Estrategias terapéuticas actuales en el manejo de la fiebre reumática dirigidas hacia la atención primaria de salud.

Abstract

Rheumatic fever, is a systemic inflammatory pathology, whose etiology lies in the post-infection of group A beta hemolytic streptococcus, which leaves a long-term sequel to the cardiac system, the joint system, the nervous system, and the skin; short definitions, etiology, differential diagnosis, and diagnosis will be narrated. Objective: To identify the updated treatment of rheumatic fever by reviewing scientific articles indexed in the last two years, to offer therapeutic considerations aimed at first-level care physicians. Methodology: The systematic review of indexed scientific articles was applied in the last 2 years, the same ones that have been identified in pages of virtual classrooms: PUBMED, DIALNET, MEDLINE, and, Scopus; succeeding in collecting about 22 scientific articles from indexed journals, which gathered all the established requirements of the subject. Conclusion: It was possible to conclude that the current treatment is according to the symptomatology; carditis with valve replacement, chorea with therapy that includes the antibiotic preferably intravenously, and, for arthritis or arthralgias, it starts with an NSAID preferably paracetamol, then if it prevails the symptomatology is combined with glucocorticoid which at weaning is given incorporates acetyl salicylic acid.