Lessons to be learned: Using National Immunisation strategies to improve adherence to acute rheumatic fever secondary prophylaxis.

Autor: Liaw JY; Discipline of Child and Adolescent Health, College of Medicine and Dentistry, James Cook University, Townsville, Queensland, Australia., White AV; Discipline of Child and Adolescent Health, College of Medicine and Dentistry, James Cook University, Townsville, Queensland, Australia.; Department of Paediatrics, Townsville Hospital and Health Service, Townsville, Queensland, Australia., Gorton S; Discipline of Child and Adolescent Health, College of Medicine and Dentistry, James Cook University, Townsville, Queensland, Australia., Axford-Haines L; Rheumatic Heart Disease Register and Control Program (Queensland) Public Health Unit, Townsville Hospital and Health Service, Townsville, Queensland, Australia.
Jazyk: angličtina
Zdroj: Journal of paediatrics and child health [J Paediatr Child Health] 2019 Oct; Vol. 55 (10), pp. 1170-1176. Date of Electronic Publication: 2019 Aug 13.
DOI: 10.1111/jpc.14596
Abstrakt: Rheumatic heart disease, as a result of a single or recurrent episode of acute rheumatic fever (ARF), remains a significant cause of morbidity and mortality in northern and remote Australia; ARF has a peak incidence among 5-14-year-old Aboriginal and Torres Strait Islander children. Long-term regular benzathine penicillin G injections are the only currently successful secondary prevention strategy; however, rates of adherence remain critically low. In contrast, rates of adherence to immunisations on the National Immunisation Program (NIP) Schedule are high, even among this target population. This article compares strategies used to implement and improve ARF secondary prophylaxis with those used in the NIP. Some successful NIP strategies, such as Service Incentive Payment for health providers, home-visiting delivery models and integration into the National Immunisation Register, if applied to ARF secondary prophylaxis have the potential to improve benzathine penicillin G adherence.
(© 2019 Paediatrics and Child Health Division (The Royal Australasian College of Physicians).)
Databáze: MEDLINE
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