| Literature DB >> 27465618 |
Rosemary Wyber1, Ben J Boyd2, Samantha Colquhoun3, Bart J Currie4,5, Mark Engel6, Joseph Kado7, Ganesan Karthikeyan8, Mark Sullivan9, Anita Saxena8, Meru Sheel10, Andrew Steer11, Joseph Mucumbitsi12, Liesl Zühlke13, Jonathan Carapetis10,14.
Abstract
Rheumatic fever is caused by an abnormal immune reaction to group A streptococcal infection. Secondary prophylaxis with antibiotics is recommended for people after their initial episode of rheumatic fever to prevent recurrent group A streptococcal infections, recurrences of rheumatic fever and progression to rheumatic heart disease. This secondary prophylaxis must be maintained for at least a decade after the last episode of rheumatic fever. Benzathine penicillin G is the first line antibiotic for secondary prophylaxis, delivered intramuscularly every 2 to 4 weeks. However, adherence to recommended secondary prophylaxis regimens is a global challenge. This paper outlines a consultation with global experts in rheumatic heart disease on the characteristics of benzathine penicillin G formulations which could be changed to improve adherence with secondary prophylaxis. Characteristics included dose interval, pain, administration mechanism, cold chain independence and cost. A sample target product profile for reformulated benzathine penicillin G is presented.Entities:
Keywords: Benzathine; Fever; Heart; Penicillin; Prophylaxis; Rheumatic
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Year: 2016 PMID: 27465618 DOI: 10.1007/s13346-016-0313-z
Source DB: PubMed Journal: Drug Deliv Transl Res ISSN: 2190-393X Impact factor: 4.617