Prophylaxis of Rheumatic Fever FAQ
What is rheumatic fever prophylaxis?
It's the use of antibiotics to prevent repeat episodes of rheumatic fever, typically after a strep throat infection.
Why is prophylaxis necessary for rheumatic fever?
To prevent permanent heart damage and reduce the risk of rheumatic heart disease.
How long does prophylaxis treatment last?
Usually 5 years for first-time attacks, or up to 10 years for severe cases, per Malaysian guidelines.
What medication is commonly used?
Benzathine penicillin G injections every 3-4 weeks are standard in Malaysia.
Can oral antibiotics be used instead of injections?
Yes, penicillin V or amoxicillin may be prescribed for patients who can't tolerate injections.
How effective is rheumatic fever prophylaxis?
Highly effective if adherence is maintained, significantly reducing recurrence risk.
What are the side effects of long-term penicillin use?
Generally well-tolerated, but allergic reactions can occur; monitoring is advised.
Is prophylaxis needed after a single rheumatic fever episode?
Yes, to prevent future attacks and protect heart health, especially in children.
Can lifestyle changes support prophylaxis?
Maintaining good hygiene and avoiding close contact with strep infections helps.
How often are follow-up appointments needed?
Regular check-ups, ideally every 3-6 months, to monitor treatment response and adherence.
What if a dose is missed?
Resume the schedule as soon as possible; do not double doses.
Are there alternative treatments for penicillin allergy?
Erythromycin or other macrolides may be used under medical supervision.
Does prophylaxis guarantee no recurrence?
Significantly reduces risk but doesn't guarantee; adherence is crucial.
What role does dental health play?
Good oral hygiene reduces infection risk, supporting overall prophylaxis goals.
Are there support groups in Malaysia for families affected?
Yes, organizations like the Malaysian Cardiac Society offer resources and support.
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