Question

A 35-year-old Aboriginal man living in a remote community presents with recurrent skin sores and a new systolic murmur at the left sternal edge. He has had several untreated episodes of sore throat and skin infections. What is the most appropriate preventive strategy to reduce further rheumatic fever episodes in such communities?

Accepted Answer

Community-based primary prevention with prompt treatment of group A streptococcal skin and throat infections

Answer

No role for antibiotics for sore throats

Answer

Screening only with echocardiography and no antibiotics

Answer

Focusing solely on adult education without medical treatment

Answer

Using antiviral therapy for sore throats

Practice question