This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citing articles on Web of Science (4)  • Contact me when this article is cited  Related Content  • Similar articles in JAMA  Social Bookmarking   What's this?

A Follow-up Study

Robert W. Quinn, MD; Charles F. Federspiel, PhD; Lewis B. Lefkowitz, MD; Amos U. Christie, MD

JAMA. 1977;238(14):1512-1515.

Abstract
A follow-up study of 311 patients who acquired rheumatic fever in Nashville, Tenn, during the period from 1963 to 1969 showed that 53% took penicillin prophylaxis regularly, 36% did not take it as recommended, and 11% did not take it at all. There were no recurrences among those who received prophylaxis by injection regularly, six recurrences among those who took oral prophylaxis regularly, and no recurrences among 45 subjects who did not take prophylaxis. Among these 45, however, were 29 for whom prophylaxis was not recommended by their physicians. The original study indicated that the incidence of acute rheumatic fever among blacks was twice as high as among whites. In the present study, incidence of rheumatic heart disease and recurrences was substantially higher among blacks than among whites.

(JAMA 238:1512-1515, 1977)

Author Affiliations
From the Departments of Preventive Medicine (Drs Quinn, Federspiel, and Lefkowitz) and Pediatrics (Dr Christie), Vanderbilt University School of Medicine, Nashville, Tenn.

Footnotes
Reprint requests to Department of Preventive Medicine, Vanderbilt University School of Medicine, Nashville, TN 37232 (Dr Quinn).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?