19 has led to varied treatment approaches globally, often relying on observational data and off-label drug use.
Purpose of the Study:
- To describe the experiences of rheumatologists on the front lines of the COVID-19 pandemic.
- To highlight the adaptation of rheumatology training and clinical activities in response to the pandemic.
- To explore the repurposing of existing rheumatologic drugs for the treatment of COVID-19.
Main Methods:
- Rheumatologists adapted clinical practices and training schedules to manage COVID-19 patients.
- Leveraged prior experience with drugs used for arthritis and giant cell arteritis.
- Applied these established treatments to manage COVID-19 cases.
Main Results:
- Rheumatologists actively participated in patient care during the pandemic.
- Clinical experience with managing inflammatory conditions informed COVID-19 treatment decisions.
- Existing rheumatologic medications were utilized in the therapeutic approach to COVID-19.
Conclusions:
- The COVID-19 pandemic necessitated rapid adaptation within the rheumatology field.
- Rheumatologists' expertise in managing immune-related diseases proved valuable in treating COVID-19.
- The study underscores the potential of repurposed drugs in managing novel infectious diseases.
Abstract:
SARS-COV-2 infection has spread worldwide since it originated in December 2019, in Wuhan, China. The pandemic has largely demonstrated the resilience of the world's health systems and is the greatest health emergency since World War II. There is no single therapeutic approach to the treatment of COVID-19 and the associated immune disorder. The lack of randomised clinical trials (RCTs) has led different countries to tackle the disease based on case series, or from results of observational studies with off-label drugs. We as rheumatologists in general, and specifically rheumatology fellows, have been on the front line of the pandemic, modifying our activities and altering our training itinerary. We have attended patients, we have learned about the management of the disease and from our previous experience with drugs for arthritis and giant cell arteritis, we have used these drugs to treat COVID-19.
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