急性风湿热最新情况：它仍存在于偏远社区。
Update on acute rheumatic fever: it still exists in remote communities.
作者信息
Madden Sharen, Kelly Len
机构信息
Northern Ontario School of Medicine, Box 489, Sioux Lookout, ON P8T 1A8, Canada.
出版信息
Can Fam Physician. 2009 May;55(5):475-8.
Abstract
OBJECTIVE
To remind physicians who work with aboriginal populations of the ongoing prevalence of acute rheumatic fever and to review the recent evidence on presentation, treatment, and secondary prophylaxis.
SOURCES OF INFORMATION
The Cochrane Database of Systematic Reviews, MEDLINE, and EMBASE were searched from 1996 to 2007 with a focus on prevention, epidemiology, and disease management. Case series data from medical records at the Sioux Lookout Meno Ya Win Health Centre in Ontario were also used.
MAIN MESSAGE
Acute rheumatic fever is still a clinical entity in aboriginal communities in northwest Ontario. Identification, treatment, and secondary prophylaxis are necessary.
CONCLUSION
Acute rheumatic fever is not a forgotten disease and still exists in remote areas of Canada.
摘要
目的
提醒从事原住民医疗工作的医生注意急性风湿热的持续流行情况，并回顾近期关于其临床表现、治疗及二级预防的证据。
信息来源
检索了1996年至2007年的Cochrane系统评价数据库、MEDLINE和EMBASE，重点关注预防、流行病学和疾病管理。还使用了安大略省苏圣玛丽梅诺亚温健康中心医疗记录中的病例系列数据。
主要信息
急性风湿热在安大略省西北部的原住民社区仍是一种临床病症。识别、治疗和二级预防是必要的。
结论
急性风湿热并非被遗忘的疾病，在加拿大偏远地区仍然存在。
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