A 17-year-old Aboriginal girl living in a remote community has a history of definite acute rheumatic fever with carditis. She weighs 55 kg and has no ...

Question

A 17-year-old Aboriginal girl living in a remote community has a history of definite acute rheumatic fever with carditis. She weighs 55 kg and has no penicillin allergy. According to Australian recommendations, which secondary prophylaxis regimen is most appropriate to reduce the risk of recurrent rheumatic fever?

Accepted Answer

Intramuscular benzathine benzylpenicillin G 900 mg every 21-28 days

Answer

Oral phenoxymethylpenicillin 250 mg twice daily for 10 days after sore throats

Answer

Oral azithromycin 500 mg once weekly

Answer

Intravenous benzylpenicillin 1.2 g daily for 5 days

Answer

No further prophylaxis is required after 1 year

au-racgp MCQ (SBA): Rheumatic heart disease secondary prophylaxis