CC BY-NC-ND 4.0 · Eur J Dent 2016; 10(04): 480-485
DOI: 10.4103/1305-7456.195158
Original Article
Dental Investigation Society

Dentists’ knowledge and practice regarding prevention of infective endocarditis

Soukaina Ryalat
1   Department of Oral and Maxillofacial Surgery, Oral Medicine, and Periodontics, Faculty of Dentistry, The University of Jordan, Amman, Jordan
,
Yazan Hassona
1   Department of Oral and Maxillofacial Surgery, Oral Medicine, and Periodontics, Faculty of Dentistry, The University of Jordan, Amman, Jordan
,
Mohammad Al-Shayyab
1   Department of Oral and Maxillofacial Surgery, Oral Medicine, and Periodontics, Faculty of Dentistry, The University of Jordan, Amman, Jordan
,
Mais Abo-Ghosh
2   Internist at the Department of Oral and Maxillofascial Surgery, Faculty of Dentistry, The University of Jordan, Amman, Jordan
,
Faleh Sawair
1   Department of Oral and Maxillofacial Surgery, Oral Medicine, and Periodontics, Faculty of Dentistry, The University of Jordan, Amman, Jordan
› Author Affiliations
Further Information

Publication History

Publication Date:
24 September 2019 (online)

ABSTRACT

Objectives: The objective of this study is to assess the knowledge and practice of dentists from Jordan, regarding prevention of infective endocarditis (IE) in dental practice. Materials and Methods: A sample of Jordanian dentists was interviewed regarding their IE knowledge and practice using a validated and pretested survey instrument. Results: Most of the dentists have encountered a patient with IE who needed prophylactic antibiotic (PA) and have prescribed antibiotics to prevent IE. Jordanian dentists’ approach to patients in need for PA varied between the National Institute for Health and Clinical Excellence recommendations and the American Heart Association to a lesser degree, but still a relatively high percent (39%) did not know any guidelines to follow although 74% have encountered patients who needed endocarditis prophylaxis. Patients with prosthetic heart valve were ranked on top of medical conditions that required PA (87.4%), and most dentists (94.5%) thought that dental extractions need PA followed by periodontal surgery (88.2%). Conclusion: There is a lack of consistency in the knowledge and practice of Jordanian dentists with regard to IE. There is a need to take actions to improve dentist's knowledge regarding this topic.

 
  • REFERENCES

  • 1 Jain P, Stevenson T, Sheppard A, Rankin K, Compton SM, Preshing W. et al. Antibiotic prophylaxis for infective endocarditis: Knowledge and implementation of American Heart Association Guidelines among dentists and dental hygienists in Alberta, Canada. J Am Dent Assoc 2015; 146: 743-50
  • 2 Germano F, Bramanti E, Arcuri C, Cecchetti F, Cicciù M. Atomic force microscopy of bacteria from periodontal subgingival biofilm: Preliminary study results. Eur J Dent 2013; 7: 152-8
  • 3 Bahammam MA, Abdelaziz NM. Awareness of antimicrobial prophylaxis for infective endocarditis among dental students and interns at a teaching hospital in Jeddah, Saudi Arabia. Open Dent J 2015; 9: 176-80
  • 4 Thornhill MH, Lockhart PB, Prendergast B, Chambers JB, Shanson D. NICE and antibiotic prophylaxis to prevent endocarditis. Br Dent J 2015; 218: 619-21
  • 5 Kazi DS, Bolger AF. Infective endocarditis and antibiotic prophylaxis. Lancet 2015; 386: 530
  • 6 Di Filippo S. Prophylaxis of infective endocarditis in patients with congenital heart disease in the context of recent modified guidelines. Arch Cardiovasc Dis 2012; 105: 454-60
  • 7 Diz DiosP. Infective endocarditis prophylaxis. Oral Dis 2014; 20: 325-8
  • 8 Al-Fouzan AF, Al-Shinaiber RM, Al-Baijan RS, Al-Balawi MM. Antibiotic prophylaxis against infective endocarditis in adult and child patients. Knowledge among dentists in Saudi Arabia. Saudi Med J 2015; 36: 554-61
  • 9 Ghaderi F, Oshagh M, Dehghani R, Hasanshahi R. Awareness of Iranian's general dentists regarding the latest prophylaxis guideline for prevention of infective endocarditis. J Dent (Shiraz) 2013; 14: 6-12
  • 10 Lockhart PB, Hanson NB, Ristic H, Menezes AR, Baddour L. Acceptance among and impact on dental practitioners and patients of American Heart Association recommendations for antibiotic prophylaxis. J Am Dent Assoc 2013; 144: 1030-5
  • 11 Farook SA, Davis AK, Khawaja N, Sheikh AM. NICE guideline and current practice of antibiotic prophylaxis for high risk cardiac patients (HRCP) among dental trainers and trainees in the United Kingdom (UK). Br Dent J 2012; 213: E6
  • 12 Thornhill MH. Infective endocarditis: The impact of the NICE guidelines for antibiotic prophylaxis. Dent Update 2012; 39: 6-10 12
  • 13 Dayer MJ, Chambers JB, Prendergast B, Sandoe JA, Thornhill MH. NICE guidance on antibiotic prophylaxis to prevent infective endocarditis: A survey of clinicians’ attitudes. QJM 2013; 106: 237-43
  • 14 Ahmadi-Motamayel F, Vaziri S, Roshanaei G. Knowledge of general dentists and senior dental students in Iran about prevention of infective endocarditis. Chonnam Med J 2012; 48: 15-20
  • 15 Hashemipour M, Korki M. Antibiotic prophylaxis for bacterial endocarditis: A study of knowledge of guidelines among dentists participated in the 47th international congress of dentistry. Dent J Tehran Univ Med Sci 2008; 21: 210-8
  • 16 Adeyemo WL, Oderinu OH, Olojede AC, Ayodele AO, Fashina AA. Nigerian dentists’ knowledge of the current guidelines for preventing infective endocarditis. Community Dent Health 2011; 28: 178-81
  • 17 Nakano K, Ooshima T. Common knowledge regarding prevention of infective endocarditis among general dentists in Japan. J Cardiol 2011; 57: 123-30
  • 18 Pallasch T. Antibiotic prophylaxis. Endodontic Topics 2003; 4: 46-59
  • 19 Al-Shamiri HM, Alaizari NA, Al-Maweri SA, Tarakji B. Knowledge and attitude of dental trauma among dental students in Saudi Arabia. Eur J Dent 2015; 9: 518-22