Rheumatic heart disease knowledge and associated factors among nurses working in cardiac centers at public and private hospitals of Addis Ababa: cross sectional study

Techane, Tesfaye; Legesse, Bethlehem; Ayalew, Yohannes; Hailu, Aklil

doi:10.1186/s12912-022-00910-5

Cited by 5 publications

(6 citation statements)

References 34 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Early diagnosis and treatment of endocarditis and the use of anticoagulants to prevent and treat RHD-associated atrial fibrillation and prosthetic valve-related embolic disease are important components of the tertiary prevention strategy for RHD ( 64 ). RHD is the most serious sequela of ARF and is often a poor outcome of ineffective primordial, primary, and secondary prevention, and tertiary prevention has an important role to play in areas with a high prevalence of RHD ( 67 ).…”

Section: Resultsmentioning

confidence: 99%

The rise and fall of acute rheumatic fever and rheumatic heart disease: a mini review

Liang

et al. 2023

Front. Cardiovasc. Med.

View full text Add to dashboard Cite

IntroductionThe incidences of acute rheumatic fever (ARF) and rheumatic heart disease (RHD), which were leading causes of death in children in the 1920s, have decreased substantially. Considering the recent resurgence of scarlet fever and increased incidence of streptococcal pharyngitis in children, an investigation of the current status of ARF and RHD may be worthwhile.ObjectiveTo summarize the prevalence trends, pathogenic factors, and prevention strategies for ARF and RHD in children.MethodsA selective search of literature published between January 1920 and February 2023 was done in PubMed, using the terms “acute rheumatic fever”, “rheumatic heart disease”, “group A Streptococcus”, “pharyngitis”, “pharyngeal tonsillitis”, “scarlet fever”, “impetigo”, “obstructive sleep apnea syndrome” and “child”.ResultsOvercrowded homes and inadequate sanitation led to recurrent group A streptococcal infection, and the causal relationship between group A streptococcal infection and ARF/RHD was well established. Streptococcal infectious diseases, such as group A streptococcal pharyngeal tonsillitis, SF, impetigo, and obstructive sleep apnea syndrome, were associated with the occurrence of ARF and RHD. ARF and RHD were still prevalent in young people of developing countries and economically poor populations of high-income countries. Universal disease registration systems were critical to locating disease outbreaks, tracking disease transmission, and identifying high-risk populations. Four-level prevention strategies were effective in reducing the incidence and mortality of ARF and RHD.ConclusionsRegistry and preventive measures for ARF and RHD should be strengthened in areas of dense population; poor sanitation; resurgence of SF; and high incidence of streptococcal pharyngitis, impetigo, and obstructive sleep apnea syndrome.

show abstract

Section: Resultsmentioning

confidence: 99%

The rise and fall of acute rheumatic fever and rheumatic heart disease: a mini review

Liang

et al. 2023

Front. Cardiovasc. Med.

View full text Add to dashboard Cite

show abstract

“…12 They are also similar to studies done in Nigeria, and Ethiopia. [13][14][15] These also noted that more than half of the health workers studied neither knew the causative agent for RHD nor appropriate preventive methods. This similarity of results could be attributed to the infrequent refresher training on updated information, improper training, and little or no mentorship from other experienced health workers, hence fewer learning opportunities.…”

Section: Discussionmentioning

confidence: 99%

Primary Healthcare Workers’ Awareness of Acute Rheumatic Fever & Rheumatic Heart Disease: A Study in Public Health Facilities in South Western Uganda

Ochora,

Kyasimire,

Lutasingwa

et al. 2024

PHMT

View full text Add to dashboard Cite

Introduction Timely identification and treatment of a streptococcal throat infection prevents acute rheumatic fever (ARF) and its progression to Rheumatic Heart Disease (RHD). However, children in developing countries still present with established RHD, due to either missed, untreated or sub-optimally treated sore throats and ARF. We aimed to determine the level of knowledge, skills, and practices of primary health workers in South Western Uganda in providing care such children. Methods We conducted a comparative quantitative cross-sectional study to assess knowledge, practices, and skills regarding the care of a child with a sore throat, ARF, and RHD. The responses were scored against a structured guide. The Fisher’s exact test and the chi-squared test with level of significance set at 0.05 were utilized to compare differences in knowledge, skills, and practices among health workers in private and public health facilities about ARF and RHD. Results Eighty health workers from health facilities were interviewed in Mbarara district with a median age of 29.5 years (IQR 27.34) and median duration in practice of 5 years (IQR: 2, 10). On average, there were at least 3 children with sore throats weekly. At least 95% (CI: 87.25%–98.80%) of the health worker had awareness about ARF and RHD. Only 43.75% (95% CI: 33.18%–54.91%) had good knowledge about ARF and RHD. Majority, 61.25% (95% CI: 50.03%−71.39%) did not know the proper prophylaxis and investigations for a child with ARF. There were no statistically significant differences but a clinically meaningful differentials in the level of knowledge among health workers in public and private facilities. Conclusion The knowledge and skill level of health workers in primary healthcare facilities about ARF and RHD in South Western Uganda remains low, with no difference between practitioners in public and private facilities.

show abstract

“…Accurate diagnosis is important for the health and wellbeing of Tamariki (children) and Rangatahi (young people) where missed or delayed diagnosis can have dire consequences including predisposing individuals to recurrent RF, cardiac impairment, and premature death (Heart Foundation of New Zealand, 2014). Therefore, continuous education, training, and professional development are required to ensure nurses have comprehensive knowledge and understanding of RF to effectively contribute to its diagnosis and management (Techane et al., 2022).…”

Section: Discussionmentioning

confidence: 99%

“…Nurses play a crucial role in RF prevention through their involvement in primary and secondary prevention measures (Techane et al., 2022). Nurses work in various roles and settings contributing to RF care, including primary health nurses, school nurses, district nurses (community nurses), nurse practitioners and hospital‐based nurses, particularly paediatric nurses (Burgess, 2016).…”

Section: Introductionmentioning

confidence: 99%

Nursing practices to optimise rheumatic fever prevention in a high‐risk country: An integrative review

Murray,

Mowat,

Foster

et al. 2024

Journal of Clinical Nursing

View full text Add to dashboard Cite

BackgroundNew Zealand is one of the last high‐income countries in the world experiencing significant rates of rheumatic fever. Nurses play a crucial role in rheumatic fever prevention; however, little is understood as to how nurses can best achieve this.AimTo explore nursing practices that optimise rheumatic fever prevention.DesignAn integrative review.MethodsFour electronic databases (CINAHL, SCOPUS, Medline via, and Ovid) were searched for peer‐reviewed empirical articles published from 2013 to 2023. Grey literature (guidelines/reports) was also sourced. Critical appraisal was applied using the Mixed‐Methods Appraisal Tools and the Joanna Briggs Critical Appraisal checklist. Qualitative Research in Psychology, 3(2), 77–101, thematic analysis method was used to generate themes.ResultsSeven research articles and three national reports were included. Four themes—in‐depth nursing knowledge and improving prophylaxis adherence, cultural competency, and therapeutic nurse–patient relationships—were found.ConclusionWhile nursing knowledge and ways to improve injection adherence are essential, being culturally receptive and developing therapeutic relationships are equally important. Without strong and trusting relationships, it is difficult to deliver care required for prevention success.Implications to careWhen working with vulnerable populations it is important to be culturally receptive in all interactions with patients and their families.ImpactNew Zealand has high rates of rheumatic fever, especially among vulnerable populations such as Pacific Islanders and Māori. Nurses are often frontline primary care providers who, when skilled with the right tools, can help reduce the prevalence of this disease.Reporting methodThe Preferred Reporting Items for Systematic Reviews and Meta‐Analysis flow chart.Patient or public contributionNo Patient or Public Contribution was required for this research.

show abstract

Rheumatic heart disease knowledge and associated factors among nurses working in cardiac centers at public and private hospitals of Addis Ababa: cross sectional study

Cited by 5 publications

References 34 publications

The rise and fall of acute rheumatic fever and rheumatic heart disease: a mini review

The rise and fall of acute rheumatic fever and rheumatic heart disease: a mini review

Primary Healthcare Workers’ Awareness of Acute Rheumatic Fever & Rheumatic Heart Disease: A Study in Public Health Facilities in South Western Uganda

Nursing practices to optimise rheumatic fever prevention in a high‐risk country: An integrative review

Contact Info

Product

Resources

About