scholarly journals Can Changes in Guidelines on the Use of Antibiotic Prophylaxis Before Invasive Dental Procedures Tell Us Whether Antibiotic Prophylaxis Is Effective in Preventing Infective Endocarditis?

2017 ◽  
Vol 92 (6) ◽  
pp. 858-861
Author(s):  
Martin H. Thornhill
Keyword(s):  
Infective Endocarditis ◽  
Antibiotic Prophylaxis ◽  
Dental Procedures

scholarly journals KNOWLEDGE AND AWARENESS REGARDING ANTIBIOTIC PROPHYLAXIS FOR INFECTIVE ENDOCARDITIS AMONG UNDERGRADUATE DENTAL STUDENTS

2016 ◽  
pp. 154 ◽  
Author(s):  
Santhosh Kumar ◽  
Sneha S
Keyword(s):  
Infective Endocarditis ◽  
Antibiotic Prophylaxis ◽  
American Heart ◽  
Heart Association ◽  
Dental Students ◽  
Basic Knowledge ◽  
First Line ◽  
Validated Questionnaire ◽  
Dental Procedures ◽  
Teaching Curriculum

<p>ABSTRACT<br />Objective: To evaluate the knowledge and awareness regarding antibiotic prophylaxis for infective endocarditis (IE) among undergraduate dental<br />students.<br />Methods: A validated questionnaire of 16 questions, regarding the basic knowledge and awareness about antibiotic prophylaxis for the prevention<br />of IE, was distributed among 100 students randomly belonging to final year and internship (5<br /> year trainee) of the undergraduate dental program in<br />Saveetha Dental College and Hospital, Saveetha University, Chennai. The data extracted were tabulated, statistically analyzed, and results obtained.<br />Results were calculated on the basis of frequency and percentages using SPSS Version 20.0.<br />th<br />Results: About 73% of the students were aware of IE prophylaxis, and 40% of dental students were exposed to treating patients susceptible to IE.<br />56% of participants answered that amoxicillin is the first line of antibiotic for IE prophylaxis and 59% replied 2 g PO 1 hr before the appointment is<br />the recommended regimen. 36% said that erythromycin is no longer recommended by American Heart Association for IE prophylaxis. However, only<br />one-third of the participants knew about the cardiac conditions and dental procedures that require antibiotic prophylaxis for the prevention of IE.<br />Furthermore, only 16% knew about the recommended dosage of clindamycin.<br />Conclusion: This study revealed a reasonable knowledge and awareness about IE prophylaxis among undergraduate dental students but was<br />inadequate. Hence, this study emphasizes the need for improved education in the teaching curriculum for dental students regarding IE prophylaxis.<br />A standard protocol regarding the training as well as preventive measures for IE should be formulated for the dental students and the knowledge<br />acquired must be transferred into practice.<br />Keywords: Infective endocarditis, Prophylaxis, Antibiotics, Dental students, Knowledge.</p>

Antibiotic prophylaxis and prevention of infective endocarditis

ESC CardioMed ◽  
2018 ◽  
pp. 1736-1738
Author(s):  
Bruno Hoen ◽  
Xavier Duval
Keyword(s):  
Infective Endocarditis ◽  
High Risk ◽  
Antibiotic Prophylaxis ◽  
Oral Streptococci ◽  
Efficacy And Safety ◽  
Native Valve ◽  
Oral Flora ◽  
Cardiac Implantable Electronic Devices ◽  
Dental Procedures ◽  
Healthcare Associated

Prevention of infective endocarditis has historically focused on oral health because oral streptococci are part of oral flora and once caused most cases of native valve infective endocarditis. Because no randomized clinical trial has ever been conducted to confirm the efficacy and safety of antibiotic prophylaxis of infective endocarditis, it is likely that the debate on indications for antibiotic prophylaxis of infective endocarditis will continue in the coming years. In the meantime, it is reasonable to propose antibiotic prophylaxis to patients at high risk of infective endocarditis before they undergo high-risk dental procedures. Prevention of healthcare-associated infective endocarditis should also be targeted through prevention of healthcare-acquired bacteraemia, and antibiotic prophylaxis before the implantation of cardiac implantable electronic devices. Other prevention options include preservation of good oral hygiene. In the future, prevention of Staphylococcus aureus endocarditis might rely on vaccines, with candidate S. aureus vaccines currently being evaluated in humans.

scholarly journals Knowledge of Moroccan Dentists Towards the Prophylaxis of Infective Endocarditis

2018 ◽  
Vol 5 ◽  
Author(s):  
Hajar Ben Mohimd ◽  
Fatima Zaoui ◽  
Bassima Chami ◽  
Wafae El Wady
Keyword(s):  
Heart Disease ◽  
Infective Endocarditis ◽  
Antibiotic Prophylaxis ◽  
Analytical Study ◽  
Heart Association ◽  
Cross Sectional ◽  
Dental Procedures ◽  
Level Of Knowledge ◽  
General Dentists ◽  
The City

Background: The involvement of oral bacterias in the occurrence of infective endocarditis (IE) has prompted the adoption of antibiotic prophylaxis prior to dental procedures for patients at high-risk. The aim of this paper was to assess the knowledge of Moroccan dentists regarding the management of patients with heart disease at risk of infective endocarditis.Methods: This was a cross-sectional descriptive analytical study which targeted 200 dentists in the city of Rabat- Morocco. A questionnaire with 16 questions was distributed randomly. The level of knowledge of dentists was established based on the number of correct answers for each section and responses were assessed according to the American Heart Association (AHA) 2007 guidelines.Results: Only 133 practitioners have agreed to participate in our study with a response rate of 66,5%. 87% of dentists reported contacting the cardiologist before starting treatment, 33% of practitioners weren’t aware of any guidelines and 20% knew AHA 2007, 52% reported not following guidelines in the management of patients with heart disease. Among the cardiac conditions and dental procedures proposed in the questionnaire which required prophylaxis; 8% and 2% respectively chose the correct answer according to the AHA’s 2007 guidelines. 31% of dentists answered correctly on the prescription of antibiotic prophylaxis protocol according to the latest recommendations.Conclusion: According to our results, the knowledge of Moroccan private general dentists towards endocarditis prophylaxis was in a low level. The study highlights the need for continuous education.

scholarly journals Streptococcus gordonii: A Rare Cause of Infective Endocarditis

2019 ◽  
Vol 2019 ◽  
pp. 1-2 ◽  
Author(s):  
Natalia Mosailova ◽  
Justina Truong ◽  
Tyson Dietrich ◽  
John Ashurst
Keyword(s):  
Infective Endocarditis ◽  
Oral Cavity ◽  
Antibiotic Prophylaxis ◽  
Streptococcus Gordonii ◽  
Invasive Procedures ◽  
Dental Abscess ◽  
Dental Procedures ◽  
Life Threatening

Infective endocarditis is a rare but life-threatening disease seen across the globe. Organisms from the oral cavity still represent a large proportion of pathogens seen in endocarditis and can be from either daily dental routines or invasive procedures. With the recent changes to antibiotic prophylaxis for infective endocarditis prior to dental procedures, the physician must have a heightened degree of suspicion when presented with a patient with undifferenced sepsis following dental procedures. The authors present a case of infective endocarditis caused by Streptococcus gordonii after the drainage of a dental abscess.

scholarly journals Knowledge of Moroccan Dentists Towards the Prophylaxis of Infective Endocarditis

2018 ◽  
Vol 5 (r) ◽  
Author(s):  
Hajar BEN MOHIMD ◽  
Fatima ZAOUI ◽  
Bassima CHAMI ◽  
Wafae EL WADY
Keyword(s):  
Heart Disease ◽  
Infective Endocarditis ◽  
Antibiotic Prophylaxis ◽  
Analytical Study ◽  
Heart Association ◽  
Cross Sectional ◽  
Dental Procedures ◽  
Level Of Knowledge ◽  
General Dentists ◽  
The City

Background: The involvement of oral bacterias in the occurrence of infective endocarditis (IE) has prompted the adoption of antibiotic prophylaxis prior to dental procedures for patients at high-risk. The aim of this paper was to assess the knowledge of Moroccan dentists regarding the management of patients with heart disease at risk of infective endocarditis. Methods: This was a cross-sectional descriptive analytical study which targeted 200 dentists in the city of Rabat- Morocco. A questionnaire with 16 questions was distributed randomly. The level of knowledge of dentists was established based on the number of correct answers for each section and responses were assessed according to the American Heart Association (AHA) 2007 guidelines. Results: Only 133 practitioners have agreed to participate in our study with a response rate of 66,5%. 87% of dentists reported contacting the cardiologist before starting treatment, 33% of practitioners weren’t aware of any guidelines and 20% knew AHA 2007, 52% reported not following guidelines in the management of patients with heart disease. Among the cardiac conditions and dental procedures proposed in the questionnaire which required prophylaxis; 8% and 2% respectively chose the correct answer according to the AHA’s 2007 guidelines. 31% of dentists answered correctly on the prescription of antibiotic prophylaxis protocol according to the latest recommendations. Conclusion: According to our results, the knowledge of Moroccan private general dentists towards endocarditis prophylaxis was in a low level. The study highlights the need for continuous education.

scholarly journals A case of endocarditis with cerebral embolism successfully treated with daptomycin

2011 ◽  
Vol 1 (4) ◽  
pp. 92
Author(s):  
Roberta Doria ◽  
Enrico Tagliaferri ◽  
Giovanni Andreotti ◽  
Riccardo Taddei ◽  
Rubinia Nardini ◽  
...  
Keyword(s):  
Infective Endocarditis ◽  
Antibiotic Prophylaxis ◽  
American Heart Association ◽  
American Heart ◽  
Cerebral Aneurysms ◽  
Heart Association ◽  
Young Girl ◽  
Dental Procedures ◽  
Mitral Prolapse ◽  
History Of

A young girl was admitted for fever, headache, paresthesia of the hands, involuntary blinking of the left eye and aphasia. Imaging revealed mycotic cerebral aneurysms and finally infective endocarditis was diagnosed and successfully treated with daptomycin. She had a history of mitral prolapse and she had undergone dental procedures some months before without any antibiotic prophylaxis, according to the 2007 guidelines of the American Heart Association.

Sign in / Sign up

Export Citation Format

Share Document