Rheumatic fever: Secondary prevention

Abx prophylaxis to prevent recurrence: Penicillin G benzathine 1.2m U IM every 3wks Penicillin V potassium 200mg orally BID Sulfadiazine 1g orally once daily Macrolide/ Azalide abx for penicillin + sulfadiazine allergy Duration: RHF w/out carditis: 5yrs or age 21 ; RHF w/ carditis& w/out VHD: 10yr or age 21; RHF w/ VHD: 10yrs after last attack, until 40 or lifelong