Prophylaxis of bacterial endocarditis: Awareness of need

Sholler, Gary F.; Celermajer, John M.

doi:10.5694/j.1326-5377.1984.tb108290.x

Cited by 15 publications

(17 citation statements)

References 11 publications

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“…[3][4][5][6] Despite recent advances in medical and surgical management of paediatric cardiac patients, the findings of the present study suggest that parents have important knowledge gaps. While the majority of parents could name the cardiac lesion, either in part or completely, and were knowledgeable concerning previous surgical or transcatheter interventions, their knowledge of the aetiology and symptoms of congenital heart disease were limited.…”

Section: Discussionmentioning

confidence: 99%

“…[4][5][6] The wide percentage range in the literature is perhaps not unexpected when determinants of parental knowledge in this domain are considered. Kaden and colleagues 6 reported that parental understanding of heart defects correlates with parental occupation and educational level.…”

Section: Discussionmentioning

confidence: 99%

“…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%

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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. In this study, we therefore assessed the parents' understanding of their child's congenital heart disease in three domains: firstly, the nature of heart disease and its treatment; secondly, the impact of heart disease on exercise capacity; and thirdly, infective endocarditis and its prevention.…”

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confidence: 99%

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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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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Parents' understanding of their child's congenital heart disease

Cheuk

Wong²,

Choi³

et al. 2004

Heart

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Parental knowledge of bacterial endocarditis prophylaxis

et al. 1993

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The aim of this study was to determine parental knowledge of bacterial endocarditis prophylaxis (BEP). Parents of 135 patients attending a pediatric cardiology clinic in a university center were mailed an eight-question survey pertaining to their knowledge of their child's cardiac disease, medications, and BEP. The patients' cardiac lesions and current medications were verified by a review of clinic and echocardiographic records. Each patient's need for BEP was determined according to American Heart Association (AHA) recommendations. Eighty-four (62%) parents returned complete surveys. The patients' mean age was 5 years with a range of 9 weeks to 19 years. Eighty-two (98%) respondents were high school graduates. Fifty-two (62%) respondents correctly defined endocarditis. Eighty-two (98%) parents knew the correct name of their child's cardiac condition and 27/32 (84%) knew the names of their child's current medications. Only 36/64 (56%) parents of at-risk children knew measures to prevent endocarditis. While most parents know the name of their child's heart lesion and current medications, parental knowledge of endocarditis and BEP was limited. Intensified education and awareness programs are needed in order to prevent potential major morbidity and mortality for pediatric patients with heart disease.

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Knowledge, Compliance and Practice of Antibiotic Endocarditis Prophylaxis of Patients with Congenital Heart Disease

Knirsch

Hassberg²,

Beyer³

et al. 2003

Pediatric Cardiology

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The aim of this study was to determine the knowledge, compliance, and practice of antibiotic endocarditis prophylaxis (AEP) for patients with congenital heart disease (CHD) during various diagnostic or therapeutic procedures. Patients (296) and their parents were interrogated during a visit with an 18-question survey pertaining to the practice of AEP. Most patients (91.6%) had acyanotic congenital heart disease, usually preoperative (45.3%), or had high risk of infective endocarditis due to previous endocarditis (2.0%), cyanosis (8.4%), or prosthetic valves (5.4%). Potential sources for failure of AEP were (1) no existence of a wallet card (6.8%), no communication between patient and doctor concerning the potential risk of endocarditis during a visit (13.2%), or no sufficient anamnestic inquiry by the physician before procedures were performed (43.2%). The patients underestimated (4.4%) or had no knowledge of the individual risks of endocarditis (37.5%) or underestimated indication for AEP (11.1%). AEP was often not performed at all (60.5%). Bad dental status with no previous dental therapy (35.5%) and a high rate of caries (17.2%) or gingivitis (7.4%) even in young children was frequent. AEP for patients with CHD has not been sufficiently used because of the patient's, and the physician's failure to take the necessary steps, the cardiac diagnosis, or the dental health status. Alternative strategies in prophylaxis for AEP are discussed here.

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Prophylaxis of bacterial endocarditis: Awareness of need

Cited by 15 publications

References 11 publications

Parents' understanding of their child's congenital heart disease

Parents' understanding of their child's congenital heart disease

Parental knowledge of bacterial endocarditis prophylaxis

Knowledge, Compliance and Practice of Antibiotic Endocarditis Prophylaxis of Patients with Congenital Heart Disease

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