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Related Concept Videos

Rheumatic Heart Disease III: Medical Management01:21

Rheumatic Heart Disease III: Medical Management

185
Rheumatic heart disease (RHD) management can be divided into two main strategies: prevention and long-term management.Primary PreventionPrimary prevention focuses on timely diagnosis and management of group A streptococcal pharyngitis to prevent acute rheumatic fever. The most widely used antibiotic for treating this condition is intramuscular benzathine penicillin G.Acute Rheumatic Fever TreatmentThe primary treatment goal for a patient diagnosed with acute rheumatic fever is to suppress the...
185
Rheumatic Heart Disease IV: Nursing Management01:20

Rheumatic Heart Disease IV: Nursing Management

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AssessmentA comprehensive assessment is essential in managing a patient with rheumatic heart disease (RHD). Begin with obtaining a detailed medical history, including recent streptococcal infections, a history of rheumatic fever, or previously diagnosed rheumatic heart disease. Assess the patient for symptoms such as fever, chest pain, widespread joint pain (arthralgia), tachycardia, pericardial friction rub, muffled heart sounds, heart murmurs, peripheral edema, subcutaneous nodules, and...
182
Myocarditis III: Medical Management01:14

Myocarditis III: Medical Management

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Myocarditis: Comprehensive Medical ManagementMyocarditis, the heart muscle inflammation, requires a comprehensive medical management strategy that addresses the underlying cause, provides supportive care, manages symptoms, and reduces cardiac workload.Infections and Autoimmune CausesAdminister appropriate antimicrobial therapy when an infectious agent causes myocarditis. For instance, penicillin treats infections caused by Group A Streptococcus. In cases where autoimmune processes are...
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Myocarditis IV: Nursing Management01:22

Myocarditis IV: Nursing Management

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Myocarditis is an inflammatory condition of the myocardium requiring meticulous nursing management for optimal patient outcomes. Effective management begins with a thorough assessment of the patient's medical history, paying close attention to past infections, autoimmune disorders, travel history, and exposure to toxins or drugs. Recent viral infections and systemic diseases are particularly relevant due to their potential role in triggering myocarditis.Physical Examination and MonitoringThe...
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Autoimmune Disorders01:29

Autoimmune Disorders

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Autoimmune diseases are a group of disorders in which the body's immune system mistakenly attacks its own cells, tissues, and organs. This results from an overactive immune response against substances and tissues normally present in the body. Let's delve into the concept and mechanism of autoimmune diseases from an immune system point of view, explore different causes and examples of such diseases, and discuss potential solutions.
Concept and Mechanism of Autoimmune Diseases
The immune...
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Pericarditis IV: Nursing Management01:25

Pericarditis IV: Nursing Management

216
Pericarditis, an inflammation of the pericardium, necessitates diligent nursing management to ensure effective patient care and recovery. The initial step in managing pericarditis is a comprehensive patient medical assessment.The patient reports chest pain aggravated by breathing, coughing, and swallowing, which worsens when lying supine. The pain often improves when sitting up and leaning forward. Additional symptoms may include fever, malaise, and, in severe cases, signs of heart failure.
216

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Related Experiment Video

Updated: Dec 16, 2025

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The Practice Guideline for Vaccinating Korean Patients with Autoimmune Inflammatory Rheumatic Disease.

Yu Bin Seo1, Su Jin Moon2, Chan Hong Jeon3

  • 1Division of Infectious Diseases, Department of Internal Medicine, Hallym University College of Medicine, Chuncheon, Korea.

Infection & Chemotherapy
|July 4, 2020
PubMed
Summary

Vaccination is recommended for patients with autoimmune inflammatory rheumatic diseases (AIIRD) and their close contacts. Live attenuated vaccines should be avoided in those on immunosuppressants, with vaccination prioritized before treatment initiation.

Keywords:
Autoimmune inflammatory rheumatic diseaseGuidelineImmunizationVaccine

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Area of Science:

  • Rheumatology
  • Infectious Diseases
  • Immunology
  • Public Health

Background:

  • Patients with autoimmune inflammatory rheumatic diseases (AIIRD) are at increased risk of infections.
  • Vaccination is crucial for preventing infectious diseases in immunocompromised populations.
  • Existing guidelines may not adequately address vaccination strategies for AIIRD patients.

Purpose of the Study:

  • To develop a clinical practice guideline for vaccination in patients diagnosed with AIIRD.
  • To provide evidence-based recommendations for vaccine administration in AIIRD patients.
  • To ensure optimal vaccine uptake and safety in this vulnerable patient group.

Main Methods:

  • Development of a clinical practice guideline by the Korean College of Rheumatology and the Korean Society of Infectious Diseases.
  • Adherence to the clinical practice guideline development manual for systematic review and evidence synthesis.
  • Consideration of disease activity, treatment strategies, and specific vaccine types.

Main Results:

  • Vaccination is generally safe and unlikely to exacerbate AIIRD or disease activity.
  • Recommended vaccines include influenza, pneumococcal, hepatitis A, hepatitis B, herpes zoster, MMR, HPV, and Tdap.
  • Live attenuated vaccines should be avoided in AIIRD patients on immunosuppressants; vaccination is advised before immunosuppressant initiation.

Conclusions:

  • Vaccination is a critical component of comprehensive care for patients with AIIRD.
  • Guidelines recommend specific vaccines and timing for AIIRD patients, including those with stabilized disease.
  • Household contacts and caregivers of AIIRD patients should also receive recommended vaccinations.