Heart Association Issues Revised Statement on Prevention of Rheumatic Fever.—Revisions of its recommendations for prevention of first and repeat attacks of rheumatic fever are incorporated in a new edition of the American Heart Association's statement on "Prevention of Rheumatic Fever and Bacterial Endocarditis Through Control of Streptococcal Infection." The revised statement appears in the December issue of Modern Concepts of Cardiovascular Disease, the Association's monthly medical bulletin.
This is the second revision of the statement, prepared by the Association's Committee on Prevention to keep pace with the progressively growing body of knowledge and experience in this field. The Committee points out that no recommendations can be considered final at this time. "Revisions and changes," it declares, "will be made as new knowledge may indicate."
Following are the principal changes in the recommendations:
Greater emphasis is placed on the value of throat cultures in diagnosing streptococcal infections, with