Parental knowledge of bacterial endocarditis prophylaxis

Cetta, Frank; Bell, Timothy J.; Podlecki, Diane D.; Ros, Simon P.

doi:10.1007/bf00795374

Cited by 30 publications

(29 citation statements)

References 6 publications

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“…Many studies conducted in several centers have shown that parental knowledge of the care needed to prevent IE in children with heart disease is lower than expected [9][10][11]13,15,16]. In the present study, only 34% of parents/ caregivers have demonstrated satisfactory knowledge, and only 15 respondents seemed to know what IE was.…”

Section: Discussioncontrasting

confidence: 74%

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Conhecimento dos pais sobre profilaxia de endocardite infecciosa em crianças portadoras de cardiopatias congênitas

Haag¹,

Casonato²,

Varela³

et al. 2011

Rev Bras Cir Cardiovasc

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Introduction:The guidelines to prophylaxis of infectious endocarditis changed, but many congenital heart diseases continue to be considered as high risk for the development of the disease.Objective: To evaluate the knowledge of parents or guardians of children and adolescents with congenital heart disease seen at a referral center in Rio Grande do Sul, Brazil on infective endocarditis and its prevention.Methods: Cross-sectional study with 90 patients with congenital heart defects in regular outpatient treatment. The parents' knowledge was assessed using a specific questionnaire and other data were obtained through medical records.Results: The median age of patients was 5.6 years (3 months -14 years), being 57,7% males. The median follow-up time in service was 3.49 years (1.20-7.38). The years of formal schooling of the parents had a mean of 7.67 ± 3.25 years. According to the score previously established, the knowledge of the interviewed parents was considered satisfactory in 37.7%, regular in 33.3% and unsatisfying in 28,8%. There was significant correlation between the index of parentsḱ nowledge and monitoring of children at service (r=0.584; P=0.796). There was no correlation between parentsé ducation and knowledge of them (r=0.028; P=0.796). Conclusion:The parents' knowledge about endocarditis and its prevention was inadequate, requiring greater attention to the orientations passed in consultations.Descriptors: Primary Prevention. Endocarditis. Knowledge. Resumo

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Section: Discussioncontrasting

confidence: 74%

“…Several studies indicate that parents' knowledge about their children's heart problems is inadequate, as well as the necessary precautions to prevent EI [9][10][11][12][13]. The Brazilian Society of Cardiology has no guidelines for IE prophylaxis and the various departments of pediatric cardiology embraced the AHA recommendations by 2007.…”

Section: Introductionmentioning

confidence: 99%

Conhecimento dos pais sobre profilaxia de endocardite infecciosa em crianças portadoras de cardiopatias congênitas

Haag¹,

Casonato²,

Varela³

et al. 2011

Rev Bras Cir Cardiovasc

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“…Nonetheless, several recent studies have shown that understanding of illness by children, adolescents, and adults with congenital heart disease remains unsatisfactory. [3][4][5][6][7][8][9][10][11][12][13] The paediatric cardiac patients may have an entirely wrong concept of their disease, 7-10 while the majority of adult patients have a poor understanding of symptoms suggestive of cardiac deterioration, risk factors of endocarditis, the impact of smoking and alcohol on heart disease, and the hereditary nature of their cardiac conditions. [11][12][13] Given the important role of parents in imparting knowledge of chronic illness to their child, the disappointing findings from previous studies may perhaps reflect inadequacies of parental knowledge.…”

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confidence: 99%

“…[3][4][5][6] Furthermore, only certain aspects have been interrogated. [3][4][5][6] In addition, the relatively small number of parents being recruited limits the power of the study to identify important determinants of parental knowledge.…”

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confidence: 99%

Parents' understanding of their child's congenital heart disease

Cheuk

Wong²,

Choi³

et al. 2004

Heart

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Objectives: To assess parents' understanding of their child's congenital heart disease in various knowledge domains and to identify significant determinants of parental knowledge. Design: Cross sectional questionnaire survey Setting: Tertiary paediatric cardiac centre. Patients: 156 parents of children with relatively simple congenital heart defects were recruited from the outpatient clinic of a tertiary cardiac centre over a three month period. The questionnaire comprised 10 items of knowledge under three domains: nature of heart disease and its treatment; impact of heart disease on exercise capacity; and infective endocarditis and its prevention. The frequency distribution of the parents' knowledge in the different domains was determined. Univariate analyses and logistic regression were performed to identify significant determinants of knowledge in selected items. Results: While 59% of parents correctly named their child's congenital heart disease, only 28.8% correctly indicated the heart lesion(s) diagrammatically. However, more than 80% of parents were aware of the indications and aims of previous surgical and transcatheter interventions. About half of the parents were aware of possible aetiologies and of the hereditary nature and symptoms attributable to underlying heart disease. Disappointingly, of the 56 parents whose children were taking cardiac medications, only 25 (44.6%) and 4 (7.1%) knew correctly the functions and important side effects of the medications, respectively. With regard to exercise capacity, 59% of parents indicated its level appropriate for the heart lesion. While 26.9% of parents had heard of the term

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“…The development of bacterial endocarditis in a child with a small ventricular septal defect may represent a life threatening complication of a previously asymptomatic abnormality. There is evidence of incomplete awareness among parents of the need for prophylaxis against bacterial endocarditis 4. When presenting to an accident and emergency department with their child, parents may not appreciate that traumatic avulsion of a tooth and its replantation by a doctor necessitate the same prophylaxis as treatment in a dentist's surgery, particularly if they are preoccupied with a cosmetic defect.…”

mentioning

confidence: 99%