Hutten-Czapski P
Byron Family Medical Centre, London, Ontario, Canada.
Fam Pract. 1988 Sep;5(3):200-8. doi: 10.1093/fampra/5.3.200.
The incidence of acute rheumatic fever in the residents of three counties in Ontario (population 507,300) from 1975 to 1986 inclusive was 0.17 hospitalized cases per 100,000 population (0.4 per 100,000 for 5- to 19-year-olds). Indigent patients (0.6 per 100,000) and North American Indians (2 per 100,000) had substantially higher rates. This experience is in marked contrast to recent outbreaks of acute rheumatic fever in areas of the United States, but is similar to experience in the United Kingdom. The implications of this data on the current management of the streptococcal sore throat is reviewed, showing the complexities of real-life prevention of acute rheumatic fever.
1975年至1986年（含）期间，安大略省三个县（人口507,300）居民中急性风湿热的发病率为每10万人口0.17例住院病例（5至19岁人群为每10万人口0.4例）。贫困患者（每10万人口0.6例）和北美印第安人（每10万人口2例）的发病率显著更高。这一情况与美国近期急性风湿热的爆发形成鲜明对比，但与英国的情况相似。本文回顾了这些数据对当前链球菌性咽喉炎治疗的影响，显示了现实生活中预防急性风湿热的复杂性。
