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  • Title: Rheumatic fever and rheumatic heart disease in the Hamilton health district: II. Long term follow-up and secondary prophylaxis.
    Author: Talbot RG.
    Journal: N Z Med J; 1984 Sep 26; 97(764):634-7. PubMed ID: 6591051.
    Abstract:
    An analysis is made of follow-up and prophylaxis of 289 first attacks of acute rheumatic fever occurring over a ten year period in under 30 year olds in the Hamilton health district, New Zealand. Hospital clinics originally undertook to follow 84.4% of patients but after ten years, regular contact was maintained with 45% of this group while general practitioners maintained contact with 32% of their group. Fifty percent of all cases (and 77% of cases occurring in the past five years) are on regular benzathine penicillin usually administered by the district nursing service. Co-ordination with extramural services and the use of the computer based register as means of improving follow-up and prophylaxis are advocated, with more attention being given to defaulters.
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