风湿性三尖瓣狭窄的一级预防包括对疑似 A 型链球菌性咽炎的有症状的患者进行迅速和全面的抗生素治疗。[4]World Health Organization. Rheumatic fever and rheumatic heart disease. Technical Report Series 923. February 2004. http://www.who.int/ (last accessed 6 June 2017).http://www.who.int/cardiovascular_diseases/resources/en/cvd_trs923.pdf[20]Dajani A, Taubert K, Ferrieri P, et al. Treatment of acute streptococcal pharyngitis and prevention of rheumatic fever: a statement for health professionals. Committee on Rheumatic Fever, Endocarditis, and Kawasaki Disease of the Council on Cardiovascular Disease in the Young, the American Heart Association. Pediatrics. 1995;96:758-764.http://www.ncbi.nlm.nih.gov/pubmed/7567345?tool=bestpractice.com[21]Shulman ST, Bisno AL, Clegg HW, et al; Infectious Diseases Society of America. Clinical practice guideline for the diagnosis and management of group A streptococcal pharyngitis: 2012 update by the Infectious Diseases Society of America. Clin Infect Dis. 2012;55:e86-e102.http://cid.oxfordjournals.org/content/55/10/e86.longhttp://www.ncbi.nlm.nih.gov/pubmed/22965026?tool=bestpractice.com[22]American Academy of Pediatrics Committee on Infectious Diseases. Red book: report of the Committee on Infectious Diseases. 27th ed. Evanston, IL: American Academy of Pediatrics, 2006.同理,曾有急性风湿热、二级预防或长期抗生素治疗预防病史记录的患者应遵循现有指南和建议进行治疗。[4]World Health Organization. Rheumatic fever and rheumatic heart disease. Technical Report Series 923. February 2004. http://www.who.int/ (last accessed 6 June 2017).http://www.who.int/cardiovascular_diseases/resources/en/cvd_trs923.pdf[20]Dajani A, Taubert K, Ferrieri P, et al. Treatment of acute streptococcal pharyngitis and prevention of rheumatic fever: a statement for health professionals. Committee on Rheumatic Fever, Endocarditis, and Kawasaki Disease of the Council on Cardiovascular Disease in the Young, the American Heart Association. Pediatrics. 1995;96:758-764.http://www.ncbi.nlm.nih.gov/pubmed/7567345?tool=bestpractice.com