A school-age child with fever and joint pain has just received a diagnosis of rheumatic fever.. Early detection and treatment of streptococcal infections

A school-age child with fever and joint pain has just received a diagnosis of rheumatic fever. The child’s parents ask the nurse whether anything could have prevented this disorder. Which intervention is most effective in preventing rheumatic fever?
a. Immunization with the hepatitis B vaccine
b. Isolation of individuals with rheumatic fever
c. Use of prophylactic antibiotics for invasive procedures
d. Early detection and treatment of streptococcal infections

Answer D. Rheumatic fever is a systemic inflammatory disease that follows a Group A streptococcal infection.
Therefore, early detection and treatment of streptococcal infections helps prevent the development of rheumatic fever.
Hepatitis B vaccine provides immunity against the hepatitis B virus - not streptococci. Because rheumatic fever isn’t contagious, isolation measures aren’t necessary.
Prophylactic antibiotics are used for invasive procedures only in clients with a history of carditis to prevent bacterial endocarditis.

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