The 2020 Australian guideline for prevention, diagnosis and management of acute rheumatic fever and rheumatic heart disease.


Journal

The Medical journal of Australia
ISSN: 1326-5377
Titre abrégé: Med J Aust
Pays: Australia
ID NLM: 0400714

Informations de publication

Date de publication:
03 2021
Historique:
pubmed: 16 11 2020
medline: 24 3 2021
entrez: 15 11 2020
Statut: ppublish

Résumé

Acute rheumatic fever (ARF) and rheumatic heart disease (RHD) cause significant morbidity and premature mortality among Australian Aboriginal and Torres Strait Islander peoples. RHDAustralia has produced a fully updated clinical guideline in response to new knowledge gained since the 2012 edition. The guideline aligns with major international ARF and RHD practice guidelines from the American Heart Association and World Heart Federation to ensure best practice. The GRADE system was used to assess the quality and strength of evidence where appropriate. The 2020 Australian guideline details best practice care for people with or at risk of ARF and RHD. It provides up-to-date guidance on primordial, primary and secondary prevention, diagnosis and management, preconception and perinatal management of women with RHD, culturally safe practice, provision of a trained and supported Aboriginal and Torres Strait Islander workforce, disease burden, RHD screening, control programs and new technologies. Key changes include updating of ARF and RHD diagnostic criteria; change in secondary prophylaxis duration; improved pain management for intramuscular injections; and changes to antibiotic regimens for primary prevention. Other changes include an emphasis on provision of culturally appropriate care; updated burden of disease data using linked register and hospitalisations data; primordial prevention strategies to reduce streptococcal infection addressing household overcrowding and personal hygiene; recommendations for population-based echocardiographic screening for RHD in select populations; expanded management guidance for women with RHD or ARF to cover contraception, antenatal, delivery and postnatal care, and to stratify pregnancy risks according to RHD severity; and a priority classification system for presence and severity of RHD to align with appropriate timing of follow-up.

Identifiants

pubmed: 33190309
doi: 10.5694/mja2.50851
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

220-227

Subventions

Organisme : National Heart Foundation of Australia
Organisme : National Health and Medical Research Council
ID : 1142011

Informations de copyright

© 2020 AMPCo Pty Ltd.

Références

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Auteurs

Anna P Ralph (AP)

Menzies School of Health Research, Darwin, NT.

Sara Noonan (S)

RHDAustralia, Darwin, NT.

Vicki Wade (V)

RHDAustralia, Darwin, NT.

Bart J Currie (BJ)

Menzies School of Health Research, Darwin, NT.
Royal Darwin Hospital, Darwin, NT.

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