Egyptian evidence-based consensus on clinical practice recommendations for the management of Kawasaki disease
Abstract Background Kawasaki disease (KD) is an acute, self-limited febrile disease of unidentified cause that mostly affects children less than 5 years of age. This work aimed to provide an appropriate Egyptian evidence-based consensus on clinical practice recommendations for the management of Kawa...
Main Authors: | , , , , , , , , , , , , , , , , , , , , , , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
SpringerOpen
2023-04-01
|
Series: | Egyptian Rheumatology and Rehabilitation |
Subjects: | |
Online Access: | https://doi.org/10.1186/s43166-023-00180-2 |
_version_ | 1797845868150259712 |
---|---|
author | Yasser El Miedany Samia Salah Hala M. Lotfy Mohammed Hassan Abu-Zaid Sally S. Mohamed Sheren Esam Maher Maha El Gaafary Hala Abdulhady Yomna Farag Mervat Eissa Ahmed Radwan Basma M. Medhat Dalia M. E. El Mikkawy Waleed A. Hassan Doaa Mosad Mosa Ghada El Deriny Mohamed Mortada Naglaa S. Osman Nermeen Ahmed Fouad Youmna Ahmed Amer Samah Ismail Nasef Hend Abushady Salwa Galal Eiman Abd El-Latif Dina Maria Ahmed H. Shabana Samar AbdAlhamed Tabra |
author_facet | Yasser El Miedany Samia Salah Hala M. Lotfy Mohammed Hassan Abu-Zaid Sally S. Mohamed Sheren Esam Maher Maha El Gaafary Hala Abdulhady Yomna Farag Mervat Eissa Ahmed Radwan Basma M. Medhat Dalia M. E. El Mikkawy Waleed A. Hassan Doaa Mosad Mosa Ghada El Deriny Mohamed Mortada Naglaa S. Osman Nermeen Ahmed Fouad Youmna Ahmed Amer Samah Ismail Nasef Hend Abushady Salwa Galal Eiman Abd El-Latif Dina Maria Ahmed H. Shabana Samar AbdAlhamed Tabra |
author_sort | Yasser El Miedany |
collection | DOAJ |
description | Abstract Background Kawasaki disease (KD) is an acute, self-limited febrile disease of unidentified cause that mostly affects children less than 5 years of age. This work aimed to provide an appropriate Egyptian evidence-based consensus on clinical practice recommendations for the management of Kawasaki disease. The main objective of this study, which employed the Delphi method, was to reach a consensus among experts on a treat-to-target management approach for KD. Results The expert panel was confined to an online survey (n=26), and all the expert completed the three rounds. At the conclusion of round 3, a total of 17 recommendation items were gathered, which were divided into two sections. The range of respondents (ranks 7–9) who agreed with the recommendations was 92.3 to 100%. All 17 clinical standards identified by the scientific committee were written in the same way. There have been algorithms proposed for managing various KD conditions. Conclusion The developed evidence-based consensus recommendations for the diagnosis and management of KD represent an up-to-date document that focuses on clinical management questions which are generally posed to health care professionals involved in the management of KD. This guideline was developed considering experience with and availability of treatment and diagnostic options in Egypt. |
first_indexed | 2024-04-09T17:47:01Z |
format | Article |
id | doaj.art-4d074ae11e854c089c9f2f4a9a1d6076 |
institution | Directory Open Access Journal |
issn | 2090-3235 |
language | English |
last_indexed | 2024-04-09T17:47:01Z |
publishDate | 2023-04-01 |
publisher | SpringerOpen |
record_format | Article |
series | Egyptian Rheumatology and Rehabilitation |
spelling | doaj.art-4d074ae11e854c089c9f2f4a9a1d60762023-04-16T11:16:34ZengSpringerOpenEgyptian Rheumatology and Rehabilitation2090-32352023-04-0150111710.1186/s43166-023-00180-2Egyptian evidence-based consensus on clinical practice recommendations for the management of Kawasaki diseaseYasser El Miedany0Samia Salah1Hala M. Lotfy2Mohammed Hassan Abu-Zaid3Sally S. Mohamed4Sheren Esam Maher5Maha El Gaafary6Hala Abdulhady7Yomna Farag8Mervat Eissa9Ahmed Radwan10Basma M. Medhat11Dalia M. E. El Mikkawy12Waleed A. Hassan13Doaa Mosad Mosa14Ghada El Deriny15Mohamed Mortada16Naglaa S. Osman17Nermeen Ahmed Fouad18Youmna Ahmed Amer19Samah Ismail Nasef20Hend Abushady21Salwa Galal22Eiman Abd El-Latif23Dina Maria24Ahmed H. Shabana25Samar AbdAlhamed Tabra26Canterbury Christ Church UniversityPediatric Rheumatology, Cairo UniversityPediatric Rheumatology, Cairo UniversityRheumatology and Rehabilitation, Tanta UniversityRheumatology and Rehabilitation, Cairo UniversityPediatric Rheumatology, Minia UniversityCommunity Medicine and Public Health, Ain Shams UniversityRheumatology and Rehabilitation, Ain Shams UniversityPediatric Rheumatology, Cairo UniversityRheumatology and Rehabilitation, Cairo UniversityRheumatology and Rehabilitation, Sohag UniversityRheumatology and Rehabilitation, Cairo UniversityRheumatology and Rehabilitation, Ain Shams UniversityRheumatology and Rehabilitation, Benha UniversityRheumatology, Faculty of Medicine, Mansoura UniversityPediatrics, Alexandria UniversityRheumatology and Rehabilitation, Zagazig UniversityPediatrics, Assiut UniversityRheumatology and Rehabilitation, Fayoum UniversityRheumatology and Rehabilitation, Zagazig UniversityRheumatology and Rehabilitation, Suez Canal UniversityPediatric Rheumatology, Cairo UniversityRheumatology and Rehabilitation, Ain Shams UniversityOphthalmology, Alexandria UniversityCardiology, Tanta UniversityPediatric Cardiology, Tanta UniversityRheumatology and Rehabilitation, Tanta UniversityAbstract Background Kawasaki disease (KD) is an acute, self-limited febrile disease of unidentified cause that mostly affects children less than 5 years of age. This work aimed to provide an appropriate Egyptian evidence-based consensus on clinical practice recommendations for the management of Kawasaki disease. The main objective of this study, which employed the Delphi method, was to reach a consensus among experts on a treat-to-target management approach for KD. Results The expert panel was confined to an online survey (n=26), and all the expert completed the three rounds. At the conclusion of round 3, a total of 17 recommendation items were gathered, which were divided into two sections. The range of respondents (ranks 7–9) who agreed with the recommendations was 92.3 to 100%. All 17 clinical standards identified by the scientific committee were written in the same way. There have been algorithms proposed for managing various KD conditions. Conclusion The developed evidence-based consensus recommendations for the diagnosis and management of KD represent an up-to-date document that focuses on clinical management questions which are generally posed to health care professionals involved in the management of KD. This guideline was developed considering experience with and availability of treatment and diagnostic options in Egypt.https://doi.org/10.1186/s43166-023-00180-2RecommendationsKDKawasakiVasculitis |
spellingShingle | Yasser El Miedany Samia Salah Hala M. Lotfy Mohammed Hassan Abu-Zaid Sally S. Mohamed Sheren Esam Maher Maha El Gaafary Hala Abdulhady Yomna Farag Mervat Eissa Ahmed Radwan Basma M. Medhat Dalia M. E. El Mikkawy Waleed A. Hassan Doaa Mosad Mosa Ghada El Deriny Mohamed Mortada Naglaa S. Osman Nermeen Ahmed Fouad Youmna Ahmed Amer Samah Ismail Nasef Hend Abushady Salwa Galal Eiman Abd El-Latif Dina Maria Ahmed H. Shabana Samar AbdAlhamed Tabra Egyptian evidence-based consensus on clinical practice recommendations for the management of Kawasaki disease Egyptian Rheumatology and Rehabilitation Recommendations KD Kawasaki Vasculitis |
title | Egyptian evidence-based consensus on clinical practice recommendations for the management of Kawasaki disease |
title_full | Egyptian evidence-based consensus on clinical practice recommendations for the management of Kawasaki disease |
title_fullStr | Egyptian evidence-based consensus on clinical practice recommendations for the management of Kawasaki disease |
title_full_unstemmed | Egyptian evidence-based consensus on clinical practice recommendations for the management of Kawasaki disease |
title_short | Egyptian evidence-based consensus on clinical practice recommendations for the management of Kawasaki disease |
title_sort | egyptian evidence based consensus on clinical practice recommendations for the management of kawasaki disease |
topic | Recommendations KD Kawasaki Vasculitis |
url | https://doi.org/10.1186/s43166-023-00180-2 |
work_keys_str_mv | AT yasserelmiedany egyptianevidencebasedconsensusonclinicalpracticerecommendationsforthemanagementofkawasakidisease AT samiasalah egyptianevidencebasedconsensusonclinicalpracticerecommendationsforthemanagementofkawasakidisease AT halamlotfy egyptianevidencebasedconsensusonclinicalpracticerecommendationsforthemanagementofkawasakidisease AT mohammedhassanabuzaid egyptianevidencebasedconsensusonclinicalpracticerecommendationsforthemanagementofkawasakidisease AT sallysmohamed egyptianevidencebasedconsensusonclinicalpracticerecommendationsforthemanagementofkawasakidisease AT sherenesammaher egyptianevidencebasedconsensusonclinicalpracticerecommendationsforthemanagementofkawasakidisease AT mahaelgaafary egyptianevidencebasedconsensusonclinicalpracticerecommendationsforthemanagementofkawasakidisease AT halaabdulhady egyptianevidencebasedconsensusonclinicalpracticerecommendationsforthemanagementofkawasakidisease AT yomnafarag egyptianevidencebasedconsensusonclinicalpracticerecommendationsforthemanagementofkawasakidisease AT mervateissa egyptianevidencebasedconsensusonclinicalpracticerecommendationsforthemanagementofkawasakidisease AT ahmedradwan egyptianevidencebasedconsensusonclinicalpracticerecommendationsforthemanagementofkawasakidisease AT basmammedhat egyptianevidencebasedconsensusonclinicalpracticerecommendationsforthemanagementofkawasakidisease AT daliameelmikkawy egyptianevidencebasedconsensusonclinicalpracticerecommendationsforthemanagementofkawasakidisease AT waleedahassan egyptianevidencebasedconsensusonclinicalpracticerecommendationsforthemanagementofkawasakidisease AT doaamosadmosa egyptianevidencebasedconsensusonclinicalpracticerecommendationsforthemanagementofkawasakidisease AT ghadaelderiny egyptianevidencebasedconsensusonclinicalpracticerecommendationsforthemanagementofkawasakidisease AT mohamedmortada egyptianevidencebasedconsensusonclinicalpracticerecommendationsforthemanagementofkawasakidisease AT naglaasosman egyptianevidencebasedconsensusonclinicalpracticerecommendationsforthemanagementofkawasakidisease AT nermeenahmedfouad egyptianevidencebasedconsensusonclinicalpracticerecommendationsforthemanagementofkawasakidisease AT youmnaahmedamer egyptianevidencebasedconsensusonclinicalpracticerecommendationsforthemanagementofkawasakidisease AT samahismailnasef egyptianevidencebasedconsensusonclinicalpracticerecommendationsforthemanagementofkawasakidisease AT hendabushady egyptianevidencebasedconsensusonclinicalpracticerecommendationsforthemanagementofkawasakidisease AT salwagalal egyptianevidencebasedconsensusonclinicalpracticerecommendationsforthemanagementofkawasakidisease AT eimanabdellatif egyptianevidencebasedconsensusonclinicalpracticerecommendationsforthemanagementofkawasakidisease AT dinamaria egyptianevidencebasedconsensusonclinicalpracticerecommendationsforthemanagementofkawasakidisease AT ahmedhshabana egyptianevidencebasedconsensusonclinicalpracticerecommendationsforthemanagementofkawasakidisease AT samarabdalhamedtabra egyptianevidencebasedconsensusonclinicalpracticerecommendationsforthemanagementofkawasakidisease |