Acute Rheumatic Fever and Rheumatic Heart Disease - Guideline

Guideline for diagnosis, management and secondary prevention of acute rheumatic fever and rheumatic heart disease.

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This guideline for the diagnosis, management and secondary prevention of acute rheumatic fever (ARF) and rheumatic heart disease (RHD) was published in 2014. As a result of the 2019 update to the Group A Streptococcal Sore Throat Management Guideline the following medication regimes have changed, but have not been updated in this document.

Page referenceMedication2014 ARF and RHD GuidelineMedication regime change in 2019 GAS Guideline Update
13PhenoxymethylpenicillinTwice daily2-3 times daily
13, 29AmoxicillinOnce daily1-2 times daily
26, 29, 36, 70Erythromycin max daily dose1000mg1600mg