The prognosis in children with rheumatic fever prevention

Prognosis Generally speaking, if early diagnosis of rheumatic fever, correct and timely treatment and conduct thorough and reasonable measures to prevent recurrence, the better prognosis. Many
Recurrence and in the acute phase of the heart that is obviously involved, those with heart failure poor prognosis. Chorea good prognosis, often by 4 to 10 weeks to cure, although there are a relapse
But after puberty, they are very rarely recurrence. Prevention First, strengthen medical training, enhance immunity in children to prevent respiratory infections. Second, in patriotic health campaign to improve local living conditions and avoid the cold, wet. Third, timely and thorough prevention and treatment of streptococcal infection. Acute hemolytic streptococcus caused by angina, tonsillitis, lymphadenitis, otitis media
, Maxillary sinusitis, as well as scarlet fever and other penicillin should be given adequate treatment. Intramuscular injection twice a day, every 40 to 80 million units, the general should remain 10 to 14 days. Inflammation has not been completely dissipated or throat swab culture sustained positive, if necessary, an appropriate extension of vaccination dates. If those who are allergic to penicillin can be sulfadiazine or red mycophenolate - Such. Fourth, pay attention to the prevention of recurrence of the first age of onset less, the higher recurrence rate, 12-year-old after relapse has markedly decreased. Recurrence occurred in the first five years after onset, the 12-year-old in the five years before the beginning of prevention is even more important. In the winter and annual epidemic of scarlet fever
Long-acting penicillin, once a month 90 ~ 120 million units, intramuscular injection, oral penicillin tablets or 200,000 units / time, three times a day, or sulfadiazine 0.5 g / time Two times a day, or sulfadoxine-pyrimethamine 15 ~ 20 mg / kg / time, every six to one on the 7th. Sulfa drug use during the periodic review of blood, urine routine. 5, such as dental caries lesions removed, tonsillitis, otitis media, etc.. Rheumatology children to tonsil removal, surgery should be chosen in quiescent, before surgery 3 Days and two weeks after injection of penicillin should be. Before and after injection of penicillin extraction should be 2 to 3. Rheumatoid activities or prevent evoked in subacute bacterial endocarditis or Sepsis.