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 NICE CG64. For individuals at increased risk of infective endocarditis, healthcare professionals should offer clear and consistent information about prevention NICE CG64. This includes the importance of maintaining good oral health NICE CG64. Additionally, any episodes of infection in these patients should be investigated and treated promptly to reduce the risk of endocarditis developing NICE CG64. It is important to note that antibiotic prophylaxis against infective endocarditis is not routinely recommended for people undergoing dental or non-dental procedures NICE CG64.
Key References
- CKS - Sickle cell disease
- CKS - Otitis media - acute
- CKS - Scarlet fever
- CG64 - Prophylaxis against infective endocarditis: antimicrobial prophylaxis against infective endocarditis in adults and children undergoing interventional procedures
- CKS - Urinary tract infection (lower) - women
- NG240 - Meningitis (bacterial) and meningococcal disease: recognition, diagnosis and management
- NG95 - Lyme disease