Send the link below via email or IMCopy
Present to your audienceStart remote presentation
- Invited audience members will follow you as you navigate and present
- People invited to a presentation do not need a Prezi account
- This link expires 10 minutes after you close the presentation
- A maximum of 30 users can follow your presentation
- Learn more about this feature in our knowledge base article
Do you really want to delete this prezi?
Neither you, nor the coeditors you shared it with will be able to recover it again.
Make your likes visible on Facebook?
Connect your Facebook account to Prezi and let your likes appear on your timeline.
You can change this under Settings & Account at any time.
Management & Prevention of Rheumatic Heart Disease
Transcript of Management & Prevention of Rheumatic Heart Disease
Adam Trebilco Management & Prevention
of Rheumatic Heart Disease caused by acute rheumatic fever
autoimmune reaction to group
A streptococcol infection
antibodies react with tissue glycoproteins in heart, joints, skin and nervous system what is it? - definition
- examples of the evidence
- quality of the evidence
- clinicians practice
- & barriers group A
streptococcal pharangitis mitral & aortic stenosis mitral & aortic regurgitation Aschoff bodies this is rheumatic heart disease endocarditis
mitral & aortic stenosis
mitral & aortic regurgitation who has rheumatic heart disease? rare in wealthy countries
primarily in developing countries
indigenous populations more commonly affected
due to poor hygiene and health care access mortality is 23 times higher in Aboriginals youth is highly susceptible preventable 15.6 million
people globally 230,000
annually 2% of
Aboriginal population in NT evidence? examples clinicians... barriers? questions? there is a large amount of evidence available concerning ARF/RHD
while in a few areas, the available evidence of poor quality or is too old to meet current standards, most is good quality, high level evidence. difficult to ascertain
after introduction of register-based control programs, recurrence rates reduced and prophylaxis adherence improved.
we can assume that the improvement in outcomes is related to reasonable levels of adherence by clinicians. strategies for preventing RHD is not adequately implemented in populations with high risk of the disease
inconsistencies of management in RHD, resulting in inappropriate management
limited access to healthcare services for populations experiencing the highest rate of RHD systematic review on penicillin for secondary prevention for prevention of RHD.
randomised controlled trials assessing the effects of anti-inflammatory agents for preventing or reducing further heart valve damage in patients.
randomised controlled trial to investigate RF prevention by treating streptococcal pharyngitis in school- and/or community-based programs.
the Challenge of Acute Rheumatic Fever Diagnosis in a High-Incidence Population: A Prospective Study and Proposed Guidelines for Diagnosis in Australia's Northern Territory
references Adam Education (2012). Aortic Regurgitation [Image]. Retrieved October 8, 2012, from http://www.adamimages.com/
Adam Education (2012). Mitral Stenosis [Image]. Retrieved October 8, 2012, from http://www.adamimages.com/
American College of Rheumatology (2011). Rheumatology Image Bank [Image]. Retrieved October 8, 2012, from http://images.rheumatology.org/
Asset Wise (n.d.) [Image]. Retrieved October 8, 2012, from http://www.assetwise.net.au/health_check.htm
Australian Institute of Health and Welfare. (n.d.). Chronic disease indicators database: Acute rheumatic fever and rheumatic heart disease. Retrieved October 6, 2012, from http://www.aihw.gov.au/WorkArea/DownloadAsset.aspx?id=6442458435
Carapetis, J. R., McDonald, M., & Wilson, N. J. (2005). Acute rheumatic fever. Lancet, 366(9480), 155-168. doi: 10.1016/S0140-6736(05)66874-2
Cilliers, A., Manyemba, J., Adler, A., & Salogee, H. (2009). Anti-inflammatory treatment for carditis in acute rheumatic fever. Cochrane Database of Systematic Reviews (Online). doi: 10.1002/14651858.CD003176.pub2
Craft, J., Gordon, C., & Tiziani, A. (2011). Understanding pathophysiology. Chatswood, N.S.W: Elsevier Australia.
Design Swan (n.d.) 3D Book [Image]. Retrieved October 8, 2012, from http://www.designswan.com
Harrington, Z., Thomas, D., Currie, B., & Bulkanhawuy, J. (2006). Challenging perceptions of non-compliance with rheumatic fever prophylaxis in a remote Aboriginal community. Medical Journal of Australia, 184(10), 514-517.
Lennon, D., Kerdemelidis, M., & Arroll, B. (2009). Meta-analysis of trials of streptococcal throat treatment programs to prevent rheumatic fever. The Paediatric Infectious Disease Journal,
28, 259–264. doi: 10.1097/INF.0b013e3181a8e12a.
Manyemba, J., & Mayosi, B. (2009). Penicillin for secondary prevention of rheumatic fever. Cochrane Database of Systematic Reviews (Online). doi:10.1002/14651858.CD002227
Ralph, A., Jacups, S., McGough, K., McDonald, M., & Currie, B. J. (2006). The Challenge of Acute Rheumatic Fever Diagnosis in a High-Incidence Population: A Prospective Study and Proposed Guidelines for Diagnosis in Australia's Northern Territory. Heart, Lung & Circulation, 15(2), 113-118. doi: 10.1016/j.hlc.2005.08.006.
RHD Australia & National Heart Foundation of Australia and the Cardiac Society of Australia and New Zealand. (2012). Australian guideline for prevention, diagnosis and management of acute rheumatic fever and rheumatic heart disease (2nd edition). Retrieved from http://www.rhdaustralia.org.au/
RHD Australia (2012). [Image] Retrieved October 8, 2012, from http://www.rhdaustralia.org.au/
RHD Australia. (n.d.). About ARF & RHD. Retrieved October 6, 2012, from http://www.rhdaustralia.org.au/about-arf-rhd
Rolera (n.d.) Magnifing Glass Clip Art [Image]. Retrieved October 8, 2012, from http://www.clker.com/clipart-24887.html
Smith, M., Lester-Smith, D., Zurynski, Y., Noonan, S., Carapetis, J., & Elliot, E. (2011).Persistence of acute rheumatic fever in a tertiary children's hospital. Journal of Paediatrics and Child Health, 47(4), 198-203. doi: 10.1111/j.1440-1754.2010.01935.x
Spinetto, H., Lennon, D., & Horsburgh, M. (2011). Rheumatic fever recurrence prevention: A nurse-led programme of 28-day penicillin in an area of high endemnicity. Journal of Paediatrics and Child Health, 47(4), 228-234. doi:10.1111/j.1440-1754.2010.01942.x
Spinks, A., Glasziou, P., & Del Mar, C. (2010). Antibiotics for sore throat. Cochrane Database of Systematic Reviews (Online). doi:10.1002/14651858.CD000023.pub3
Steer, A., & Carapetis, J. (2009). Acute Rheumatic Fever and Rheumatic Heart Disease in Indigenous Populations. Paediatric Clinics of North America, 56(6). doi:10.1016/j.pcl.2009.09.11
SUBU (n.d.) [Image]. Retrieved October 8, 2012, from http://www.subu.org.uk
University of Iowa. (2011) Hardin MD Pictures [Image] Retrieved October 8, 2012, from http://hardinmd.lib.uiowa.edu/pictures22/strepthroat.jpg