Rheumatic fever and rheumatic heart disease in the Hamilton health district: II. Long term follow-up and secondary prophylaxis

N Z Med J. 1984 Sep 26;97(764):634-7.


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.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Acute Disease
  • Adolescent
  • Adult
  • Child
  • Child, Preschool
  • Female
  • Follow-Up Studies
  • Humans
  • Longitudinal Studies
  • Male
  • New Zealand
  • Penicillin G Benzathine / therapeutic use
  • Penicillins / therapeutic use*
  • Registries
  • Rheumatic Fever / drug therapy*
  • Rheumatic Heart Disease / drug therapy*


  • Penicillins
  • Penicillin G Benzathine