Knowledge of Infective Endocarditis and Prophylaxis Among Spanish Dentists

Torres, Francisco; Renilla, Alfredo; Flórez, Juan P.; Secades, Sandra; Benito, Eva Maria; Hera, Jesús M. de la

doi:10.1016/j.rec.2012.04.007

Cited by 3 publications

(3 citation statements)

References 5 publications

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“…in Canada, it was similarly found that although most dentists recommended IE prophylaxis appropriately, there was failure to recommend prophylaxis in high risk lesions such as mechanical heart valves 28 . In addition, several other studies noted that the level of knowledge of IE and the correct indications for antibiotic prophylaxis among dentists varied, ranging from poor to high 17,23,28 …”

Section: Discussionmentioning

confidence: 99%

“…When comparing dental professions, research carried out in Spain found that dental hygienists were more likely than dentists to recommend IE prophylaxis for low risk cardiac lesions 23 . Dentists have the best knowledge of the dental procedure to be performed, hence dentists’ awareness of the guidelines are paramount.…”

Section: Discussionmentioning

confidence: 99%

“…In the dental setting, the main implication of VHD is the need for antibiotic prophylaxis of IE during certain dental treatments as outlined in several international and Australian guidelines, 16–23 summarized in Appendix . In Australia, recommendations are provided from the Therapeutic Guidelines: oral and dental, which aligns completely with the RHD guideline 12,16,18–23 . The Australian guidelines differ to a degree from UK guidelines, in part reflecting the different population and health care system in Australia.…”

Section: Introductionmentioning

confidence: 99%

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Understanding valvular heart disease in the dental setting

Truong

Koh

Yosufi

et al. 2021

Australian Dental Journal

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Background Limited evidence is available regarding dentists’ knowledge and interpretation of infective endocarditis (IE) prophylaxis guidelines. The aim of this study was to determine understanding and management of rheumatic and non‐rheumatic valvular heart disease (VHD) in the dental setting in Western Australia (WA). Methods A cross‐sectional survey of dentists within Perth utilized an online Qualtrics questionnaire developed after consultation with stakeholders. A sampling frame was compiled from the Australian Health Practitioner Regulation Agency with contact details obtained from the White Pages (online), using five quintiles of Socio‐Economic Indexes for Areas according to dentist’s place of practice. Results Of 41 (13.7% of 300 approached) dentists completing the survey (95.1% general dentists, mean years of practice = 15.6), 90.2% reported following the Australian Therapeutic Guidelines (ATG) regarding IE antibiotic prophylaxis in VHD. Most (92.7%) were unaware of the rheumatic heart disease (RHD) control program. Nearly all participants indicated prophylaxis for clearly invasive procedures such as tooth extraction (100.0%) and periodontal surgery (95.1%). Many dentists made the decision to prescribe antibiotics themselves (36.6%). Conclusions The majority of dentists followed the ATG’s IE prophylaxis recommendations for cardiac lesions and dental procedures. There was limited knowledge of the national RHD guidelines and the WA RHD control program.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Understanding valvular heart disease in the dental setting

Truong

Koh

Yosufi

et al. 2021

Australian Dental Journal

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¿Se siguen en nuestro medio las recomendaciones de profilaxis de endocarditis infecciosa? Diferencias entre los profesionales sanitarios implicados

Castillo

Anguita³

et al. 2017

Atención Primaria

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Prophylaxis of Infective Endocarditis: A Cross Sectional Survey among Physician Members of the Portuguese Society of Cardiology

2022

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Introduction: In the last decade, the downgrading of indications for antibiotic prophylaxis for infective endocarditis caused an uncertain impact on the incidence of this condition. Since no data is available on the practice of infective endocarditis prophylaxis in Portugal, we aimed to characterize the pattern of antibiotic use for infective endocarditis prophylaxis and the compliance/awareness of scientific guidelines among physician members of the Portuguese Society of Cardiology.Material and Methods: A cross sectional observational study was conducted. An online self-completed questionnaire with 12 items on infective endocarditis prophylaxis was sent to 1330 physicians, specialists and residents, members of the Portuguese Society of Cardiology. In addition, descriptive statistical analysis was performed.Results: Two hundred and fifty-three valid questionnaires were responded. Eighty-seven per cent of respondents were cardiologists (specialists or residents), mostly between 30 and 40 years old (26.7%) and 50 to 80 years old (44.3%). The majority (83.0%) follow the European scientific guidelines. Still, 61.0% had or may have had doubts regarding prophylaxis of infective endocarditis in certain patients. Variable adherence to scientific guidelines was noted. Further scientific evidence was required by 60.6% of respondents.Conclusion: Infective endocarditis prophylaxis was generally guided by European scientific guidelines among physicians of the Portuguese Society of Cardiology. There was, however, an evident discrepancy between the guidelines and real-world perception of the risk of infective endocarditis. This highlights the sensed gap in accessing more robust scientific evidence.

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Knowledge of Infective Endocarditis and Prophylaxis Among Spanish Dentists

Cited by 3 publications

References 5 publications

Understanding valvular heart disease in the dental setting

Understanding valvular heart disease in the dental setting

¿Se siguen en nuestro medio las recomendaciones de profilaxis de endocarditis infecciosa? Diferencias entre los profesionales sanitarios implicados

Prophylaxis of Infective Endocarditis: A Cross Sectional Survey among Physician Members of the Portuguese Society of Cardiology

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