Primary prevention of acute rheumatic fever.

Australia Humans Primary Prevention Rheumatic Fever / prevention & control Rheumatic Heart Disease / prevention & control Streptococcal Infections / drug therapy

Journal

Australian journal of general practice
ISSN: 2208-7958
Titre abrégé: Aust J Gen Pract
Pays: Australia
ID NLM: 101718099

Informations de publication

Date de publication:
05 2021
Historique:
entrez: 30 4 2021
pubmed: 1 5 2021
medline: 25 11 2021
Statut: ppublish

Résumé

Acute rheumatic fever (ARF) is an abnormal immune reaction following Streptococcus pyogenes (Strep A) infection of the throat, and likely the skin. Primary prevention is the prompt and appropriate antibiotic treatment of Strep A infection, and it can reduce the risk of developing ARF and subsequent rheumatic heart disease. This article explores current recommendations for primary prevention of ARF in Australia. People at increased risk of ARF should be offered empirical antibiotic treatment of Strep A infections to reduce this risk. People at increased ARF risk include young Aboriginal and Torres Strait Islander people in remote Australia as well as those with a personal or family history of ARF and people from migrant communities in urban areas, including Māori and Pacific Island people. Risk-stratified primary prevention can reduce the inequitable burden of ARF and rheumatic heart disease in Australia.

Sections du résumé

BACKGROUND
Acute rheumatic fever (ARF) is an abnormal immune reaction following Streptococcus pyogenes (Strep A) infection of the throat, and likely the skin. Primary prevention is the prompt and appropriate antibiotic treatment of Strep A infection, and it can reduce the risk of developing ARF and subsequent rheumatic heart disease.
OBJECTIVE
This article explores current recommendations for primary prevention of ARF in Australia.
DISCUSSION
People at increased risk of ARF should be offered empirical antibiotic treatment of Strep A infections to reduce this risk. People at increased ARF risk include young Aboriginal and Torres Strait Islander people in remote Australia as well as those with a personal or family history of ARF and people from migrant communities in urban areas, including Māori and Pacific Island people. Risk-stratified primary prevention can reduce the inequitable burden of ARF and rheumatic heart disease in Australia.

Identifiants

DOI: 10.31128/AJGP-02-21-5852 PMID: 33928273
pubmed: 33928273
doi: 10.31128/AJGP-02-21-5852
doi:

Types de publication

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

Langues

eng

Sous-ensembles de citation

IM

Pagination

265-269

Commentaires et corrections

Type : CommentIn

Auteurs

Rosemary Wyber (R)

MBChB, MPH, FRACGP, The George Institute for Global Health, NSW; END RHD Head of Strategy, Telethon Kids Institute, WA; Senior Adjunct Research Fellow, University of Western Australia, WA.

Asha C Bowen (AC)

BA, MBBS, DCH, FRACP, PhD, Head, Skin Health Wesfarmers Centre for Vaccines and Infectious Diseases, Telethon Kids Institute, WA; Associate Professor, University of Western Australia, WA; Paediatric Infectious Diseases Specialist, Perth Children@s Hospital, WA; Honorary Fellow, Menzies School of Health Research, Charles Darwin University, NT.

Anna P Ralph (AP)

BMedSci, MPH, DTMH, FRACP, PhD, Professor, Head of Global Health Division and Senior Clinical Research Fellow, Menzies School of Health Research, Charles Darwin University, NT; General Medicine and Infectious Diseases Specialist, Royal Darwin Hospital, NT.

David Peiris (D)

MBBS, MIPH, PhD, FRACGP, FARGP, Director, Global Primary Health Care Program The George Institute for Global Health, NSW; Professor, Faculty of Medicine, The University of New South Wales, NSW; General Practitioner, Glebe Family Medical Practice, NSW.

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Classifications MeSH

questionsmedicales.fr › Régions géographiques › Océanie › Australasie › Australie › Primary prevention of acute rheumatic fever.
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Primary prevention of acute rheumatic fever.
questionsmedicales.fr › Environnement et santé publique › Santé publique › Pratiques en santé publique › Prévention primaire › Primary prevention of acute rheumatic fever.
questionsmedicales.fr › Maladies de la peau et du tissu conjonctif › Maladies du tissu conjonctif › Rhumatismes › Rhumatisme articulaire aigu › Primary prevention of acute rheumatic fever.
questionsmedicales.fr › Maladies cardiovasculaires › Cardiopathies › Rhumatisme cardiaque › Primary prevention of acute rheumatic fever.
questionsmedicales.fr › Infection › Infections bactériennes et mycoses › Infections bactériennes › Infections bactériennes à Gram positif › Infections à streptocoques › Primary prevention of acute rheumatic fever.