Fiebre Reumática: Prevención secundaria

Secondary Prophylaxis Regimen for Patients with Documented RF (Adult Dosages)

Benzathine penicillin G 1.2 million units IM Every 3 to 4 weeks
Penicillin V 250 mg PO Twice daily
Erythromycin 250 mg PO Twice daily
Sulfadiazine 1 g PO Daily
Sulfisoxazole 1 g PO Daily

Hay que dar profilaxis incluso despues de la cirugia de cambio valvular

Modified from Gerber MA, Baltimore RS, Eaton CB, et al: Prevention of rheumatic fever and diagnosis and treatment of acute streptococcal pharyngitis. A scientific statement from the American Heart Association Rheumatic Fever, Endocarditis, and Kawasaki Disease Committee. Circulation 119:1541, 2009; and Rheumatic fever and rheumatic heart disease. World Health Organ Tech Rep Ser 923:1, 2004