The first Indian guidelines for Acute rheumatic fever diagnosis and management .
Posted Jun 29 2012 11:08pm
While their cardiology colleagues are extravagantly indulging in coronary arteries ,It is heartening to note the pediatricians our country has silently come out with the first India specific criteria for Acute Rheumatic fever diagnosis and management.
It was long over due . . . three cheers to them !
*The most ironical, part of part of the story is , the guidelines which is is 4 years old ( came in 2008 ) . It is no wonder many of us are not even aware about the existence such guidelines , still every one wants to do PTMC at every given opportunity for a full blown mitral stenosis!
Highlights and Summary
WHO criteria of 2001 is adopted
ASO titre positivity alone has less value in the diagnosis .Hence the importance of which is down graded
Steroids are mandatory in all carditis for 12 weeks
Benzathine penicillin should be administered weight based and to be shortened every 15 days in children less than 27 kg
More high lights will be posted.
Secondary prophylaxis of for Rheumatic fever
Note the Important advice regarding weight based penicillin prophylaxis.