PRIMARY PREVENTION REDUCES THE RISK OF CARDITIS IN CHILDREN WITH ACUTE RHEUMATIC FEVER. A RETROSPECTIVE STUDY ON 53 ITALIAN CHILDREN

2016 ◽  
Author(s):  
Marco Cattalini
Keyword(s):  
Retrospective Study ◽  
Primary Prevention ◽  
Rheumatic Fever ◽  
Acute Rheumatic Fever ◽  
Italian Children

scholarly journals Toward the Knowledge of the Epidemiological Impact of Acute Rheumatic Fever in Italy

2021 ◽  
Vol 9 ◽  
Author(s):  
Antonino Maria Quintilio Alberio ◽  
Filippo Pieroni ◽  
Alessandro Di Gangi ◽  
Susanna Cappelli ◽  
Giulia Bini ◽  
...  
Keyword(s):  
Retrospective Study ◽  
High Risk ◽  
Rheumatic Fever ◽  
Acute Rheumatic Fever ◽  
Risk Group ◽  
Central Italy ◽  
Geographic Area ◽  
Joint Involvement ◽  
High Prevalence ◽  
Epidemiological Impact

Background: To estimate the incidence of Acute Rheumatic Fever (ARF) in Tuscany, a region of Central Italy, evaluating the epidemiological impact of the new diagnostic guidelines, and to analyse our outcomes in the context of the Italian overview.Methods: A multicenter and retrospective study was conducted involving children <18 years old living in Tuscany and diagnosed in the period between 2010 and 2019. Two groups were established based on the new diagnostic criteria: High-Risk (HR) group patients, n = 29 and Low-Risk group patients, n = 96.Results: ARF annual incidence ranged from 0.91 to 7.33 out of 100,000 children in the analyzed period, with peak of incidence registered in 2019. The application of HR criteria led to an increase of ARF diagnosis of 30%. Among the overall cohort joint involvement was the most represented criteria (68%), followed by carditis (58%). High prevalence of subclinical carditis was observed (59%).Conclusions: Tuscany should be considered an HR geographic area and HR criteria should be used for ARF diagnosis in this region.

scholarly journals A retrospective study: Acute rheumatic fever and post-streptococcal reactive arthritis in Japan

2017 ◽  
Vol 66 (4) ◽  
pp. 617-620 ◽  
Author(s):  
Satoshi Sato ◽  
Yoji Uejima ◽  
Eisuke Suganuma ◽  
Tadamasa Takano ◽  
Yutaka Kawano
Keyword(s):  
Retrospective Study ◽  
Rheumatic Fever ◽  
Reactive Arthritis ◽  
Acute Rheumatic Fever

scholarly journals A community-based program to reduce acute rheumatic fever and rheumatic heart disease in northern Australia

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Vicki Kerrigan ◽  
Angela Kelly ◽  
Anne Marie Lee ◽  
Valerina Mungatopi ◽  
Alice G. Mitchell ◽  
...  
Keyword(s):  
Heart Disease ◽  
Health Literacy ◽  
Primary Prevention ◽  
Rheumatic Fever ◽  
Rheumatic Heart Disease ◽  
Acute Rheumatic Fever ◽  
Aboriginal Peoples ◽  
Northern Australia ◽  
Aboriginal Community ◽  
Rheumatic Heart

Abstract Background In Australia’s north, Aboriginal peoples live with world-high rates of rheumatic heart disease (RHD) and its precursor, acute rheumatic fever (ARF); driven by social and environmental determinants of health. We undertook a program of work to strengthen RHD primordial and primary prevention using a model addressing six domains: housing and environmental support, community awareness and empowerment, health literacy, health and education service integration, health navigation and health provider education. Our aim is to determine how the model was experienced by study participants. Methods This is a two-year, outreach-to-household, pragmatic intervention implemented by Aboriginal Community Workers in three remote communities. The qualitative component was shaped by Participatory Action Research. Yarning sessions and semi-structured interviews were conducted with 14 individuals affected by, or working with, ARF/RHD. 31 project field reports were collated. We conducted a hybrid inductive-deductive thematic analysis guided by critical theory. Results Aboriginal Community Workers were best placed to support two of the six domains: housing and environmental health support and health navigation. This was due to trusting relationships between ACWs and families and the authority attributed to ACWs through the project. ACWs improved health literacy and supported awareness and empowerment; but this was limited by disease complexities. Consequently, ACWs requested more training to address knowledge gaps and improve knowledge transfer to families. ACWs did not have skills to provide health professionals with education or ensure health and education services participated in ARF/RHD. Where knowledge gain among participant family members was apparent, motivation or structural capability to implement behaviour change was lacking in some domains, even though the model was intended to support structural changes through care navigation and housing fixes. Conclusions This is the first multi-site effort in northern Australia to strengthen primordial and primary prevention of RHD. Community-led programs are central to the overarching strategy to eliminate RHD. Future implementation should support culturally safe relationships which build the social capital required to address social determinants of health and enable holistic ways to support sustainable individual and community-level actions. Government and services must collaborate with communities to address systemic, structural issues limiting the capacity of Aboriginal peoples to eliminate RHD.

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