Dentists’ knowledge and practice regarding prevention of infective endocarditis

Ryalat, Soukaina; Hassona, Yazan; Al-Shayyab, Mohammad H.; Abo-Ghosh, Mais

doi:10.4103/1305-7456.195158

Cited by 17 publications

(18 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The most frequently reported invasive, bacteremiacausing dental procedures were exodontia and dental implant, which is in line with previous studies [12,14,17,18,20]. The seven correct response alternatives in this question were frequently selected, similarly to what was previously described for heart conditions.…”

Section: Discussionsupporting

confidence: 78%

“…Previous studies have analyzed the knowledge of dentists and / or dental students about the topic and demonstrated a limited knowledge and the existence of many questions [5,12]. Common mistakes include the choice for the antibiotic and its correct dosage as well as lack of knowledge on conditions that do not pose a high risk to the patient, e.g., non-invasive dental procedures that cause bacteremia [13][14][15][16][17][18]. It was also shown that a pedagogic intervention (e.g., informative talk) can effectively improve the frequency of correct responses [19].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

The knowledge of undergraduate dental students and dentists about antibiotic prophylaxis in patients at risk for infective endocarditis

Gangá

Arpini

Ferreira

et al. 2020

RGO, Rev. Gaúch. Odontol.

View full text Add to dashboard Cite

Infective Endocarditis (IE) is an infection of the endocardial surface of the heart that is caused by fungi, bacteria or viruses. The high mortality and morbidity rates of IE have encouraged the adoption of preventive strategies. This study investigated the knowledge on the prevention of IE among 2nd, 3rd and 4th-year undergraduate dental students at the Escola Superior São Francisco de Assis (ESFA) and among dentists working in the municipality of Santa Teresa, ES, Brazil. Objective: The rationale for this study was to identify the gaps in their knowledge and raise awareness on the topic. Methods: The study was previously approved by the Research Ethics Committee. The sample consisted of dental students who had completed the Pharmacology for Dentistry course at the ESFA, totaling 35 2nd-year students, 29 3rd-year students, and 36 4th-year students. Thirty dentists registered in the Regional Council of Dentistry of Espírito Santo state, who were working in the municipality of Santa Teresa, ES, Brazil, were also included. All participants were given a questionnaire containing six objective and four subjective questions to assess their knowledge regarding the definition of IE, high-risk patients, dental procedures known to cause bacteremia, recommended dosage regimens for high risk patients, and additional care in the assistance of these patients. The questionnaires’ responses were reviewed following the American Heart Association (AHA) guidelines for disease prevention published in 2007. Results: The analysis of the results revealed a low rate of correct responses among students and dentists. The questions with the lowest rate of correct responses were those addressing the identification of patients at high risk for heart conditions and the dental procedures known to cause bacteremia, with no significant differences between the four groups analyzed (P > 0.05). Third-year dental students presented a frequency of correct responses significantly lower than that of the other groups (P < 0.001), which did not differ from each other. To conclude, all participants demonstrated poor knowledge about the topic, particularly 3rd-year dental students. Conclusion: These results reinforce the need for informative measures to raise awareness and improve the quality of dental care provided to the population.

show abstract

Section: Discussionsupporting

confidence: 78%

Section: Introductionmentioning

confidence: 99%

The knowledge of undergraduate dental students and dentists about antibiotic prophylaxis in patients at risk for infective endocarditis

Gangá

Arpini

Ferreira

et al. 2020

RGO, Rev. Gaúch. Odontol.

View full text Add to dashboard Cite

show abstract

“…The British Society for Antimicrobial Chemotherapy has recommended antibiotic prophylaxis before dental procedures exclusively for patients with a history of previous IE infection or with cardiac valve replacement (24). Another study conducted by Ryalat et al, reported that 87% of Jordanian dentists recommended antibiotic prophylaxis in patients with prosthetic devices (25). In this study, the vast majority of the study population was aware of the general cardiac indications for antibiotic prophylaxis toward the prevention of IE.…”

Section: Discussionmentioning

confidence: 74%

“…The study conducted by Ryalat et al, observed that amoxicillin was the preferred choice of the antibiotic drug among dentists to prevent IE, followed by clindamycin (17.3%), and a minority of the dental population preferred metronidazole, lincomycin, gentamycin, or clarithromycin (25). It was also the drug of choice among Nigerian dentist with 89% preferring it, however, Japanese dentists preferred cephams followed by penicillin drugs (27,28).…”

Section: Discussionmentioning

confidence: 99%

Evaluation of the Current Knowledge About Bacterial Endocarditis Prevention Among General Dentists in the City of Santo Domingo, Dominican Republic

Aragoneses

Brugal

et al. 2020

Front. Public Health

View full text Add to dashboard Cite

Infective endocarditis (IE) is a life-threatening disease caused by bacterial adherence to the lining of the heart and heart valve, and it can be caused by bacterial contamination of the bloodstream during invasive dental procedures. The American Heart Association (AHA) recommended guidelines for antibiotic prophylaxis in 2008 before invasive dental procedures; however, in the Dominican Republic, no official guidelines or regulations on this topic have been yet established. This study aimed to evaluate the current knowledge about bacterial endocarditis prevention among dentists in Santo Domingo. The study participants were dentists who attended a conference organized by Universidad Federico Henríquez y Carvajal (n = 95), of which 74 responded to the questionnaire survey. Seventy-eight percentage of the participants responded that an indication of antibiotics is recommended in cases of prophylaxis for IE. The prescription of antibiotics was applied to patients with prosthetic valves (78.4%), presented a history of previous IE (77%) among others. Among all the interventions in which the respondents would prescribe antibiotics, tooth extraction (70.7%) was the most frequent. Amoxicillin was the preferred drug choice (63.5%) and clindamycin was the antibiotic of choice in allergic patients (55.4%). Even though the choice of antibiotics were according to AHA guidelines (2008), majority of the dentists (58.82 and 55.4%) were not aware of the correct dosage and timing of administration of azithromycin and clindamycin in drugs in patients allergic to penicillin.

show abstract

“…57.5% 89%. 4,7,16,20 The administering prophylactic antibiotics at the correct time during the preoperative period for dental procedures that produce significant bacteremia. She emphasized that it is essential that prophylactic antibiotics should be administered shortly before the dental procedure.…”

Section: Discussionmentioning

confidence: 99%

Dentists’ knowledge and practices about infective endocarditis antibiotics prophylaxis among children in southwestern Saudi Arabia

Shati¹

2019

Preprint

View full text Add to dashboard Cite

Background Infective endocarditis is a disease endangering the life of humans. Therefore, several prophylactic measures are needed to improve the protection of endocarditis-prone patients from bacteremia resulting from various dental actions. These measures range from developing the dental hygiene of endocarditis-prone individuals to trials of different antimicrobial agents. The objective of the study was to examine knowledge and practices of dentists in the Aseer Region, Saudi Arabia, regarding antibiotic prophylaxis against Infective endocarditis.Methods A cross-sectional study design in Aseer Region. Interviews were carried out, and 182 individuals participated in the data collection process. The 182 participants were interviewed at their workplaces. The data collection sheet was constructed based on the guidelines of the American Heart Association /American College of Cardiology (AHA/ACC, 2017).Results Dentists’ mean knowledge score was 17.5±3.7 (out of 24). The least correct responses regarding dental procedures that require prophylactic antibiotics were “root canal treatment” (30.8%). Regarding cardiac conditions that require prophylactic antibiotics, dentists’ least correct responses were “heart failure” (50%). Dentists’ mean knowledge scores differed significantly according to their age groups (p=0.032), nationality (p=0.002), education/qualification (p=0.002). Mean knowledge scores differed significantly according to dentists’ years of operation (p=0.018) and sources of information (p<0.001). Amoxicillin was the most regularly recommended antibiotic (90.7%), while 86.8% correctly stated 30-60 minutes before the procedure as the time for prophylactic antibiotic administration.Conclusions Knowledge of dentists in the Aseer Region regarding the use of preventive drugs for the control and prevention of I.E. is suboptimal. The inclusion of latest AHA guidelines into the dentistry curricula is highly recommended.

show abstract

Dentists’ knowledge and practice regarding prevention of infective endocarditis

Cited by 17 publications

References 16 publications

The knowledge of undergraduate dental students and dentists about antibiotic prophylaxis in patients at risk for infective endocarditis

The knowledge of undergraduate dental students and dentists about antibiotic prophylaxis in patients at risk for infective endocarditis

Evaluation of the Current Knowledge About Bacterial Endocarditis Prevention Among General Dentists in the City of Santo Domingo, Dominican Republic

Dentists’ knowledge and practices about infective endocarditis antibiotics prophylaxis among children in southwestern Saudi Arabia

Contact Info

Product

Resources

About