Covid-19 Pandemic Recommendations for Rheumatology Patients

  • Up to date monitoring of recommendations from the Ministry of Health/National Public health body

  • Make sure to follow all hygiene recommendations carefully. The new coronavirus can be found on handles, doorknobs, light switches, mobile phones, computer keyboards, remote controls, keys, elevator buttons, toilets, sinks, tables, hard seats, etc. Please note that it can survive on surfaces for hours. Simple measures are likely to help protect your health and the health of your family and friends:

    • Wash your hands regularly for at least 20 seconds, using soap and water. Then dry your hands thoroughly.

    • Avoid touching your face.

    • Coughing or sneezing should be directed towards your elbow or into a tissue. secretions should be disposed of safely.

    • Prefer disposable wipes.

    • Wear a mask. A mask cannot completely prevent virus transmission, but it is a good reminder not to touch your face and warns others that you may not be well.

    • It is especially appropriate to avoid people who appear to be ill (e.g. fever, coughing or sneezing). Keep social distances. A distance of two meters is recommended.

    • We should greet each other without shaking hands and avoid hugging.

  • For children who currently have rheumatic disease and are receiving medication, we recommend that you continue all treatments as usual.

  • Methotrexate (MTX) without consulting your rheumatologist. Do not interrupt your treatment, including biological drugs. This may cause an exacerbation of your rheumatic disease.

  • If you are receiving corticosteroid treatment – ​​consult your rheumatologist for possible dose adjustment.

  • In this process, our patients use ibuprofen. If you are using medications containing (ibufen, dolven, pedifen, brufen, etc.), we recommend that you consult your rheumatologist.

  • Patients in isolation or quarantine (without symptoms) should continue treatment as usual.

  • In case of fever and suspicion of infectious diseases, access to healthcare and follow national health agency advice to test for Covid-19. In the meantime, continue MTX and, if you are taking biologics, contact your rheumatologist for a consultation

  • If you have a routine rheumatology appointment, ask your primary care physician or rheumatologist if this is necessary or when it is safe to do so. Ask if it can be delayed in some way or done by phone or other remote communication device. This may vary depending on presence in different healthcare settings.

  • For all individuals, including patients with pediatric rheumatic diseases: avoid unnecessary travel and crowds.

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