Administering BPG - Injection sites and methods
To prevent ARF recurrence and to avoid or minimise RHD, secondary prophylaxis with penicillin is required to stop infections with Group A Streptococcal (GAS) bacteria. This is most commonly given as an intramuscular injection called benzathine penicillin G (BPG)*. It is the only strategy shown to be clinically effective but only if it is given within every 28 days. Every day past the 28 days leaves the patient at risk of another Strep infection and another episode of ARF. This treatment is usually required for at least 10 years. This can be stressful and inconvenient, and the injections can be painful. If we want patients to come back for this regular ongoing treatment, it is important to identify any hurdles the patient might experience and to develop strategies to overcome them.
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