182638 - check, unit 555, Immunology, November 2018
This edition of check focuses on the assessment and management of presentations related to immunology in general practice.Relevance to General Practice
Approximately 5% of the Australian population is affected by an autoimmune disease, and almost 20% has some form of allergic disease. The prevalence of systemic lupus erythematosus in Australia ranges from 19 to 92 per 100 000 people. Properly managed, the 10-year survival rate for this autoimmune disease is just over 90%. Inflammatory bowel disease affects approximately one in 250 Australians aged between five and 49 years. Food allergies affect approximately 10% of infants aged one year, and anaphylaxis-related hospital admissions caused by food allergies are rapidly increasing, with a 350% increase seen between 1997 and 2005. In the past decade, the goal of harnessing the the immune system for the direct targeting of cancers has become a reality. Long-term disease control is achieved in 15–20% of patients with cancer who are treated with checkpoint inhibitors.
References on file.
D1. Communication skills and the patient-doctor relationship
Ways in which health can be optimised and maintained are communicated to patients, family members and carers
D2. Applied professional knowledge and skills
Rational prescribing and medication monitoring is undertaken
D3. Population health and the context of general practice
D4. Professional and ethical role
D5. Organisational and legal dimensionsCurriculum Contextual Units
- Adult health
- Care of older people
- Children and young people health
- Oncology and palliative care