Prevention of Rheumatic Fever and Rheumatic Heart 风湿热风湿性心脏病预防ppt课件.ppt

Prevention of Rheumatic Fever and Rheumatic Heart 风湿热风湿性心脏病预防ppt课件.ppt

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Prevention of Rheumatic Fever and Rheumatic Heart 风湿热风湿性心脏病预防ppt课件

Rheumatic Fever and Rheumatic Heart Disease ;Learning Objectives: To understand the pathogenesis of acute rheumatic fever and rheumatic heart disease To appreciate the burden of disease To recognize the features of a streptococcal sore throat To know the treatment regimens of a streptococcal sore throat To be aware of secondary prevention measures ;Performance Objectives: Examine the burden of disease within own communities Timely recognition of a streptococcal sore throat with correct treatment Institute secondary prevention programme Join the global community fighting Rheumatic fever and rheumatic heart disease ;What is the incidence of acute rheumatic fever and rheumatic heart disease?;EPIDEMIOLOGY;Incidence of ARF: Population-based Studies;What is the prevalence of rheumatic heart disease?;; PATHOBIOLOGY;Carapetis. Lancet 2005;366:155;What is the pathogenesis of acute rheumatic fever?;ACUTE RHEUMATIC FEVER;ACUTE RHEUMATIC FEVER;RHEUMATIC HEART DISEASE;RHEUMATIC HEART DISEASE;RHEUMATIC HEART DISEASE;RHEUMATIC HEART DISEASE;What are the clinical features of strep sore throat?;Hallmarks of STREP sore throat;Hallmarks of VIRAL sore throat;;2002-03 WHO criteria for the diagnosis of RF and RHF;Continue….;ARTHRITIS;CARDITIS; Continue……; SYDENHAMS CHOREA;Sydenham chorea ;ERYTHEMA MARGINATUM;Closer view of erythema marginatum in the same patient ; SUBCUTANEOUS NODULES;; Recommended test in case of possible acute rheumatic fever..;What are the treatment regimens of streptococcal sore throat?; Treatment of ARF ;Treatment;Treatment;Treatment;Treatment of GABHS Infection;Antibiotics;Treatment;Treatment;Treatment;Treatment;Treatment;Treatment; Primordial prevention; Primary prevention;Antibiotic;Antibiotic;During an episode of ARF, valve changes can be minor and are still able to regress.;Awareness ? Surveillance ? Advocacy ? Prevention;Secondary prevention: specifics ;Secondary prevention: Adherence ;Secondary prevention: Adherence ; Ensuring that

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