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Acute rheumatic fever revisited
B D Freund1, A Scacco-Neumann, A S Pisanelli
1School of Nursing, Kent State University, OH 44242.
Journal of Pediatric Nursing
|June 1, 1993
Summary
Acute rheumatic fever (ARF) is resurging, showing increased prevalence and severity. This article details ARF epidemiology, assessment, treatment, nursing care, prevention, and health education for affected children.
Area of Science:
- Pediatrics
- Infectious Diseases
- Rheumatology
Background:
- Acute rheumatic fever (ARF) was once thought to be eradicated.
- Recent years have seen a concerning increase in ARF prevalence and virulence.
- This resurgence necessitates updated clinical guidance and public health awareness.
Purpose of the Study:
- To provide a comprehensive overview of acute rheumatic fever in children.
- To discuss current epidemiological trends and clinical presentations.
- To outline effective medical and nursing management strategies, including prevention and health teaching.
Main Methods:
- Review of current literature on ARF epidemiology.
- Discussion of clinical assessment findings.
- Synthesis of established and emerging treatment protocols.
- Inclusion of nursing interventions and preventive measures.
Main Results:
- ARF incidence and severity are increasing globally.
- Early recognition and prompt treatment are crucial for preventing long-term sequelae.
- Multidisciplinary care, including nursing support and patient education, improves outcomes.
Conclusions:
- Acute rheumatic fever remains a significant pediatric health concern.
- Effective management requires understanding current epidemiology and implementing comprehensive care.
- Prevention through prompt streptococcal infection treatment and ongoing health education is paramount.