Evidence map›Paper›PMID 28285457›Full record

ReviewCurrent treatment options in cardiovascular medicine2017

Group A Streptococcus, Acute Rheumatic Fever and Rheumatic Heart Disease: Epidemiology and Clinical Considerations.

Liesl J Zühlke, Andrea Beaton, Mark E Engel, Christopher T Hugo-Hamman, Ganesan Karthikeyan, Judith M Katzenellenbogen, Ntobeko Ntusi, Anna P Ralph, Anita Saxena, Pierre R Smeesters and 3 more

2 registry-linked trialsAbstract readReview
In one paragraph

Review in Current treatment options in cardiovascular medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 62 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
62citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06097585 unknown statusstarted 2023, after this paper: background citation

Effect of Gliflozins on Heart Failure Due to Regurgitant Rheumatic Valve Disease

Ran2023Enrolled150Registered outcomes5Posted comparisons0ConditionsHeart Failure, Rheumatic Heart DiseaseArmsSGLT2 inhibitor
Open the trial in the graph
NCT03346525 phase2unknown statusnot on this mapstarted 2018, after this paper: background citation

The GOAL (GwokO Adunu pa Lutino) Trial: Determining the Impact of Penicillin on Latent Rheumatic Heart Disease: A Randomized Controlled Trial in Uganda

TypeinterventionalSponsorChildren's National Research InstituteRan2018 to 2020Enrolled807ConditionsRheumatic Heart Disease in Children, Latent Rheumatic Heart Disease, Rheumatic Heart Disease, Heart DiseasesArmsintramuscular benzathine penicillin G (BPG) prophylaxis
3 · Its place in the literature

Who cites it

62 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Predictors of rheumatic fever in sore throat patients: a systematic review and meta-analysis.Transactions of the Royal Society of Tropical Medicine and Hygiene · 2022
    Pooled it
  3. Pooled it
  4. Pooled it
  5. Trial
  6. Article
  7. Review
  8. Article
  9. Myocarditis Following Invasive Group ACase reports in infectious diseases · 2026
    Article
  10. Article
  11. Article
  12. Article
  13. Distribution ofSouthern African journal of infectious diseases · 2025
    Article
  14. Article
  15. Making a difference: 5 years of Cardiac Surgery Intersociety Alliance (CSIA).European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery · 2024
    Article
  16. Article
  17. Article
  18. Article
  19. Review
  20. Review

2 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Liesl J ZühlkeDepartment of Paediatric Cardiology, Faculty of Health Sciences, Red Cross War Memorial Childrens Hospital, University of Cape Town, Cape Town, South Africa. liesl.zuhlke@uct.ac.za.
Andrea BeatonChildren's National Health System, 111 Michigan Avenue NW, Washington, DC, 20010, USA.
Mark E EngelDepartment of Medicine, Faculty of Health Sciences, Groote Schuur Hospital, University of Cape Town, Cape Town, South Africa.
Christopher T Hugo-HammanDepartment of Paediatric Cardiology, Faculty of Health Sciences, Red Cross War Memorial Childrens Hospital, University of Cape Town, Cape Town, South Africa.
Ganesan KarthikeyanDepartment of Cardiology, All India Institute of Medical Sciences, New Delhi, India.
Judith M KatzenellenbogenTelethon Kids Institute, Roberts Road, Subiaco, Perth, Australia.
Ntobeko NtusiDivision of Cardiology, Department of Medicine, University of Cape Town and Groote Schuur Hospital, Cape Town, South Africa.
Anna P RalphGlobal and Tropical Health, Menzies School of Health Research, Darwin, NT, Australia.
Anita SaxenaDepartment of Cardiology, All India Institute of Medical Sciences, New Delhi, India.
Pierre R SmeestersPaediatric Department, Academic Children Hospital Queen Fabiola, Université Libre de Bruxelles, Brussels, Belgium.
David WatkinsDepartment of Paediatric Cardiology, Faculty of Health Sciences, Red Cross War Memorial Childrens Hospital, University of Cape Town, Cape Town, South Africa.
Peter ZillaChristiaan Barnard Division of Cardiothoracic Surgery, Faculty of Health Sciences, University of Cape Town, 7925 Obsrvatory, Cape Town, South Africa.
Jonathan CarapetisTelethon Kids Institute, Roberts Road, Subiaco, Perth, Australia.

Funding

Medical Research Council MC_PC_16096
6 · The paper itself

Abstract

opinion statementEarly recognition of group A streptococcal pharyngitis and appropriate management with benzathine penicillin using local clinical prediction rules together with validated rapi-strep testing when available should be incorporated in primary health care. A directed approach to the differential diagnosis of acute rheumatic fever now includes the concept of low-risk versus medium-to-high risk populations. Initiation of secondary prophylaxis and the establishment of early medium to long-term care plans is a key aspect of the management of ARF. It is a requirement to identify high-risk individuals with RHD such as those with heart failure, pregnant women, and those with severe disease and multiple valve involvement. As penicillin is the mainstay of primary and secondary prevention, further research into penicillin supply chains, alternate preparations and modes of delivery is required.

Indexed as

Acute rheumatic feverBenzathine penicillinEchocardiographyGlobal burden of diseaseGroup A streptococcusPathogenesis

Identifiers

PMID28285457
PMCPMC5346434

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.