Chaturvedi, Swasti; Boyd, Rowena; Krause, Vicki

Author(s)

Chaturvedi, Swasti

Boyd, Rowena

Krause, Vicki

Publication Date

2018-12-01

Abstract

Acute post-streptococcal glomerulonephritis (APSGN) is an inflammatory kidney disease following infection with nephritogenic strains of Group A Streptococcus. In 1991, APSGN became notifiable in the Northern Territory (NT) of Australia with cases recorded on the NT Notifiable Disease Database (NTNDS). The case definition of a confirmed case requires laboratory definitive evidence or laboratory suggestive evidence in conjunction with a clinically compatible illness. Probable cases require clinical evidence only. Acute post-streptococcal glomerulonephritis notifications from 2009 to 2016 were extracted from the NTNDS. Of the 322 cases, 261 were confirmed and 61 probable. The majority, 304 (94%), were Aboriginal and the median age was 8 years (range: 0-62 years). Incidence for confirmed cases was 13.8/100,000 person-years, with inclusion of probable cases increasing incidence to 17.0/100,000 person-years. Highest incidence of confirmed cases was in Aboriginal children less than 15 years of age at 124.0 cases/100,000 person-years. The rate ratio of confirmed cases in Aboriginal to non-Aboriginal Australians was 18.9 (95% confidence interval: 11.4-33.6). Recent trends show a consistently high number of notifications annually with less frequent outbreaks. The Aboriginal population of the NT continues to have high rates of APSGN with recent trends showing higher rates than previously reported. Sustained preventative efforts and continued surveillance strategies are needed.

Affiliation

Department of Paediatrics, Royal Darwin Hospital, Darwin, Australia..

Department of Health, Centre for Disease Control, Darwin, Australia..

Citation

Am J Trop Med Hyg . 2018 Dec;99(6):1643-1648. doi: 10.4269/ajtmh.18-0093.

Pubmed ID

https://pubmed.ncbi.nlm.nih.gov/30398135/?otool=iaurydwlib

Link

https://hdl.handle.net/10137/7316

Title

Acute Post-Streptococcal Glomerulonephritis in the Northern Territory of Australia: A Review of Data from 2009 to 2016 and Comparison with the Literature.

Type of document

Journal Article

Entity Type

Publication

Author(s)	Chaturvedi, Swasti Boyd, Rowena Krause, Vicki
Publication Date	2018-12-01
Abstract	Acute post-streptococcal glomerulonephritis (APSGN) is an inflammatory kidney disease following infection with nephritogenic strains of Group A Streptococcus. In 1991, APSGN became notifiable in the Northern Territory (NT) of Australia with cases recorded on the NT Notifiable Disease Database (NTNDS). The case definition of a confirmed case requires laboratory definitive evidence or laboratory suggestive evidence in conjunction with a clinically compatible illness. Probable cases require clinical evidence only. Acute post-streptococcal glomerulonephritis notifications from 2009 to 2016 were extracted from the NTNDS. Of the 322 cases, 261 were confirmed and 61 probable. The majority, 304 (94%), were Aboriginal and the median age was 8 years (range: 0-62 years). Incidence for confirmed cases was 13.8/100,000 person-years, with inclusion of probable cases increasing incidence to 17.0/100,000 person-years. Highest incidence of confirmed cases was in Aboriginal children less than 15 years of age at 124.0 cases/100,000 person-years. The rate ratio of confirmed cases in Aboriginal to non-Aboriginal Australians was 18.9 (95% confidence interval: 11.4-33.6). Recent trends show a consistently high number of notifications annually with less frequent outbreaks. The Aboriginal population of the NT continues to have high rates of APSGN with recent trends showing higher rates than previously reported. Sustained preventative efforts and continued surveillance strategies are needed.
Affiliation	Department of Paediatrics, Royal Darwin Hospital, Darwin, Australia.. Department of Health, Centre for Disease Control, Darwin, Australia.. Department of Health, Centre for Disease Control, Darwin, Australia..
Citation	Am J Trop Med Hyg . 2018 Dec;99(6):1643-1648. doi: 10.4269/ajtmh.18-0093.
Pubmed ID	https://pubmed.ncbi.nlm.nih.gov/30398135/?otool=iaurydwlib
Link	https://hdl.handle.net/10137/7316
Title	Acute Post-Streptococcal Glomerulonephritis in the Northern Territory of Australia: A Review of Data from 2009 to 2016 and Comparison with the Literature.
Type of document	Journal Article
Entity Type	Publication

Acute Post-Streptococcal Glomerulonephritis in the Northern Territory of Australia: A Review of Data from 2009 to 2016 and Comparison with the Literature.

Files: