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Standardization of epidemiological surveillance of acute poststreptococcal glomerulonephritis

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Miller, Kate M., Van Beneden, Chris, McDonald, Malcolm, Hla, Thel K., Wong, William, Pedgrift, Helen, Kaslow, David C., Cherian, Thomas, Carapetis, Jonathan R., Scheel, Amy, Seale, Anna, Bowen, Asha C., Moore, Hannah C., Lamagni, Theresa and Rodriguez-Iturbe, Bernardo (2022) Standardization of epidemiological surveillance of acute poststreptococcal glomerulonephritis. Open Forum Infectious Diseases, 9 (Supplement_1). S57-S64. doi:10.1093/ofid/ofac346 ISSN 2328-8957.

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Official URL: http://dx.doi.org/10.1093/ofid/ofac346

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Abstract

Acute poststreptococcal glomerulonephritis (APSGN) is an immune complex-induced glomerulonephritis that develops as a sequela of streptococcal infections. This article provides guidelines for the surveillance of APSGN due to group A Streptococcus (Strep A). The primary objectives of APSGN surveillance are to monitor trends in age- and sex-specific incidence, describe the demographic and clinical characteristics of patients with APSGN, document accompanying risk factors, then monitor trends in frequency of complications, illness duration, hospitalization rates, and mortality.

This document provides surveillance case definitions for APSGN, including clinical and subclinical APSGN based on clinical and laboratory evidence. It also details case classifications that can be used to differentiate between confirmed and probable cases, and it discusses the current investigations used to provide evidence of antecedent Strep A infection.

The type of surveillance recommended depends on the burden of APSGN in the community and the objectives of surveillance. Strategies for minimal surveillance and enhanced surveillance of APSGN are provided. Furthermore, a discussion covers the surveillance population and additional APSGN-specific surveillance considerations such as contact testing, active follow up of cases and contacts, frequency of reporting, surveillance visits, period of surveillance, and community engagement. Finally, the document presents core data elements to be collected on case report forms, along with guidance for documenting the course and severity of APSGN.

Item Type: Journal Article
Subjects: R Medicine > RA Public aspects of medicine
R Medicine > RC Internal medicine
Divisions: Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences
Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School
Library of Congress Subject Headings (LCSH): Epidemiology, Glomerulonephritis, Communicable diseases -- Epidemiology, Streptococcus pyogenes
Journal or Publication Title: Open Forum Infectious Diseases
Publisher: Oxford University Press
ISSN: 2328-8957
Official Date: 15 September 2022
Dates:
DateEvent
15 September 2022Published
12 July 2022Accepted
25 April 2022Submitted
Volume: 9
Number: Supplement_1
Page Range: S57-S64
DOI: 10.1093/ofid/ofac346
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Open Access (Creative Commons)
Date of first compliant deposit: 17 October 2022
Date of first compliant Open Access: 18 October 2022
RIOXX Funder/Project Grant:
Project/Grant IDRIOXX Funder NameFunder ID
215490/Z/19/ZWellcome Trusthttp://dx.doi.org/10.13039/100010269

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