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...

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Main Authors: 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
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
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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.
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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
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