Evaluation of Dentists’ Knowledge in Infective Endocarditis Prophylaxis

Year 2021, Volume: 4 Issue: 2, 111 - 113, 01.05.2021

Emine Tatar Şatıroğlu , Aliye Kamalak

https://doi.org/10.19127/bshealthscience.799059

Cited By: 1

Abstract

Infective endocarditis (IE) is an infection caused by microorganisms affecting the natural/prosthetic heart valve and surrounding tissues. Antibiotic prophylaxis is necessary to prevent IE in some dental procedures due to mortality rate. This particular study was primarily motivated to evaluate the dentists’ knowledge in IE prophylaxis. Participants of the study were 80 dentists who were selected through the purposive sampling method (Female= 44; Male= 36). To collect data, a questionnaire with questions about prophylaxis data on heart diseases, dental procedures, the purpose, frequency, duration and dose of the drugs used was used. The participants were informed about prophylaxis of IE after the data collection during a seminar. Subsequently, their responses to the questionnaire items were statistically analyzed and the relevant results were presented in the following section. 36 male and 44 female dentists working in Kahramanmaras city center and districts participated in the study on a voluntary basis. It was revealed that the respondents tend to decide on IE prophylaxis mostly requesting consultation from cardiologists (68.8%), family physicians (2.6%) and infectious diseases specialists (1.3%) while 3.9% of them applied prescription only based on their professional experience. This particular research has shown that dentists made some mistakes while performing antibiotic prophylaxis such as unnecessary use of antibiotics. Based on this finding, they should be provided in-service training programmes organized on a regular basis to contribute to their professional development by updating their field knowledge.

Keywords

Infective endocarditis, Dentistry, Antibiotic therapy, Dental treatment

References

• Al-Fouzan AF, Al-Shinaiber RM, Al-Baijan RS, Al-Balawi MM. 2015. Antibiotic prophylaxis against infective endocarditis in adult and child patients knowledge among dentists in Saudi Arabia. Saudi Medical J, 36(5): 554-561.
• Anjum MS, Parthasarathi P, Monica M, Yadav K, Irram A, Keerthi T, Kistigari P. 2014. Evaluating the knowledge of interns in prescribing basic drugs used in dentistry- A cross-sectional study. Webmed Central Harmac, 5(3): 1-11.
• Chambers J, Thornhill M, Dayer M, Shanson D. 2016. British heart valve society update a change in the NICE guidelines on antibiotic prophylaxis. British J General Pract, 23: 91-92.
• Charitos EI, Sinning JM. 2019. Incidence of infective valve endocarditis as after antibiotic prophylaxis guidelines changed—there is no change. Annals of Cardiothoracic Surg, 8(6): 681.
• Cloitre A, Duval X, Hoen B, Alla F, Lesclous P. 2018. A nationwide survey of French dentists’ knowledge and implementation of current guidelines for antibiotic prophylaxis of infective endocarditis in patients with predisposing cardiac conditions. Oral Surg, Oral Med, Oral Pathol and Oral Radiol, 125(4): 295-303.
• Glenny AM, Oliver R, Roberts GJ, Hooper L, Worthington HV. 2013. Antibiotics for the prophylaxis of bacterial endocarditis in dentistry. Cochrane Database of Syst Rev, (10).
• Karadağ FY, Şimşek Yavuz S, Aydin GC, Tükenmez Tigen E, Sirmatel F, Karadeniz A, Aydin O, Ergen P, Yilmaz N, Cabadak H, Tekin R, Aydin M, Koc MM, Sensoy A, Ocalmaz MS, Timurkaynak F. 2019. Assessment of the knowledge and awareness levels of dentists regarding prophylaxis for infective endocarditis. Medeniyet Medical J, 34(1): 39-46.
• Keçeli HG, Hatipoğlu H, Aydemir H. 2013. Diş hekimliği ve enfektif endokardit. güncel bir bakış. EÜ Dişhek Fak Derg, 34(1): 17-26.
• Lisboa SM, Martins MAP, de Castilho LS, e Silva MEDS, Abreu MHNG. 2015. Prescribing errors in antibiotic prophylaxis by dentists in a large Brazilian city. American J Infection Cont, 43(7): 767-768.
• McCarthy M, Andrews R, Banach DB. 2020. Prophylactic antibiotics prior to dental procedures: A cross-disciplinary survey of dentists and medical providers. American J Infection Cont, 48(1): 116-118.
• Ryalat S, Hassona Y, Al-Shayyab M, Abo-Ghosh M, Sawair F. 2016. Dentists’ knowledge and practice regarding prevention of infective endocarditis. European J Dent, 10(4): 480.
• Spittle LS. 2016. Current prescribing practices for antibiotic prophylaxis: a survey of dental practitioners. Doctoral dissertation, Texas A&M University, USA.
• Tong HJ, Hu S, Mok BYY, Islam I, Hong CHL. 2014. Antibiotic prophylaxis prescribing practices of dentists in Singapore. Int Dental J, 64(2): 108-114.
• Tubiana S, Blotière PO, Hoen B, Lesclous P, Millot S, Rudant J, Duval X. 2017. Dental procedures, antibiotic prophylaxis, and endocarditis among people with prosthetic heart valves: nationwide population-based cohort and a case crossover study. BMJ, 358: j3776.