FACTORS LEADING TO POOR ADHERENCE TO SECONDARY PROPHYLAXIS OF RHEUMATIC FEVER

Authors

  • Romana Awan National Institute of Cardiovascular Diseases Karachi, Pakistan
  • Muhammad Faisal Dow University of Health Sciences, Karachi, Pakistan
  • Muhammad Asad Bilal Awan National Institute of Cardiovascular Diseases Karachi, Pakistan
  • Samra Khan Liaquat National Hospital, Karachi, Pakistan
  • Kanwal Aamir National Institute of Cardiovascular Diseases Karachi, Pakistan
  • Khawaja Muhammad Aarij National Institute of Cardiovascular Diseases Karachi, Pakistan
  • Tahir Saghir National Institute of Cardiovascular Diseases Karachi, Pakistan
  • Musa Karim National Institute of Cardiovascular Diseases Karachi, Pakistan

DOI:

https://doi.org/10.47144/phj.v54i2.2094

Abstract

Objectives: The objective of this study was to determine the level of adherence and possible barriers to secondary prophylaxis among patients with Rheumatic heart disease (RHD).

Methodology: It is a cross-sectional study conducted at the largest tertiary care cardiac center of Karachi, Pakistan. We included patients with RHD, based on transthoracic echocardiography and adherence to the secondary prophylaxis and possible barriers were assessed using a structured questionnaire.

Results: Among total of 195 patients 66.7% (130) were female, mean age was 32.25 ± 13.78 years. Rural residents were 51.3% (100) and 59.5% (116) of the patients were illiterate. Benzathine Penicillin injection was prescribed to 56.4% (110) patients, out of them 70.0% (77) of the patients were counseled regarding duration of secondary prophylaxis. The most common reason for non-adherence was reported to be a painful injection (19.1%).

Conclusion: Majority of the RHD patients are not being prescribed and effectively counseled regarding secondary prophylaxis. Low adherence to the secondary prophylaxis was observed and the common reasons for non-adherence were painful injection, non-availability of nearby health facility, friends/family advising them otherwise, allergic reaction, and patients feeling sick and unable to take injection.

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Published

2021-06-24

How to Cite

1.
Awan R, Faisal M, Awan MAB, Khan S, Aamir K, Aarij KM, Saghir T, Karim M. FACTORS LEADING TO POOR ADHERENCE TO SECONDARY PROPHYLAXIS OF RHEUMATIC FEVER. Pak Heart J [Internet]. 2021Jun.24 [cited 2024Nov.24];54(2):167-71. Available from: https://pakheartjournal1.pcs.org.pk/index.php/pk/article/view/2094

Issue

Vol. 54 No. 2 (2021): Pakistan Heart Journal

Section

Original Article

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