scholarly journals INFECTIVE ENDOCARDITIS PROPHYLAXIS – CURRENT PRACTICE AMONGST PEDIATRIC CARDIOLOGISTS: ARE WE FOLLOWING 2007 GUIDELINES?

2014 ◽  
Vol 63 (12) ◽  
pp. A602 ◽  
Author(s):  
Nishant C. Shah ◽  
Neil Patel ◽  
Ronak Naik
Keyword(s):  
Infective Endocarditis ◽  
Current Practice ◽  
Endocarditis Prophylaxis

Infective endocarditis prophylaxis: current practice trend among paediatric cardiologists: are we following the 2007 guidelines?

2015 ◽  
Vol 26 (6) ◽  
pp. 1176-1182 ◽  
Author(s):  
Ronak J. Naik ◽  
Neil R. Patel ◽  
Ming Wang ◽  
Nishant C. Shah
Keyword(s):  
At Risk ◽  
Infective Endocarditis ◽  
Current Practice ◽  
Heart Diseases ◽  
Ductus Arteriosus ◽  
Adverse Outcomes ◽  
Significant Heterogeneity ◽  
Endocarditis Prophylaxis ◽  
Patients At Risk ◽  
Current Guidelines

AbstractBackgroundIn 2007, the American Heart Association modified the infective endocarditis prophylaxis guidelines by limiting the use of antibiotics in patients with cardiac conditions associated with the highest risk of adverse outcomes after infective endocarditis. Our objective was to evaluate current practice for infective endocarditis prophylaxis among paediatric cardiologists.MethodsA web-based survey focussing on current practice, describing the use of antibiotics for infective endocarditis prophylaxis in various congenital and acquired heart diseases, was distributed via e-mail to paediatric cardiologists. The survey was kept anonymous and was distributed twice.ResultsData from 253 participants were analysed. Most paediatric cardiologists discontinued infective endocarditis prophylaxis in patients with simple lesions such as small ventricular septal defect, patent ductus arteriosus, and bicuspid aortic valve without stenosis or regurgitation; however, significant disagreement persists in prescribing infective endocarditis prophylaxis in certain conditions such as rheumatic heart disease, Fontan palliation without fenestration, and the Ross procedure. Use of antibiotic prophylaxis in certain selected conditions for which infective endocarditis prophylaxis has been indicated as per the current guidelines varies from 44 to 83%. Only 44% follow the current guidelines exclusively, and 34% regularly discuss the importance of oral hygiene with their patients at risk for infective endocarditis.ConclusionSignificant heterogeneity still persists in recommending infective endocarditis prophylaxis for several cardiac lesions among paediatric cardiologists. More than half of the participants (56%) do not follow the current guidelines exclusively in their practice. Counselling for optimal oral health in patients at risk for infective endocarditis needs to be optimised in the current practice.

scholarly journals Dentists’ knowledge and practice regarding prevention of infective endocarditis

2016 ◽  
Vol 10 (04) ◽  
pp. 480-485 ◽  
Author(s):  
Soukaina Ryalat ◽  
Yazan Hassona ◽  
Mohammad Al-Shayyab ◽  
Mais Abo-Ghosh ◽  
Faleh Sawair
Keyword(s):  
Infective Endocarditis ◽  
American Heart Association ◽  
American Heart ◽  
Prosthetic Heart Valve ◽  
Prophylactic Antibiotic ◽  
Heart Association ◽  
Clinical Excellence ◽  
Dental Practice ◽  
Endocarditis Prophylaxis ◽  
Knowledge And Practice

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.

scholarly journals Endocarditis following IUD insertion in a patient with tetralogy of Fallot

2019 ◽  
Vol 12 (2) ◽  
pp. bcr-2018-227962 ◽  
Author(s):  
Eric Allan Meyerowitz ◽  
Sarah Prager ◽  
Karen Stout ◽  
Alison Roxby
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Infective Endocarditis ◽  
Congenital Heart ◽  
Intrauterine Device ◽  
Complex Congenital Heart Disease ◽  
Endocarditis Prophylaxis ◽  
First Case ◽  
Dental Procedures

The role of antibiotic prophylaxis for prevention of infective endocarditis is unknown. Endocarditis prophylaxis is recommended for certain high-risk individuals prior to dental procedures. To our knowledge, this is the first case reported in the literature of a patient with complex congenital heart disease developing endocarditis in the period immediately following otherwise uncomplicated intrauterine device insertion.

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