Hassell T A, Stuart K L
Br Med J. 1974 Apr 6;2(5909):39-40. doi: 10.1136/bmj.2.5909.39.
An effective programme of secondary prophylaxis against rheumatic fever has been established in Barbados over the last three years. Relatively unsophisticated patients collaborated well over prolonged periods. Adequate secondary prophylaxis was achieved with monthly injections of benzathine penicillin, with a resultant decrease in the complication rate.A total of 84 admissions over 32 months from a population of some 60,000 children under the age of 12 emphasizes the need for registration and prophylactic treatment of children with rheumatic fever. The low yield in the survey of schoolchildren between the ages of 5 and 11 and the large number of personnel required for the survey suggest that it might be extended to include older age groups. Automatic screening devices should be used when possible so that more may be screened.
在过去三年里，巴巴多斯已建立了一项有效的风湿热二级预防计划。相对单纯的患者在较长时间内配合良好。通过每月注射苄星青霉素实现了充分的二级预防，并发症发生率因此降低。在约60000名12岁以下儿童中，32个月内共有84例入院病例，这凸显了对风湿热患儿进行登记和预防性治疗的必要性。对5至11岁学童的调查阳性率较低，且调查需要大量人员，这表明该调查可能应扩大至包括年龄更大的群体。应尽可能使用自动筛查设备，以便能筛查更多人群。
