Which of the following could be part of a prophylactic strategy to prevent recurrent Rheumatic fever?

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Study for the Internal Medicine EOR – Cardiovascular Exam. Use flashcards and multiple choice questions with detailed explanations to prepare effectively. Ace your exam!

The prophylactic strategy to prevent recurrent rheumatic fever primarily hinges on the use of antibiotics, and specifically, monthly Benzathine Penicillin injections are crucial in this regard. Rheumatic fever is a complication that can arise from untreated streptococcal throat infections, and once it occurs, the risk of recurrence is heightened with subsequent infections. Administering Benzathine Penicillin routinely provides a sustained release of the antibiotic, thereby maintaining therapeutic levels sufficient to prevent streptococcal infections.

This approach is particularly effective because rheumatic fever can lead to severe heart complications, such as rheumatic heart disease, which can have lifelong implications. Prophylaxis with Benzathine Penicillin is tailored to the individual’s history of rheumatic fever and associated risk factors, often continuing for several years or even into adulthood, depending on the severity of the initial episode and any subsequent cardiac involvement.

In contrast, while regular physical therapy and exercise sessions can be beneficial for overall health, they do not specifically address the underlying risk of streptococcal infection that leads to rheumatic fever. Low-dose aspirin can be used for pain management during an active episode of rheumatic fever but is not a preventative measure against recurrence. Thus, the most effective strategy for

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