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Child Health Guideline Identifier

Rheumatic Fever - children and adults

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Actions prior to discharge

Notification to ARPHS: must be done on suspicion and within 7 days of admission

Case review (internal ADHB link): complete at time of diagnosis (leave in notes)

Referral to Auckland Regional Rheumatic Fever Register

Administer first dose of secondary prophylaxis (IM BPenG) - please chart 0.25mls of lignocaine 2% to be given with benzathine penicillin injections.

Refer to Community nursing team (internal ADHB link) for ongoing prophylaxis

Assess eligibility for Healthy Housing (internal ADHB link)

Refer for follow-up: ID +/- cardiology clinic

Refer Dental Service

Document requirement for infective endocarditis prophylaxis and provide wallet card

Education: What is Rheumatic fever? (also in Tongan and Samoan)

Reinforce sore throat management in patient and family/household members

Reinforce need for prophylaxis

Other resources: Rheumatic Fever on the kidshealth website

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Document Control

  • Date last published: 04 September 2018
  • Document type: Clinical Guideline
  • Services responsible: Paediatric Infectious Diseases, Paediatric Cardiology
  • Author(s): Elizabeth Wilson, Alison Leversha
  • Editor: Greg Williams
  • Review frequency: 2 years

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