Pediatricsintermediate
Place the clinical steps for secondary prevention of acute rheumatic fever (ARF) in the correct chronological order, from first to last.
Answer
Establish the diagnosis of acute rheumatic fever, Administer a complete antibiotic course to eradicate residual Group A Streptococcus, Initiate continuous secondary antibiotic prophylaxis, Maintain prophylaxis for the duration determined by the patient's cardiac status
Explanation
The lecture recommends starting long-term prophylaxis after diagnosis and completion of a full antibiotic course, then continuing according to the patient's cardiac status. **Key takeaway:** Secondary prevention is planned longitudinal care. **Glossary:** Eradication course: treatment intended to clear GAS infection.
Related Questions
- Which factors are associated with higher ARF occurrence or susceptibility? Select ALL that apply.(intermediate)
- Explain why ARF remains an important public-health problem despite declining incidence in many industrialized countries.(intermediate)
- Acute rheumatic fever occurs most frequently in children and adolescents aged 5 to 15 years.(basic)
- After a prior episode of ARF, recurrence following untreated GAS pharyngitis can approach 50%.(intermediate)
- The highest incidence of ARF occurs in children aged approximately _____ years.(basic)
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