Yakimenko E, Zakatova L, Tbilieli V, Antipova N, Kolomiets S, Tikhonchuk N, Bondar V, Klochko V
Odessa National Medical University, Ukraine.
Georgian Med News. 2019 Dec(297):88-94.
The purpose of the work is to analyze the evolution of the clinical course, diagnosis, treatment and prevention of acute rheumatic fever (ARF) and chronic rheumatic heart disease (RHD), antibiotic therapy of streptococcal infection, using modern analysis of modern literature and our own observations. Diagnostic criteria for the disease were revised. Improving the capabilities of echocardiography can improve the prognosis of the disease through the early use of treatment and prevention. The level of ORL / RHD correlates with the economic development of countries. Mutation of the etiological factor of rheumatism - ß-HSA, the formation of antibiotic resistance, increased migration, tourist activity in countries with high morbidity due to ß-HSA can lead to new outbreaks of this infection. Prevention ARF/RHD is multistage. Thus, using the experience of healthcare in different countries, new approaches to prevention can improve disease control.
这项工作的目的是利用现代文献分析和我们自己的观察结果，分析急性风湿热（ARF）和慢性风湿性心脏病（RHD）的临床病程演变、诊断、治疗和预防，以及链球菌感染的抗生素治疗。修订了该疾病的诊断标准。提高超声心动图的能力可以通过早期使用治疗和预防措施来改善疾病的预后。ORL/RHD的水平与各国的经济发展相关。风湿病因——β - HSA的突变、抗生素耐药性的形成、迁移增加以及β - HSA高发病率国家的旅游活动，可能导致这种感染的新爆发。预防ARF/RHD是多阶段的。因此，借鉴不同国家的医疗经验，新的预防方法可以改善疾病控制。
