scholarly journals PERAN TINGKAT PENDIDIKAN TERAKHIR ORANG TUA TERHADAP PENYAKIT JANTUNG REMATIK PADA ANAK

e-CliniC ◽  
2015 ◽  
Vol 3 (1) ◽  
Author(s):  
Cynthia M. Tumbel ◽  
David Kaunang ◽  
Johnny Rompis
Keyword(s):  
Developing Countries ◽  
Heart Disease ◽  
Rheumatic Fever ◽  
Adult Population ◽  
Education Level ◽  
Autoimmune Reaction ◽  
Hemolytic Streptococcus ◽  
Class A ◽  
Beta Hemolytic Streptococcus ◽  
Rheumatic Heart

Abstract: Rheumatic heart disease (RHD) is an inflammatory process of the heart and scarring formation due to an autoimmune reaction against beta-hemolytic streptococcus class A infection. RHD is the most serious complication of rheumatic fever (RF). Rheumatic fever and its other complications including RHD, is a type of acquired heart disease that mostly found in children and young adult population. Acute rheumatic fever occurrs in 0.3 % of pharyngitis cases caused by beta-hemolytical streptococcus class A in children. In epidemiological view, the school age children (6-15 years) is the most often that experienced pharyngitis caused by Beta-hemolytic Streptococcus class A. In some developing countries, including Indonesia, RF and RHD are still important medical problems and public health problems. The high incidence of this disease in developing countries is related to the lack of public knowledge, education level, socioeconomic status, overcrowded, and lack of adequate health care. Conclusion: The parents’ education level is one of the factors that influence the occurence of RHD in children.Keywords: education level, rheumatic heart diseaseAbstrak: Penyakit jantung rematik (PJR) adalah peradangan jantung dan jaringan parut dipicu oleh reaksi autoimun terhadap infeksi streptokokus beta hemolitikus grup A. PJR merupakan komplikasi yang paling serius dari demam rematik. Penyakit DR dan gejala sisanya, yaitu PJR, merupakan jenis penyakit jantung didapat yang paling banyak dijumpai pada populasi anak-anak dan dewasa muda. DR akut terjadi pada 0,3% kasus faringitis oleh Streptokokus beta hemolitikus grup A pada anak. Secara epidemiologis kelompok umur yang paling sering mengalami faringitis yang disebabkan oleh Streptokokus beta hemolitikus grup A adalah usia sekolah (6-15 tahun). Di beberapa negara berkembang temasuk Indonesia, DR dan PJR masih merupakan masalah medis dan masalah kesehatan masyarakat yang penting. Tingginya angka kejadian di negara berkembang berhubungan dengan kurangnya pengetahuan masyarakat, tingkat pendidikan, status sosial ekonomi, kepadatan penduduk, serta kurangnya pelayanan kesehatan yang memadai. Simpulan: Tingkat pendidikan terakhir orang tua merupakan salah satu faktor yang berpengaruh terhadap kasus PJR pada anak.Kata kunci: tingkat pendidikan, penyakit jantung rematik

scholarly journals ASO, ASK and ADNase-B values in rheumatic fever, rheumatic heart disease and other infections by hemolytic streptococcus.

1980 ◽  
Vol 44 (10) ◽  
pp. 808-809 ◽  
Author(s):  
NOBUO WATANABE ◽  
AKIRA ARIMURA ◽  
MUNEMITSU KOBAYASHI ◽  
MASAHIRO OSHIMA
Keyword(s):  
Heart Disease ◽  
Rheumatic Fever ◽  
Rheumatic Heart Disease ◽  
Hemolytic Streptococcus ◽  
B Values ◽  
Rheumatic Heart

scholarly journals ROLE OF ECHOCARDIOGRAPHY IN DIAGNOSING SUBCLINICAL CASES OF ACUTE RHEUMATIC FEVER AND RHEUMATIC HEART DISEASE IN DEVELOPING COUNTRIES

2018 ◽  
Vol 7 (10) ◽  
pp. 1263-1267
Author(s):  
Shri Krishna Gautam ◽  
Jitendra Singh Kushwaha ◽  
Anjali Verma ◽  
Harshit Khare ◽  
Brijesh Kumar ◽  
...  
Keyword(s):  
Developing Countries ◽  
Heart Disease ◽  
Rheumatic Fever ◽  
Rheumatic Heart Disease ◽  
Acute Rheumatic Fever ◽  
Rheumatic Heart

scholarly journals Clinical profile of acute rheumatic fever patients attending a tertiary care hospital in eastern Bihar, India

2017 ◽  
Vol 4 (5) ◽  
pp. 1218
Author(s):  
Shanker Suman ◽  
Rakesh Kumar ◽  
Divya Jyoti ◽  
Pramod Kumar Agrawal ◽  
Vishal Parmar
Keyword(s):  
Heart Disease ◽  
Mitral Regurgitation ◽  
Rheumatic Fever ◽  
Aortic Regurgitation ◽  
Rheumatic Heart Disease ◽  
Joint Pain ◽  
Acute Rheumatic Fever ◽  
Care Hospital ◽  
Autoimmune Reaction ◽  
Rheumatic Heart

Background: Acute rheumatic fever (ARF) is a multisystem disease resulting from an autoimmune reaction to infection with group A beta haemolytic streptococcus. Acute rheumatic fever commonly occurs between 5-14 years of age.1 The major concern relating to acute rheumatic fever is often not the episode itself but the long-term consequences of damage to heart valves (Rheumatic heart disease (RHD) that often results from recurrent episodes of acute rheumatic fever. Rheumatic heart disease (RHD) continues to be a major public health problem and a common cause of morbidity and mortality in many parts of India.2Methods: 50 consecutive patients admitted with the diagnosis of acute rheumatic fever in Medicine Department, Katihar Medical College and Hospital, Bihar, India were studied. A detailed clinical history of these patients including presenting symptoms were noted. Physical examination of all systems was done and a diagnosis of acte rheumatic fever was made according to WHO Criteria (2002-2003) for the diagnosis of rheumatic fever and rheumatic heart disease (Based on the Revised Jones Criteria). Echocardiography of all 50 patients were done.Results: Mean age of patients diagnosed with ARF was 14.20±7.02 years. Out of 50 patients, 32 (64%) were female and 18 (36%) were male. Joint pain was the commonest presenting complain, 35 (70%) patients, followed by fever in 21 (42%) patients. Among Jones major manifestations 36 (72%) cases had carditis, 32 (64%) had arthritis, 6 (12%) had subcutaneous nodules, 5 (10%) had erythema marginatum and5(10%) had Sydenham’s chorea. In patients with carditis, 25 (69.44%) had mitral regurgitation (MR) only while 10 (27.77%) had MR with aortic regurgitation (AR) and 1 (2.77%) patient had organic tricuspid regurgitation (TR) with mitral regurgitation and aortic regurgitation. Out of 36 patients with carditis, 10 (27.77%) patients did not have any clinical evidence of carditis and were detected by echocardiography only.Conclusions: Commonest complain in patients with rheumatic fever was joint pain followed by fever. In patients with carditis, all had mitral regurgitation(MR), with 1/3rd of these patients having associated aortic regurgitation(AR). 1/3rd of patients with carditis were detected by echo only and therefore, echo should be included in diagnostic criteria for acute rheumatic fever. None of the patients who developed rheumatic fever was on penicillin prophylaxis.

scholarly journals Prophylaxis of Rheumatic Fever/Rheumatic Heart Disease–Penicillin or Azithromycin, Who Wins?

2021 ◽  
Author(s):  
Arati Lalchandani ◽  
Taruni Lalchandani ◽  
Lubna Ahmad ◽  
Devarth Lalchandani
Keyword(s):  
Heart Disease ◽  
Primary Prevention ◽  
Rheumatic Fever ◽  
Rheumatic Heart Disease ◽  
High Specificity ◽  
Secondary Prophylaxis ◽  
Specificity And Sensitivity ◽  
Beta Hemolytic Streptococcus ◽  
Group A ◽  
Rheumatic Heart

AbstractFor eradication of rheumatic fever (RF)/rheumatic heart disease (RHD), we must have a simplified diagnosis, and a treatment which is painless, easily available and safe; prophylaxis must be painless, safe, easily available, readily administered, and comprising a weekly oral single dose.Arati's regime for management of RF/RHD (ARMOR) consists of diagnosis and management of RF/RHD in today's context in a very easy and simplified way.ARMOR criteria: Arthritis or arthralgia with typical features suggestive of RF, carditis or cardiac involvement, typical of RF or RHD, and echocardiographic evidence of rheumatic heart valve involvement should essentially be the criteria to diagnose RF and RHD with high specificity and sensitivity.With regard to treatment of RF/RHD, we need a drug which is highly efficacious against Group A Beta Hemolytic Streptococcus (GABHS), which is the causative agent for primary prevention and treatment and secondary prophylaxis.The best drug discovered, to date, for GABHS is azithromycin.ARMOR for primary prevention, treatment and secondary prophylaxis of RF/RHD is as follows:Azithromycin must be given in a dose of 500 mg 1 tablet daily for 5 days, followed by 1 tablet once a week for 1 year.Penicillin for treatment and prophylaxis must be given up due to its lack of availability, side effects, risk of anaphylaxis, parenteral preparation, hazards of administration, need for sensitivity test each time, etc. and replaced by azithromycin.

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