Kumar R
Postgraduate Institute of Medical Education and Research, Chandigarh, India.
World Health Forum. 1995;16(1):47-51.
The streptococcal infection that leads to rheumatic heart disease, which accounts for one third to half of the cardiac admissions in developing countries, appears to spread especially rapidly in overcrowded living conditions. Rheumatic fever can be prevented by antibiotic treatment for streptococcal sore throat in children (primary prophylaxis), and its progression towards rheumatic heart disease can also be stopped by antibiotic therapy (secondary prophylaxis). At present, the most cost-effective control strategy appears to be secondary prophylaxis.
导致风湿性心脏病的链球菌感染在发展中国家占心脏科住院病例的三分之一至一半，这种感染在过度拥挤的生活条件下似乎传播得特别迅速。风湿热可以通过对儿童链球菌性咽喉炎进行抗生素治疗来预防（一级预防），其向风湿性心脏病的进展也可以通过抗生素治疗来阻止（二级预防）。目前，最具成本效益的控制策略似乎是二级预防。
