True regarding secondary prophylaxis of a 6 year old child with carditis is: March 2005
Duration of prophylaxis is life long
Duration of prophylaxis is till 18 years
Duration of prophylaxis is at least 5 years after onset
Duration of prophylaxis is till 25 years of age
Ans. D: Duration of prophylaxis is till 25 years of age The duration of prophylaxis differs from case to case. In patient without proven carditis: This drug prophylaxis may be given till the child reaches 18 years of age, or for five years after the last attack of RF /RHD (whichever is longer). In patient with proven carditis: This drug prophylaxis may be given till the child reaches 25 years of age, or for ten years after the last attack of RF /RHD (whichever is longer). Drug prophylaxis may be required almost forever/lifelong, especially in cases which exhibit permanent signs of valvular /rheumatic hea disease or after valvular surgery. These damaged valves need foolproof protection against infection, and due to this reason, drug prophylaxis is given continuously.