Should We Taper or not: A Short Glance to a Dilemma

Authors

  • Serdar Kula Gazi University Faculty of Medicine Department of Pediatrics Division of Pediatric Cardiology
  • Merve Aykut Gazi University Faculty of Medicine 4th year student
  • Gülay Güler Gazi University Faculty of Medicine 4th year student
  • Dilşah Şevik Gazi University Faculty of Medicine 4th year student

Abstract

The treatment of the acute inflammatory manifestations of acute rheumatic fever (ARF) refers to the utilization of anti-inflammatory agents. Based upon clinical experience, acetylsalicylic acid (ASA) has been traditionally accepted as the first-line therapy for arthritis. However, various scientific sources indicate different schedules for the administration of ASA treatment and such differences may cause misunderstandings. This student study aims to investigate the approaches for the ASA treatment that have been adopted by the pediatric cardiologists in the treatment of ARF arthritis by means of a pre-designed questionnaire.

References

Ronald M, Lindsley CB . Infectious arthritis and osteomyelitis. In Cassidy JT, Petty RE, Laxer RM, Lindsley CB, editors. Textbook of Pediatric Rheumatology. 7th ed. Philadelphia, PA: Saunders Elsevier; 2015. p.553-0

Shulman ST., Rogers VH. Group A streptococus; Rheumatic Fever. In Kliegman RM, Stanton BMD, Geme J, Schor NF, editors. Nelson Textbook of Pediatrics 20th ed. Philadelphia, PA: Saunders Elsevier; 2016. p. 2269-71.

Cilliers A, Manyemba J, Adler AJ, Saloojee H. Anti-inflammatory treatment for carditis in acute rheumatic fever. Cochrane Database Syst Rev 2012; 6: CD003176.

Steer, A., Gibofsky, A. Acute rheumatic fever, treatment and prevention (https://www.uptodate.com/contents/acute-rheumatic-fever-treatment-and-prevention) Last access October 16, 2017.

Working Group on Pediatric Acute Rheumatic Fever and Cardiology Chapter of Indian Academy of Pediatrics, Saxena A, Kumar RK, Gera RP, Radhakrishnan S, Mishra S, Ahmed Z. Consensus guidelines on pediatric acute rheumatic fever and rheumatic heart disease. Indian Pediatr. 2008;45:565-73.

Pillinger MH, Capodici C, Rosenthal P, Kheterpal N, Hanft S, Philips MR, Weissmann G. Modes of action of aspirin-like drugs: salicylates inhibit erk activation and integrin-dependent neutrophil adhesion. Proc Natl Acad Sci U S A. 1998;95):14540-5.

Downloads

Published

22.12.2017

Most read articles by the same author(s)