To prevent the first attack of RF,by detection and
treatment of streptococcal throat inf.
Many inf are inapparent or undiagnosed
High risk approach:
Surveillance for streptococcal pharyngitis
among school children
Sore throat should be swabbed and cultured If strepto.— Give Penicillin (If culture is not possible a sore throat can be treated with Benzathine Benzyl Penicillin) Dose: One IM inj.,1.2 miilion units(adults),0.6 million units(children) Or Oral Penicillin G/Penicillin V for 10 days Erythromycin (In case of allergy to Penicillin) Primary prevention contd…