What prophylactic measures should be taken for patients with rheumatic heart disease to prevent recurrent rheumatic fever?

The provided UK guideline excerpts do not specifically detail prophylactic measures for patients with rheumatic heart disease to prevent recurrent rheumatic fever.

However, patients with acquired valvular heart disease, such as rheumatic heart disease, are considered to be at an increased risk of developing infective endocarditis ⁴. For individuals at increased risk of infective endocarditis, healthcare professionals should offer clear and consistent information about prevention ⁴. This includes the importance of maintaining good oral health ⁴. Additionally, any episodes of infection in these patients should be investigated and treated promptly to reduce the risk of endocarditis developing ⁴. It is important to note that antibiotic prophylaxis against infective endocarditis is not routinely recommended for people undergoing dental or non-dental procedures ⁴.