Incidence and clinical profile of acute rheumatic fever in Greece
| Autor: | F. M. Chantzi, G. Grigoriadou, O. Vougiouka, Dimitris A. Kafetzis, G. Liapi |
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| Rok vydání: | 2004 |
| Předmět: |
Microbiology (medical)
Male medicine.medical_specialty Pediatrics Adolescent Population Developing country Penicillins Injections Intramuscular Risk Assessment Severity of Illness Index Drug Administration Schedule Cohort Studies Age Distribution Epidemiology medicine Outpatient clinic Humans Sex Distribution education Child Socioeconomic status Retrospective Studies education.field_of_study Dose-Response Relationship Drug Greece business.industry Incidence (epidemiology) Incidence Rheumatic Heart Disease General Medicine medicine.disease Surgery Infectious Diseases Treatment Outcome Child Preschool Rheumatic fever Female Rheumatic Fever business Developed country Follow-Up Studies |
| Zdroj: | European journal of clinical microbiologyinfectious diseases : official publication of the European Society of Clinical Microbiology. 24(1) |
| ISSN: | 0934-9723 |
| Popis: | The incidence of acute rheumatic fever (ARF) in developed countries has declined dramatically in recent decades, while in developing countries or other segregated populations the incidence remains high, with reported figures reaching 24 per 1000 population [1–3]. The objectives of the study presented here were (i) to determine the incidence of ARF in Athens, Greece, during the last decade, and (ii) to describe the clinical presentation, cardiac involvement, and outcome of the disease. All records of pediatric patients aged 0–14 years with the discharge diagnosis of ARF who were admitted to the “P. & A. Kyriakou” Children’s Hospital between January 1992 and December 2002 were retrospectively analyzed and reviewed; the diagnosis was confirmed for each case using the revised Jones criteria [4, 5]. “P. & A. Kyriakou” Children’s Hospital is a tertiary university hospital located in Athens, Greece, which provides 24-h medical services every other day to almost 730,000 children living in the major area of Athens, irrespective of their country of origin, insurance status or other socioeconomic variables. During the 10-year period studied, a total of 1,603,957 children were seen in the hospital’s outpatient clinics, and 255,448 were admitted to the “P. & A. Kyriakou” Children’s Hospital for various reasons. Only seven cases met the revised Jones criteria for ARF [4, 5]. The clinical presentation and seasonal distribution of these seven cases are shown in Table 1. All of the affected children were school-aged, lived in urban (5 patients) or suburban (2 patients) areas, and belonged to middle-class families with |
| Databáze: | OpenAIRE |
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