prophylaxis for rheumatic heart disease

prophylaxis for rheumatic heart disease
Since the disease occurs primarily as a result of neck pain, by a certain group of organisms, ie Streptococcus group A, ie the prevention of RF / RHD is the prevention of neck pain. But the prevention of neck pain is not as easy as can be it seems to be. There are a large number of cases of sore throat, and most of them are viral in nature, and from the bacterial infection only a small number can be related to the specific organism ie group A streptococcus, which RF / RL. These specific organisms can only be determined if a throat swab, each child for the culture of organisms. It is not possible in a disease such as sore throat, so widespread and subsidies even without treatment in many cases , ie, it is a self-limiting illness.

Due to the above reasons, it is not possible, the occult / hidden cases of neck pain as a result of group A streptococci in a mass survey / check-up of children, such as in various schools and colonies, etc., since throat culture takes 48-72 hours, and there is no kit for rapid detection of cases.

However, as a general prophylactic neck pain should be treated immediately, regardless of the causative organism, especially in children / adults for the prevention of RF / RHD. Doctors, especially pediatricians, can play an important role in the explanation of the parents, especially mothers, for the immediate treatment of neck pain in their children when it occurs. Teachers in schools play an equally important role in this respect.

A long-term drug prophylaxis should be used for all children / adults who once suffered an attack of RF / RHD, for protecting the throat against streptococcal infection. The duration of prophylaxis varies from case to case, as the incidence of the disease increases with age progress. This drug prophylaxis may be until the child reaches adulthood, or for five years after the last attack of RF / RHD. When prophylaxis is very vigilant, and the child / adult should receive adequate treatment for neck pain, how and when it occurs. However, drug prophylaxis can almost always / lifelong learning, particularly in cases where signs of a permanent exhibition flaps / rheumatic heart disease. These valves must be damaged foolproof protection against infections, and for this reason, drug prophylaxis is continuous. Long-term antibiotics such as penicillin, in this case every month, some in favor of it every three weeks. In the case of children, parents must ensure that the child be a regular course of administration of antibiotics, such as / motivated by their doctor.

So, all cases of RHO should be a short course of antibiotics (apart from the long-term antibiotics are monthly), all operative procedures that are either smaller or larger, such as dental extraction, etc., as more virulent bacteria are likely the blood from the area of operation, gross infection of the already damaged valves of the heart, known as subacute bacterial endocarditic (SBE), the resulting actions to the heart from damage. In this case strong antibiotics are needed to power over the crisis.

In the context of prophylaxis, it is also important that the warning signs of rheumatic fever, must be known to all, especially parents and teachers and the rural level. The children should be immediately treated the first attack. RF and drug prophylaxis should be carried out without delay.

Especially since the disease occurs as a result of infection of the throat, proper hygienic conditions for the prevention of neck pain / RF / RHO.

This is the reason that people who live in overcrowded / highly populated, humid colonies / slums, etc. at very susceptible to this disease. Good food is also necessary for the prevention of this disease.

To summarize, it can be said that in view of an eternal prevention, socio-economic factors as a whole, including especially the living conditions and diet of the people who need to be improved, particularly among the lower strata of society. People are required to receive training in various media in relation to the dangerous consequences of ~ ore neck and neck pains that all must be treated immediately if it occurs. Of course, an early detection and treatment of cases that already back the disease is essentially required. For all this we need a national strategy / program, and only then can we hope to prevent this disease, which is still one of the biggest health threats in many developing countries. It is seriously to be hoped that a streptococcal vaccine will be available soon, may in fact prove to be a breakthrough in the prevention of the disease.