Adherence to Secondary Prophylaxis for Acute Rheumatic Fever and Rheumatic Heart Disease: A Systematic Review.

Autor:	Kevat PM; Royal Children's Hospital, Melbourne, Victoria, Australia.; College of Medicine and Dentistry, James Cook University, Cairns, Queensland, Australia., Reeves BM; College of Medicine and Dentistry, James Cook University, Cairns, Queensland, Australia.; Department of Paediatrics, Cairns Base Hospital, Cairns, Queensland, Australia., Ruben AR; Apunipima Cape York Health Council and Torres and Cape Hospital and Health Service, Queensland, Australia., Gunnarsson R; College of Medicine and Dentistry, James Cook University, Cairns, Queensland, Australia.; Research and development unit, Primary health care and dental care, Southern Älvsborg county, Region Västra Götaland, Sweden.; Department of Public Health and Community Medicine, Institute of Medicine, The Sahlgrenska Academy, University of Gothenburg, Sweden.
Jazyk:	angličtina
Zdroj:	Current cardiology reviews [Curr Cardiol Rev] 2017; Vol. 13 (2), pp. 155-166.
DOI:	10.2174/1573403X13666170116120828
Abstrakt:	Background: Optimal delivery of regular benzathine penicillin G (BPG) injections prescribed as secondary prophylaxis for acute rheumatic fever (ARF) and rheumatic heart disease (RHD) is vital to preventing disease morbidity and cardiac sequelae in affected pediatric and young adult populations. However, poor uptake of secondary prophylaxis remains a significant challenge to ARF/RHD control programs. Objective: In order to facilitate better understanding of this challenge and thereby identify means to improve service delivery, this systematic literature review explored rates of adherence and factors associated with adherence to secondary prophylaxis for ARF and RHD worldwide. Methods: MEDLINE was searched for relevant primary studies published in the English language from 1994-2014, and a search of reference lists of eligible articles was performed. The methodological quality of included studies was evaluated using a modified assessment tool. Results: Twenty studies were included in the review. There was a range of adherence to varying regimens of secondary prophylaxis reported globally, and a number of patient demographic, clinical, socio-cultural and health care service delivery factors associated with adherence to secondary prophylaxis were identified. Conclusion: Insights into factors associated with lower and higher adherence to secondary prophylaxis may be utilized to facilitate improved delivery of secondary prophylaxis for ARF and RHD. Strategies may include ensuring an effective active recall system, providing holistic care, involving community health workers and delivering ARF/RHD health education. (Copyright© Bentham Science Publishers; For any queries, please email at epub@benthamscience.org.)
Databáze:	MEDLINE
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