2010年至2020年北领地5岁以下儿童急性风湿性发烧和风湿性心脏病
Z Stephenson1, B Jones1,2, B Remenyi1,2
1Paediatric Department, Royal Darwin Hospital, Casuarina, Australia.
Journal of paediatrics and child health
|September 13, 2025
概括
年幼的澳大利亚儿童,特别是土著和托雷斯海峡岛民儿童,面临急性风湿性发烧 (ARF) 和风湿性心脏病 (RHD) 的高风险. 早期识别和心声回声查对于在偏远地区管理这些可预防的疾病至关重要.
科学领域:
- 儿科 儿科 儿科
- 心脏病学 心脏病学
- 公共卫生 公共卫生
背景情况:
- 急性风湿性发烧 (ARF) 和风湿性心脏病 (RHD) 是严重的公共卫生问题,不成比例地影响全球社会经济弱势群体.
- 在澳大利亚,ARF和RHD在土著儿童中仍然很普遍,突出了持续的健康差异.
研究的目的:
- 描述澳大利亚北领地的5岁以下儿童ARF和RHD的临床表现和结果.
- 改善ARF和RHD在这个脆弱的儿科群体中的识别和管理.
主要方法:
- 2010年至2020年在北领地被诊断患有ARF和/或RHD的五岁以下儿童的回顾性审计.
- 从NT RHD注册中提取数据,包括人口统计,临床特征,诊断,严重程度,管理和结果.
主要成果:
- 82名5岁以下的儿童被确诊患有ARF和/或RHD.
- 原住民和托雷斯海峡岛民儿童在ARF (127/100,000) 和RHD (33/100,000) 的发生率不成比例.
- ARF复发率为23%,RHD病例中55%为中度至重度,20%需要心脏手术.
结论:
- 北领地偏远社区的五岁以下儿童面临ARF和RHD的风险,土著儿童受到影响最大.
- 及时检查ARF症状,如关节疼痛,胆发炎或新发是必不可少的.
- 建议从三岁起对远程NT的儿童进行RHD的心声查.
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