Question

A 9-year-old Aboriginal girl from a remote community is diagnosed with definite acute rheumatic fever (ARF) affecting the mitral valve. According to Australian rheumatic heart disease guidelines, what is the standard regimen for secondary prophylaxis to prevent recurrences?

Accepted Answer

Intramuscular benzathine benzylpenicillin G every 21-28 days for at least 10 years or until age 21 (whichever is longer)

Answer

Oral penicillin V twice daily for 5 years

Answer

Intradermal benzathine penicillin every 6 months

Answer

Single course of oral azithromycin

Answer

No prophylaxis is required once symptoms resolve

Practice question

A 9-year-old Aboriginal girl from a remote community is diagnosed with definite acute rheumatic fever (ARF) affecting the mitral valve. According to Australian rheumatic heart disease guidelines, what is the standard regimen for secondary prophylaxis to prevent recurrences?