Practice question

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HardIndigenous HealthRheumatic heart disease secondary prophylaxisau-racgpau-racpau-amc

A 14-year-old Aboriginal girl from a remote community has a history of acute rheumatic fever with mild mitral regurgitation. She has been on secondary prophylaxis for 2 years with intramuscular benzathine benzylpenicillin G every 28 days. She has recently had a recurrence of rheumatic fever despite good adherence. What is the most appropriate adjustment to her prophylactic antibiotic regimen?

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