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Musculoskeletal corticosteroid injection during COVID-19 pandemic in Sabah: Is it safe?

Musculoskeletal corticosteroid injection is commonly used as an adjunct to help patients in pain management. In this current COVID-19 pandemic, many clinicians would differ from this treatment as steroid is considered an immunosuppressive drug and could risk the patient of developing severe adverse...

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Main Authors: Azwan Aziz, Mohamad, Abu Hanifah, Redzal, Mohd Nahar, Azmi Mohamed
Format: Article
Published: Hindawi 2021
Subjects:
R Medicine
RC Internal medicine
RC1200 Sports Medicine
Online Access:http://eprints.um.edu.my/35055/
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spelling my.um.eprints.350552022-09-17T10:18:58Z http://eprints.um.edu.my/35055/ Musculoskeletal corticosteroid injection during COVID-19 pandemic in Sabah: Is it safe? Azwan Aziz, Mohamad Abu Hanifah, Redzal Mohd Nahar, Azmi Mohamed R Medicine RC Internal medicine RC1200 Sports Medicine Musculoskeletal corticosteroid injection is commonly used as an adjunct to help patients in pain management. In this current COVID-19 pandemic, many clinicians would differ from this treatment as steroid is considered an immunosuppressive drug and could risk the patient of developing severe adverse effects if contracting COVID-19. This is a retrospective study based in Sabah, Malaysia, examining the prevalence of COVID-19 infection following musculoskeletal corticosteroid injection from 1 December 2019 until 30 June 2020 in the sports medicine clinic and the orthopedic clinic. Patients who received musculoskeletal corticosteroid injection were called by telephone and asked about visits to the emergency department or government health clinic for influenza-like illness symptoms or severe acute respiratory infection that would require screening of COVID-19. Thirty-five patients who responded to the call were included, with mean ages of 47.9 years +/- 15.1. 52% were male respondents, while 48% were female. 25% of them were diabetics, and 2.9% of them had a history of lymphoproliferative disorders. The mean pain score before injection was 6.74 +/- 1.03 and after injection pain was 2.27 +/- 1.63. In this study, there were 11.4% (n = 4) with minor complications of steroid injection, that is, skin discoloration. Nonetheless, there were no severe complications due to corticosteroids reported. There were no reported cases of COVID-19 among the respondents following corticosteroid injection. Musculoskeletal pain would affect a person's well-being and activities; thus, its management requires that careful consideration with risk-benefit analysis be made before administering musculoskeletal corticosteroid injection during COVID-19 pandemic. Hindawi 2021-03-29 Article PeerReviewed Azwan Aziz, Mohamad and Abu Hanifah, Redzal and Mohd Nahar, Azmi Mohamed (2021) Musculoskeletal corticosteroid injection during COVID-19 pandemic in Sabah: Is it safe? Advances in Orthopedics, 2021. ISSN 2090-3464, DOI https://doi.org/10.1155/2021/8863210 <https://doi.org/10.1155/2021/8863210>. 10.1155/2021/8863210
institution Universiti Malaya
building UM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Malaya
content_source UM Research Repository
url_provider http://eprints.um.edu.my/
topic R Medicine
RC Internal medicine
RC1200 Sports Medicine
spellingShingle R Medicine
RC Internal medicine
RC1200 Sports Medicine
Azwan Aziz, Mohamad
Abu Hanifah, Redzal
Mohd Nahar, Azmi Mohamed
Musculoskeletal corticosteroid injection during COVID-19 pandemic in Sabah: Is it safe?
description Musculoskeletal corticosteroid injection is commonly used as an adjunct to help patients in pain management. In this current COVID-19 pandemic, many clinicians would differ from this treatment as steroid is considered an immunosuppressive drug and could risk the patient of developing severe adverse effects if contracting COVID-19. This is a retrospective study based in Sabah, Malaysia, examining the prevalence of COVID-19 infection following musculoskeletal corticosteroid injection from 1 December 2019 until 30 June 2020 in the sports medicine clinic and the orthopedic clinic. Patients who received musculoskeletal corticosteroid injection were called by telephone and asked about visits to the emergency department or government health clinic for influenza-like illness symptoms or severe acute respiratory infection that would require screening of COVID-19. Thirty-five patients who responded to the call were included, with mean ages of 47.9 years +/- 15.1. 52% were male respondents, while 48% were female. 25% of them were diabetics, and 2.9% of them had a history of lymphoproliferative disorders. The mean pain score before injection was 6.74 +/- 1.03 and after injection pain was 2.27 +/- 1.63. In this study, there were 11.4% (n = 4) with minor complications of steroid injection, that is, skin discoloration. Nonetheless, there were no severe complications due to corticosteroids reported. There were no reported cases of COVID-19 among the respondents following corticosteroid injection. Musculoskeletal pain would affect a person's well-being and activities; thus, its management requires that careful consideration with risk-benefit analysis be made before administering musculoskeletal corticosteroid injection during COVID-19 pandemic.
format Article
author Azwan Aziz, Mohamad
Abu Hanifah, Redzal
Mohd Nahar, Azmi Mohamed
author_facet Azwan Aziz, Mohamad
Abu Hanifah, Redzal
Mohd Nahar, Azmi Mohamed
author_sort Azwan Aziz, Mohamad
title Musculoskeletal corticosteroid injection during COVID-19 pandemic in Sabah: Is it safe?
title_short Musculoskeletal corticosteroid injection during COVID-19 pandemic in Sabah: Is it safe?
title_full Musculoskeletal corticosteroid injection during COVID-19 pandemic in Sabah: Is it safe?
title_fullStr Musculoskeletal corticosteroid injection during COVID-19 pandemic in Sabah: Is it safe?
title_full_unstemmed Musculoskeletal corticosteroid injection during COVID-19 pandemic in Sabah: Is it safe?
title_sort musculoskeletal corticosteroid injection during covid-19 pandemic in sabah: is it safe?
publisher Hindawi
publishDate 2021
url http://eprints.um.edu.my/35055/
_version_ 1744649207086579712
score 13.211869

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