Demam Reumatik Akut Dan Penyakit Jantung Reumatik Pada Anak  

Oleh:

Wahab, A. Samik

Jenis: Article from Bulletin/Magazine
Dalam koleksi: Jurnal Studi Indonesia no. 5 (1995)
Topik: Demam Reumatik Akut; Penyakit Jantung; Infeksi Streptokokus
Fulltext: A. Samik Wahab.pdf (87.08KB)

Isi artikel

Rheumatic fever is an auto immunisease due to group A beta haemolytic streptocci pharyngitis. The incedence is about 0,3 - 3% for the patients who have never had rheumatic fever. This disease is prevalent in Indonesia; there are 25 to 35 rheumatic patients admitted to Sardjito hospital, Yogyakarta and 60 - 80 patients admitted to Ciptomangun Kusumo, Jakarta, annually. This study is a literature review, based on our research and other research from Indonesia and outside the country. Diagnosis is based on revised Jones criteria (1968). If we do not manage this disease property, it will progress to rheumatic heart desease, that cause value distruction. The management of this desease consists of therapy and secondary prophylaxis. The purpose of this therapy is to subside acute process with antibiotic, such as penicillin or enythromicin and anti inflammation. The secondary prophylaxis is to prevent further attacks and must be maintained for at least 5 years, using penicillin, or erythronycin or sulfa. Patients who have had this desease have a 33% probability of further attacks. Primary prophylaxis is a prophylaxis for patient who never had rheumatic fever, and it is very difficult and costly to be performed. Vaccination, that is directed to streptococci, however, probably is far from now.

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