Smith Michael T, Zurynski Yvonne, Lester-Smith David, Elliott Elizabeth, Carapetis Jonathan
Australian Paediatric Surveillance Unit, The Children's Hospital at Westmead, Sydney, New South Wales.
Aust Fam Physician. 2012 Jan-Feb;41(1-2):31-5.
Acute rheumatic fever is a rare multisystem disease caused by an immunological response to Group A streptococcus infection. Acute rheumatic fever usually has onset in childhood and is most prevalent in Aboriginal and Maori populations and other disadvantaged groups.
In this article we outline the clinical features of acute rheumatic fever and describe the important role of primary healthcare providers in its identification, management and secondary prevention.
Recurrent episodes of acute rheumatic fever may lead to rheumatic heart disease. Early detection of acute rheumatic fever and provision of secondary prophylaxis with antibiotics is paramount to the prevention of rheumatic heart disease. Primary healthcare providers can play an important role in identifying acute rheumatic fever and ensuring adherence to treatment within the context of a complex interplay of cultural and socioeconomic factors. The recent establishment of RHD Australia will support the development of appropriate educational resources and their dissemination among health professionals and vulnerable communities.
急性风湿热是一种罕见的多系统疾病，由对A组链球菌感染的免疫反应引起。急性风湿热通常在儿童期发病，在原住民和毛利人群体以及其他弱势群体中最为普遍。
在本文中，我们概述急性风湿热的临床特征，并描述初级医疗保健提供者在其识别、管理和二级预防中的重要作用。
急性风湿热的反复发作可能导致风湿性心脏病。早期发现急性风湿热并使用抗生素进行二级预防对于预防风湿性心脏病至关重要。在文化和社会经济因素复杂相互作用的背景下，初级医疗保健提供者在识别急性风湿热和确保坚持治疗方面可以发挥重要作用。近期成立的澳大利亚风湿性心脏病协会将支持开发适当的教育资源，并在卫生专业人员和弱势群体社区中传播这些资源。
