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An Australian guideline for rheumatic fever and rheumatic heart disease: an abridged outline
Acute rheumatic fever (ARF) and rheumatic heart disease (RHD) are diseases of poverty. They occur at world‐record rates in Indigenous Australians, yet individual cases are often poorly managed, and most jurisdictions with high rates of these diseases do not have formal control strategies in place. N...
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Published in: | Medical journal of Australia 2007-06, Vol.186 (11), p.581-586 |
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creator | Carapetis, Jonathan R Brown, Alex Wilson, Nigel J Edwards, Keith N |
description | Acute rheumatic fever (ARF) and rheumatic heart disease (RHD) are diseases of poverty. They occur at world‐record rates in Indigenous Australians, yet individual cases are often poorly managed, and most jurisdictions with high rates of these diseases do not have formal control strategies in place.
New Australian guidelines formulated in 2005 by the National Heart Foundation of Australia and the Cardiac Society of Australia and New Zealand for diagnosis and management of ARF and RHD are a valuable resource for clinicians and policymakers.
Key recommendations of the guidelines include:
New diagnostic criteria for ARF in high‐risk populations, including Indigenous Australians, which include echocardiographic evidence of subclinical valvular disease, and polyarthralgia or aseptic monoarthritis as major manifestations.
Clear guidance about treatment of ARF. Non‐steroidal anti‐inflammatory drugs should be withheld until the diagnosis is confirmed, and corticosteroids may be an option in severe acute carditis. Most cases of chorea do not require medication, but use of carbamazepine or sodium valproate is recommended if medication is needed.
Clear guidance about dose, dosing frequency and duration of secondary prophylaxis. Benzathine penicillin G is the preferred medication for this purpose.
Establishment of a coordinated control program for all regions of Australia where there are populations with high prevalence of ARF and RHD. Key elements and indicators for evaluation are recommended.
Active screening and legislated notification of ARF and RHD, where possible.
Development of a structured care plan for all patients with a history of ARF or with established RHD, to be recorded in the patient's primary health care record. |
doi_str_mv | 10.5694/j.1326-5377.2007.tb01059.x |
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New Australian guidelines formulated in 2005 by the National Heart Foundation of Australia and the Cardiac Society of Australia and New Zealand for diagnosis and management of ARF and RHD are a valuable resource for clinicians and policymakers.
Key recommendations of the guidelines include:
New diagnostic criteria for ARF in high‐risk populations, including Indigenous Australians, which include echocardiographic evidence of subclinical valvular disease, and polyarthralgia or aseptic monoarthritis as major manifestations.
Clear guidance about treatment of ARF. Non‐steroidal anti‐inflammatory drugs should be withheld until the diagnosis is confirmed, and corticosteroids may be an option in severe acute carditis. Most cases of chorea do not require medication, but use of carbamazepine or sodium valproate is recommended if medication is needed.
Clear guidance about dose, dosing frequency and duration of secondary prophylaxis. Benzathine penicillin G is the preferred medication for this purpose.
Establishment of a coordinated control program for all regions of Australia where there are populations with high prevalence of ARF and RHD. Key elements and indicators for evaluation are recommended.
Active screening and legislated notification of ARF and RHD, where possible.
Development of a structured care plan for all patients with a history of ARF or with established RHD, to be recorded in the patient's primary health care record.</description><identifier>ISSN: 0025-729X</identifier><identifier>EISSN: 1326-5377</identifier><identifier>DOI: 10.5694/j.1326-5377.2007.tb01059.x</identifier><identifier>PMID: 17547548</identifier><identifier>CODEN: MJAUAJ</identifier><language>eng</language><publisher>Sydney: Australasian Medical Publishing Company</publisher><subject>Arthritis ; Australia ; Biological and medical sciences ; Cardiovascular disease ; Developing countries ; Disease prevention ; General aspects ; Health care access ; Heart ; Humans ; Indigenous health ; LDCs ; Medical sciences ; Native peoples ; Patients ; Pediatrics ; Penicillin ; Rheumatic fever ; Rheumatic Fever - diagnosis ; Rheumatic Fever - prevention & control ; Rheumatic Fever - therapy ; Rheumatic Heart Disease - diagnosis ; Rheumatic Heart Disease - prevention & control ; Rheumatic Heart Disease - therapy ; Serology</subject><ispartof>Medical journal of Australia, 2007-06, Vol.186 (11), p.581-586</ispartof><rights>2007 AMPCo Pty Ltd. All rights reserved</rights><rights>2007 INIST-CNRS</rights><rights>Copyright Australasian Medical Publishing Company Proprietary, Ltd. Jun 4, 2007</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4609-fb93349e391a819ce819873dda756c18ac9e43eb61859fd39674936ceb45a9e03</citedby><cites>FETCH-LOGICAL-c4609-fb93349e391a819ce819873dda756c18ac9e43eb61859fd39674936ceb45a9e03</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=18849479$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17547548$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Carapetis, Jonathan R</creatorcontrib><creatorcontrib>Brown, Alex</creatorcontrib><creatorcontrib>Wilson, Nigel J</creatorcontrib><creatorcontrib>Edwards, Keith N</creatorcontrib><creatorcontrib>Rheumatic Fever Guidelines Writing Group</creatorcontrib><title>An Australian guideline for rheumatic fever and rheumatic heart disease: an abridged outline</title><title>Medical journal of Australia</title><addtitle>Med J Aust</addtitle><description>Acute rheumatic fever (ARF) and rheumatic heart disease (RHD) are diseases of poverty. They occur at world‐record rates in Indigenous Australians, yet individual cases are often poorly managed, and most jurisdictions with high rates of these diseases do not have formal control strategies in place.
New Australian guidelines formulated in 2005 by the National Heart Foundation of Australia and the Cardiac Society of Australia and New Zealand for diagnosis and management of ARF and RHD are a valuable resource for clinicians and policymakers.
Key recommendations of the guidelines include:
New diagnostic criteria for ARF in high‐risk populations, including Indigenous Australians, which include echocardiographic evidence of subclinical valvular disease, and polyarthralgia or aseptic monoarthritis as major manifestations.
Clear guidance about treatment of ARF. Non‐steroidal anti‐inflammatory drugs should be withheld until the diagnosis is confirmed, and corticosteroids may be an option in severe acute carditis. Most cases of chorea do not require medication, but use of carbamazepine or sodium valproate is recommended if medication is needed.
Clear guidance about dose, dosing frequency and duration of secondary prophylaxis. Benzathine penicillin G is the preferred medication for this purpose.
Establishment of a coordinated control program for all regions of Australia where there are populations with high prevalence of ARF and RHD. Key elements and indicators for evaluation are recommended.
Active screening and legislated notification of ARF and RHD, where possible.
Development of a structured care plan for all patients with a history of ARF or with established RHD, to be recorded in the patient's primary health care record.</description><subject>Arthritis</subject><subject>Australia</subject><subject>Biological and medical sciences</subject><subject>Cardiovascular disease</subject><subject>Developing countries</subject><subject>Disease prevention</subject><subject>General aspects</subject><subject>Health care access</subject><subject>Heart</subject><subject>Humans</subject><subject>Indigenous health</subject><subject>LDCs</subject><subject>Medical sciences</subject><subject>Native peoples</subject><subject>Patients</subject><subject>Pediatrics</subject><subject>Penicillin</subject><subject>Rheumatic fever</subject><subject>Rheumatic Fever - diagnosis</subject><subject>Rheumatic Fever - prevention & control</subject><subject>Rheumatic Fever - therapy</subject><subject>Rheumatic Heart Disease - diagnosis</subject><subject>Rheumatic Heart Disease - prevention & control</subject><subject>Rheumatic Heart Disease - therapy</subject><subject>Serology</subject><issn>0025-729X</issn><issn>1326-5377</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><recordid>eNqVkd9L3TAUx4Ns6N3d_gUJwnxrTZqkaXwrMvcDhy8OfBBCmpxqLr2tJu3U_950t0zZ2yAkJzmfc_LlfBE6oiQXpeInm5yyoswEkzIvCJH52BBKhMqf9tDqb-odWhFSiEwW6voAfYhxk65UFHIfHVApeFrVCt3UPa6nOAbTedPj28k76HwPuB0CDncwbc3oLW7hNwRsevfm7Q5MGLHzEUyE05TEpgne3YLDwzTOTT6i963pInxazjX6df7l6uxbdnH59ftZfZFZXhKVtY1ijCtgipqKKgtpqyRzzkhRWloZq4AzaEpaCdU6pkrJFSstNFwYBYSt0fGu730YHiaIo976aKHrTA_DFLUkoiwkm8Gjf8DNMIU-adMFE5IqlpSs0ekOsmGIMUCr74PfmvCsKdGzAXqj5ynrecp6NkAvBuinVHy4_DA1W3CvpcvEE_B5AUy0pmuD6a2Pr1xVccWlSly94x59B8__IUH__FEXf2L2Agasou4</recordid><startdate>20070604</startdate><enddate>20070604</enddate><creator>Carapetis, Jonathan R</creator><creator>Brown, Alex</creator><creator>Wilson, Nigel J</creator><creator>Edwards, Keith N</creator><general>Australasian Medical Publishing Company</general><general>Australasian Medical Publishing Company Proprietary, Ltd</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>20070604</creationdate><title>An Australian guideline for rheumatic fever and rheumatic heart disease: an abridged outline</title><author>Carapetis, Jonathan R ; Brown, Alex ; Wilson, Nigel J ; Edwards, Keith N</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4609-fb93349e391a819ce819873dda756c18ac9e43eb61859fd39674936ceb45a9e03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Arthritis</topic><topic>Australia</topic><topic>Biological and medical sciences</topic><topic>Cardiovascular disease</topic><topic>Developing countries</topic><topic>Disease prevention</topic><topic>General aspects</topic><topic>Health care access</topic><topic>Heart</topic><topic>Humans</topic><topic>Indigenous health</topic><topic>LDCs</topic><topic>Medical sciences</topic><topic>Native peoples</topic><topic>Patients</topic><topic>Pediatrics</topic><topic>Penicillin</topic><topic>Rheumatic fever</topic><topic>Rheumatic Fever - diagnosis</topic><topic>Rheumatic Fever - prevention & control</topic><topic>Rheumatic Fever - therapy</topic><topic>Rheumatic Heart Disease - diagnosis</topic><topic>Rheumatic Heart Disease - prevention & control</topic><topic>Rheumatic Heart Disease - therapy</topic><topic>Serology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Carapetis, Jonathan R</creatorcontrib><creatorcontrib>Brown, Alex</creatorcontrib><creatorcontrib>Wilson, Nigel J</creatorcontrib><creatorcontrib>Edwards, Keith N</creatorcontrib><creatorcontrib>Rheumatic Fever Guidelines Writing Group</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Medical journal of Australia</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Carapetis, Jonathan R</au><au>Brown, Alex</au><au>Wilson, Nigel J</au><au>Edwards, Keith N</au><aucorp>Rheumatic Fever Guidelines Writing Group</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>An Australian guideline for rheumatic fever and rheumatic heart disease: an abridged outline</atitle><jtitle>Medical journal of Australia</jtitle><addtitle>Med J Aust</addtitle><date>2007-06-04</date><risdate>2007</risdate><volume>186</volume><issue>11</issue><spage>581</spage><epage>586</epage><pages>581-586</pages><issn>0025-729X</issn><eissn>1326-5377</eissn><coden>MJAUAJ</coden><abstract>Acute rheumatic fever (ARF) and rheumatic heart disease (RHD) are diseases of poverty. They occur at world‐record rates in Indigenous Australians, yet individual cases are often poorly managed, and most jurisdictions with high rates of these diseases do not have formal control strategies in place.
New Australian guidelines formulated in 2005 by the National Heart Foundation of Australia and the Cardiac Society of Australia and New Zealand for diagnosis and management of ARF and RHD are a valuable resource for clinicians and policymakers.
Key recommendations of the guidelines include:
New diagnostic criteria for ARF in high‐risk populations, including Indigenous Australians, which include echocardiographic evidence of subclinical valvular disease, and polyarthralgia or aseptic monoarthritis as major manifestations.
Clear guidance about treatment of ARF. Non‐steroidal anti‐inflammatory drugs should be withheld until the diagnosis is confirmed, and corticosteroids may be an option in severe acute carditis. Most cases of chorea do not require medication, but use of carbamazepine or sodium valproate is recommended if medication is needed.
Clear guidance about dose, dosing frequency and duration of secondary prophylaxis. Benzathine penicillin G is the preferred medication for this purpose.
Establishment of a coordinated control program for all regions of Australia where there are populations with high prevalence of ARF and RHD. Key elements and indicators for evaluation are recommended.
Active screening and legislated notification of ARF and RHD, where possible.
Development of a structured care plan for all patients with a history of ARF or with established RHD, to be recorded in the patient's primary health care record.</abstract><cop>Sydney</cop><pub>Australasian Medical Publishing Company</pub><pmid>17547548</pmid><doi>10.5694/j.1326-5377.2007.tb01059.x</doi><tpages>6</tpages></addata></record> |
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subjects | Arthritis Australia Biological and medical sciences Cardiovascular disease Developing countries Disease prevention General aspects Health care access Heart Humans Indigenous health LDCs Medical sciences Native peoples Patients Pediatrics Penicillin Rheumatic fever Rheumatic Fever - diagnosis Rheumatic Fever - prevention & control Rheumatic Fever - therapy Rheumatic Heart Disease - diagnosis Rheumatic Heart Disease - prevention & control Rheumatic Heart Disease - therapy Serology |
title | An Australian guideline for rheumatic fever and rheumatic heart disease: an abridged outline |
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