An evaluation of secondary prophylaxis for rheumatic heart disease in rural Egypt

Global Cardiology Science & Practice
A BalbaaJ D Schwalm

Abstract

Although essentially disappeared from the industrialized world, rheumatic heart disease (RHD) is still prevalent in developing countries, with 300,000 new cases identified each year. In Aswan, Egypt, RHD affects about 2.3% of children with over 90% of the cases being subclinical. Secondary prophylaxis has proved to be an effective method of preventing the progression of RHD. However, its efficacy is limited by low patient adherence. A systematic, generalizable tool is necessary to outline, and ultimately address these barriers. A 43-item semi-structured questionnaire was developed based on the three domains outlined by Fishbein (capability, intention, and health care barriers). A preliminary evaluation of the barriers to RHD prophylaxis use in Aswan, Egypt was carried out as a pilot study using this tool. Participants were local school children diagnosed with RHD or flagged as high-risk (as per a set of echocardiographic criteria developed by the Aswan Heart Centre) through a previous screening program of randomly selected 3,062 school children in Aswan. 29 patients were interviewed (65.5% adherent to RHD prophylaxis). Compared to non-adherent patients, adherent patients had better understanding of the disease (68.4% versus 20%...Continue Reading

References

Aug 12, 1972·British Medical Journal·T A HassellK L Stuart
Jul 19, 2002·Research in Nursing & Health·Jerry W LeeXinwei Esther Zhang
Feb 17, 2007·Seminars in Arthritis and Rheumatism·Stuart L Silverman, Michael Maricic
Apr 3, 2013·Nature Reviews. Cardiology·Bo RemenyiUNKNOWN World Heart Federation

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Citations

May 16, 2019·Current Cardiology Reviews·John A Woods, Judith M Katzenellenbogen
Feb 2, 2019·Congenital Heart Disease·Amy SanyahumbiPeter N Kazembe
Aug 24, 2021·Expert Review of Cardiovascular Therapy·Sarah R de LoizagaMaria Carmo Pereira Nunes
Oct 3, 2021·Current Cardiology Reports·Joselyn RwebemberaBruno R Nascimento

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