scholarly journals An end to antimicrobial prophylaxis against infective endocarditis for dental procedures?

BDJ ◽  
2008 ◽  
Vol 204 (3) ◽  
pp. 107-107 ◽  
Author(s):  
M. V. Martin
2015 ◽  
Vol 9 (1) ◽  
pp. 176-180 ◽  
Author(s):  
Maha A Bahammam ◽  
Noha M Abdelaziz

Introduction : Infective endocarditis is a serious infection of the heart endothelium and valves. It carries long-term health risks and compromises the heart condition. However, this condition has been rarely observed since the introduction of appropriate antibiotic prophylaxis. Dentists play a major role in preventing infective endocarditis in susceptible patients. In this study, we assessed the levels of awareness about antibiotic prophylaxis for infective endocarditis among students and young dentists at King Abdulaziz University, Jeddah, Saudi Arabia. Methods : This cross-sectional study included 367 dental students and dental interns who answered a questionnaire designed to assess their awareness levels; it included questions pertaining to demographic information and questions examining the general knowledge of the participants with regard to antibiotic prophylaxis for infective endocarditis. Results : An average of 50% of the participants clearly lacked knowledge regarding the conditions that require antibiotic prophylaxis, while an average of 65% provided correct answers pertaining to the conditions that do not require prophylaxis. Regarding dental procedures that require prophylaxis, the majority of responses were correct with an average of 71.2%. With regard to the type of antibiotic to be prescribed, 63.5% of the participants chose to prescribe 2 g of amoxicillin as a first-line antibiotic. Conclusion : The results of this study showed that the levels of awareness about antibiotic prophylaxis for infective endocarditis are below 100%. Awareness is essential because of the cardiac risks associated with the lack of appropriate treatment. Up-to-date and accurate knowledge is mandatory for all dental students and interns who see and treat patients on a daily basis.


2013 ◽  
Vol 62 (10) ◽  
pp. 1624-1627 ◽  
Author(s):  
F. Mougari ◽  
H. Jacquier ◽  
B. Berçot ◽  
D. Hannouche ◽  
R. Nizard ◽  
...  

We report prosthetic knee arthritis in a 55-year-old diabetic man due to Granulicatella adiacens, a micro-organism present in the oral flora, usually described in endocarditis but rarely in prosthesis joint infection. This patient had undergone a dental extraction without antibiotic prophylaxis one month before, and an aseptic loosening of the prosthesis had been diagnosed previously. If antimicrobial prophylaxis against infective endocarditis for dental procedures is well established, such an approach is still controversial for joint prosthesis and should be considered in some conditions.


Author(s):  
Farhan Raza Khan ◽  
Humayun Kaleem Siddiqui ◽  
Muhammad Tariq Khan

Abstract Dental extraction of abscessed or infected teeth before cardiac operation is frequently advocated to lower the risk of infections especially infective endocarditis. The scientific evidence that supports dental procedures before cardio-valvular surgery is however limited. The aim of the present paper was to explore whether there are any protocols for patients needing dental treatment before cardiac operations. Moreover, we have discussed the real life challenges encountered in the management of such patients. Continuous....


Circulation ◽  
2018 ◽  
Vol 138 (4) ◽  
pp. 364-366
Author(s):  
Larry M. Baddour ◽  
Bernard D. Prendergast

BDJ ◽  
2008 ◽  
Vol 204 (10) ◽  
pp. 555-557 ◽  
Author(s):  
D. Wray ◽  
F. Ruiz ◽  
R. Richey ◽  
T. Stokes

2013 ◽  
Vol 7 (1) ◽  
pp. 82-87 ◽  
Author(s):  
Ahmed Bhayat ◽  
Fadi Jarab ◽  
Samir Mansuri ◽  
Mohammad Sami Ahmad ◽  
Mohamed Saad Mahrous

The use of prophylactic antibiotics for the prevention of infective endocarditis following dental procedures has long been debated and there is still confusion regarding its efficacy. As a result, the prophylactic treatment varies considerably amongst different countries across the world and amongst different dental practitioners.Aim:To evaluate the knowledge of dental staff regarding the guidelines for the prevention of infective endocarditis.Methods:This was a cross sectional analytical study which included all staff members. A self administered questionnaire was used and responses were “graded” according to the American Heart Association (AHA) guidelines.Results:The response rate was 87% (N=39) and 97% reported to use the AHA guidelines; 66% reported their knowledge was based on previous training and scientific journals. Of those cardiac conditions and dental procedures which required prophylaxis; 47% and 65% chose the correct option, respectively. Penicillin was prescribed as the drug of choice by the majority of respondents.Conclusions:Although almost all staff reported the use of the AHA guidelines, many were not following them. The study emphasizes the need for continuous education and evaluation of this critical aspect of dentistry.


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