rspНаучно-практическая ревматологияRheumatology Science and Practice1995-44841995-4492IMA-PRESS, LLC10.14412/1995-4484-2016-5-9rsp-2162Research ArticleПЕРЕДОВАЯLEADING ARTICLEОстрая ревматическая лихорадка в XXI веке – проблема, которую забывать нельзяACUTE RHEUMATIC FEVER IN THE 21st CENTURY: THE PROBLEM THAT CANNOT BE FORGOTTENКузьминаН. Н.KuzminaN. N.

Москва,115522 Москва, Каширское шоссе, 34А

Moscow, 34A, Kashirskoe Shosse, Moscow 115522

БеловБ. С.BelovB. S.

Москва,115522 Москва, Каширское шоссе, 34А

Moscow, 34A, Kashirskoe Shosse, Moscow 115522

belovbor@yandex.ruМедынцеваЛ. Г.MedyntsevaL. G.

Москва,115522 Москва, Каширское шоссе, 34А

Moscow, 34A, Kashirskoe Shosse, Moscow 115522

ФГБНУ Научно-исследовательский институт ревматологии им. В.А. НасоновойРоссияV.A. Nasonova Research Institute of RheumatologyRussian Federation20162103201654159Copyright © Кузьмина Н.Н., Белов Б.С., Медынцева Л.Г., 20162016Кузьмина Н.Н., Белов Б.С., Медынцева Л.Г.Kuzmina N.N., Belov B.S., Medyntseva L.G.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://rsp.mediar-press.net/rsp/article/view/2162

Несмотря на существенные успехи, достигнутые в борьбе с острой ревматической лихорадкой (ОРЛ), проблема данного заболевания по-прежнему сохраняет свою актуальность и содержит ряд нерешенных вопросов. В статье приведены современные эпидемиологические данные по ОРЛ, проанализирован ряд положений недавно опубликованных (2015) рекомендаций Американской кардиологической ассоциации, посвященных пересмотру диагностических критериев Джонса. Освещены широко обсуждаемые в научных кругах клинические аспекты ОРЛ (кардит, хорея), понимание которых позволяет не только правильно прогнозировать течение болезни, но и формировать рациональную терапевтическую тактику, влияющую на ее исход. Представлены современные подходы к первичной и вторичной профилактике ОРЛ, подчеркнута необходимость создания новой противострептококковой вакцины.

Despite considerable advances in the control of acute rheumatic fever (ARF), the problem of this disease remains relevant and contains a number of unsolved issues as before. The paper displays an epidemiological update on ARF and analyzes a number of provisions of the recent (2015) American Heart Association guidelines on the revision of the Jones diagnostic criteria. The wide discussion in the academic circles concerns the clinical aspects of ARF (carditis, chorea), an understanding of which makes it possible to correctly predict the course of the disease, but also to form a rational therapy policy that affects its outcome. Current approaches to primary and secondary prevention of ARF are given; emphasis is placed on the necessity of designing a novel vaccine against Streptococcus.

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The authors declare that there are no conflicts of interest present.