Medicina

D E PA R T M E N T O F H E A LT H A N D F A M I L I E S

Post-Streptococcal Glomerulonephritis

Northern Territory Guidelines for Acute

2010

www.healthynt.nt.gov.au

First Edition December 2002 Second Edition June 2010 Contributors to the preparation of this document
Vicki Krause Fay Johnston Therese Kearns Catherine Marshall Lesley Scott Charles Kilburn Jonathon Carapetis BartCurrie Malcolm McDonald Shaun Flint Rebecca Cresp Sue Craill Allen Cheng Peter Markey Belinda Farmer Julie Seymour Centre for Disease Control Department of Health and Families, Northern Territory 2010 This publication is copyright. The information in this report may be freely copied and distributed for non-profit purposes such as study, research, health service management and public informationsubject to the inclusion of an acknowledgement of the source. Reproduction for other purposes requires the written permission of the Chief Executive of the Department of Health and Families, Northern Territory. This is an ePublication only available from Centre for Disease Control, publications web page: www.nt.gov.au/health/cdc General enquiries are welcome and should be directed to: Research/ProjectOfficer Centre for Disease Control Department of Health and Families PO Box 40596 Casuarina NT 0811 Phone: 08 8922 8089 Facsimile: 08 8922 8310 For further information contact your regional Centre for Disease Control Darwin: 08 8922 8044 Katherine: 08 8973 9049 East Arnhem: 08 8987 0359 Tennant Creek: 08 8962 4259 Alice Springs 08 8951 7540

Guidelines for the Control of Acute Post-StreptococcalGlomerulonephritis in the Northern Territory

Contents Background Case Definition of APSGN
Reporting

1 2
2

Control of APSGN
1. Prevention
Control of scabies and skin sores Improved housing

3
3
3 3

2. Sporadic (single) clinical cases of APSGN
Prevention of further disease following a single case

3
4

3. Cases requiring broader public health action
NT case numbersprompting a public health alert Community outbreaks Definition Outbreak intervention what to do Implementation Permission Population lists Access to population to be screened Timing and coverage targets Treatment Documentation

4
4 4 4 5 5 5 5 5 6 6 6 6

4. Dosage table for benzathine penicillin

6

References Appendix 1 Reporting forms
Screening form for contacts of APSGN (family,household and close contacts) Community screening form (children 12 months to less than 17 years) Community Screening Report

7 8
9 10 11

Appendix 2 Appendix 3 Appendix 4

Health alert (example notice) Health alert: Outbreak of Acute Post-Streptococcal Glomerulonephritis (example notice) Health centre consent form
I

12 13 14

Guidelines for the Control of Acute Post-StreptococcalGlomerulonephritis in the Northern Territory 2010

The Guidelines for the Control of Acute Post-Streptococcal Glomerulonephritis in the Northern Territory (NT) are intended to provide a framework for the public health response to both sporadic cases and community outbreaks of acute post-streptococcal glomerulonephritis (APSGN). The initial guideline produced in December 2002 provided: • • • • backgroundinformation about the epidemiology of APSGN in the NT a case definition for APSGN which is notifiable by doctors, in the NT preventive measures; and the public health response to sporadic cases and community outbreaks.

The updated guideline can be downloaded from: http://www.health.nt.gov.au/Centre_for_Disease_Control/Publications/CDC_Protocols/index.aspx The June 2010 guidelines were updatedin consultation with consultant paediatricians, infectious diseases and renal physicians, remote health staff and Centre for Disease Control staff. Changes in this edition include: • • • • updated epidemiology and a revised case definition broadening the immediate target age group for prophylactic antibiotics to 1 to less than 17 years. NT case numbers that should prompt an increased awareness...