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Preventive Measure
Primary prevention
Early detection and treatment of group "A" b-hemolytic streptococcal pharyngitis. Penicillin is the commonly prescribed drug. Educate the patient about the consequences of untreated sore throat and the need for appropriate treatment.
Secondary prevention
Focuses on the use of prophylactic antibiotics to prevent recurrent rheumatic fever, usually with long acting penicillin IM every 21 days. This has to be continued indefinitely for patient with carditis. Teach about the importance of hygienic and healthy living.
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note about water microbiology
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