Hurts less, lasts longer: Applying Māori and Pacific patient-centered models to implement subcutaneous injections of high dose penicillin to prevent rheumatic heart disease

Our early trials demonstrated that by delivering penicillin as an “implant” via SCIP, patients retain the desired penicillin concentrations for at least 3 months. This project will expand the trial into other regions of New Zealand. In addition, will utilise a previously developed rangatahi Māori and Pacific 
patient and whānau centered model of care to implement the delivery of SCIP. The model’s effectiveness and responsiveness to rangatahi Māori and Pacific patients, 
whānau and health care workers involved in the delivery of SCIP will be evaluated. 

Rheumatic fever
Principal Investigator
Dr Julie Bennett and Dr Anneka Anderson
University of Otago, University of Auckland
Public Contact
Kim Thomas
teniwhacomms@otago.ac.nz
Project Timeframe/Status
-
In Process

Whakarāpopoto Rangahau Summary of Research

“Hurts less, lasts longer”, is a quote from a young participant who was part of our world-first subcutaneous injection of penicillin (SCIP) trial.

Before SCIP, rheumatic fever patients would need to receive painful monthly injections of penicillin for a minimum of 10 years to prevent the development of rheumatic heart disease. This inconvenient, painful regimen has remained the same for the last 70 years. 

An estimated 60% of rheumatic fever cases progress to carditis and permanent heart value damage, known 
as rheumatic heart disease which can cause death.

This program builds on a body of work which has shown striking results. Our early trials demonstrated that by delivering penicillin as an “implant” via SCIP, patients retain the desired penicillin concentrations for at least 3 months. This project will expand the trial into other regions of New 
Zealand. In addition, will utilise a previously developed rangatahi Māori and Pacific 
patient and whānau centered model of care to implement the delivery of SCIP. The 
model’s effectiveness and responsiveness to rangatahi Māori and Pacific patients, 
whānau and health care workers involved in the delivery of SCIP will be evaluated. 

This project will expand the trial into other regions of New 
Zealand. In addition, will utilise a previously developed rangatahi Māori and Pacific patient and whānau centered model of care to implement the delivery of SCIP.

The model’s effectiveness and responsiveness to rangatahi Māori and Pacific patients, whānau and health care workers involved in the delivery of SCIP will be evaluated. 

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Te Hiranga a Rangahau Research Impact

By providing an acceptable model of care that delivers sustained penicillin concentrations, which last at least 3 months this approach fulfils the ideal product characteristics for the next generation of long-acting penicillin. Implementing SCIP successfully could be life-changing for those living with rheumatic fever and rheumatic heart disease locally and globally.

Te Niwha

Kairangahau Research Personnel

Project Leaders

Dr Julie Bennett
University of Otago
Dr Anneka Anderson
University of Auckland

 

Locations

Wellington, Waikato

Matauranga Publication

"Hurts less, lasts longer"; a qualitative study on experiences of young people receiving high-dose subcutaneous injections of benzathine penicillin G to prevent rheumatic heart disease in New Zealand

Julie Cooper, Stephanie L Enkel, Dhevindri Moodley, Hazel Dobinson, Erik Andersen, Joseph H Kado, Renae K Barr, Sam Salman, Michael G Baker, Jonathan R Carapetis, Laurens Manning, Anneka Anderson, Julie Bennett

Video

Lived Experiences

Thanks to Paige, Tamotea and Ngamanaaki from the SCIP study in Wellington region for sharing their stories. This video was filmed by Luke Pilkinton-Ching.