scholarly journals Infective Endocarditis: Updated Guidelines

2010 ◽  
Vol 21 (2) ◽  
pp. 74-77 ◽  
Author(s):  
U Allen
Keyword(s):  
Infective Endocarditis ◽  
Daily Living ◽  
American Heart ◽  
Heart Association ◽  
Current Data ◽  
Adverse Outcomes ◽  
Target Groups ◽  
Endocarditis Prophylaxis ◽  
Dental Procedures ◽  
Hygiene Measures

The most recent revision of the American Heart Association guidelines on infective endocarditis prophylaxis occurred in 2007. These revisions were based on the fact that current data have brought into question the benefit of previous recommendations for infective endocarditis prophylaxis. It was noted that the bacteremia that occurs following dental procedures represents only a fraction of the episodes of bacteremia that occur with activities of daily living (such as chewing, brushing teeth and other oral hygiene measures). The target groups and the procedures for which prophylaxis is reasonable have been significantly reduced in number. The focus is now on patients who are most likely to have adverse outcomes from infectious endocarditis. The present article is targeted at practicing Canadian physicians and provides the rationale for the current recommendations. In addition to a summary of the indications for prophylaxis, information is provided on the conditions for which prophylaxis is not recommended.

Infective Endocarditis Prophylaxis

2012 ◽  
Author(s):  
John W. Wilson ◽  
Lynn L. Estes
Keyword(s):  
Infective Endocarditis ◽  
American Heart Association ◽  
American Heart ◽  
Heart Association ◽  
Endocarditis Prophylaxis ◽  
Major Revision ◽  
Dental Procedures

The guidelines for the prevention of infective endocarditis (IE) issued by the American Heart Association underwent a major revision in 2007. Key changes include the following: • Dental procedures have been found to be associated with a small number of cases of IE. Thus, even if prophylaxis was 100% effective, it would prevent only an extremely small number of cases....

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 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>

scholarly journals ANTIBIOTIK PROFILAKSIS PADA PENYAKIT JANTUNG

2019 ◽  
Vol 6 (1) ◽  
pp. 38
Author(s):  
Musa Ghufron ◽  
Muhammad Perdana Airlangga
Keyword(s):  
Infective Endocarditis ◽  
American Heart Association ◽  
American Heart ◽  
Antimicrobial Prophylaxis ◽  
Surgical Techniques ◽  
Heart Association ◽  
Mortality Rates ◽  
High Morbidity ◽  
Endocarditis Prophylaxis ◽  
Management Of Complications

Infective endocarditis (IE) is an uncommon but lifethreatening infection. Despite advances in diagnosis, antimicrobial therapy, surgical techniques, and management of complications, patients with IE still have high morbidity and mortality rates related to this condition. Since the last American Heart Association (AHA) publication on prevention of IE in 1997, many authorities and societies, as well as the conclusions of published studies, have questioned the efficacy of antimicrobial prophylaxis to prevent IE in patients who undergo a dental, gastrointestinal (GI), or genitourinary (GU) tract procedure and have suggested that guidelines should be revised Keywords : infective endocarditis, prophylaxis antibiotic

scholarly journals Infective endocarditis: prevention and antibiotic prophylaxis

2020 ◽  
Author(s):  
Keyword(s):  
Infectious Disease ◽  
Infective Endocarditis ◽  
Infectious Diseases ◽  
Antibiotic Prophylaxis ◽  
American Heart Association ◽  
Pediatric Cardiology ◽  
American Heart ◽  
Heart Association ◽  
Disease Group ◽  
Endocarditis Prophylaxis

After considerable revision of the previous guidelines on infective endocarditis prophylaxis by the American Heart Association in 2007, the Swiss recommendations were revised and published accordingly in 2008. The Swiss societies of Infectious Diseases (SSI), Pediatric Cardiology and Cardiology and the Pediatric Infectious Disease Group of Switzerland present the current update in a joint initiative.

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.

Abstract 13134: Impact of the American Heart Association’s 2007 Guidelines on the Practice of Dental Prophylaxis for the Prevention of Infective Endocarditis in Olmsted County, Minnesota

Circulation ◽  
2015 ◽  
Vol 132 (suppl_3) ◽  
Author(s):  
Daniel C DeSimone ◽  
Abdelghani El Rafei ◽  
Alan B Carr ◽  
Walter A Rocca ◽  
Jennifer St. Sauver ◽  
...  
Keyword(s):  
Infective Endocarditis ◽  
Antibiotic Prophylaxis ◽  
American Heart ◽  
Heart Association ◽  
Olmsted County ◽  
Dental Procedures ◽  
Cardiac Condition ◽  
Prevention Guidelines ◽  
The Impact ◽  
To Receive

Background: In 2007, the American Heart Association (AHA) infective endocarditis (IE) prevention guidelines recommended that antibiotic prophylaxis before invasive dental procedures for the “moderate risk” (MR) group, which represented the bulk of patients who were to receive prophylaxis before 2007, be eliminated. This decision was met with much concern among some healthcare providers and that concern persists today. We therefore evaluated dental office records in Olmsted County (OC), Minnesota to determine whether patients included in the MR group continue to receive antibiotic prophylaxis despite the 2007 AHA recommendations. Methods: Eligible patients include all adult (≥18 years) residents of OC, classified as having MR cardiac condition for IE (i.e. mitral valve prolapse [MVP], bicuspid aortic valve [BAV], hypertrophic obstructive cardiomyopathy [HOCM], acquired valvular dysfunction [AVD]), with at least one dental visit between January 1, 2005 and June 1, 2015. Eight dental offices located within OC were sampled to identify both dental procedures and whether antibiotic prophylaxis was administered according to AHA guidelines. Results: We identified 334 MR patients. Approximately 62% of MR patients received antibiotic prophylaxis prior to the change in AHA guidelines in 2007. There was a decrease to 7% post-2007 AHA guidelines (P<.001). The magnitude of decline was greater among visits for dental cleanings (from 63% to 6%), as compared to other invasive procedures (57% to 11%; P=0.003) (Figure 1). AVD was the most common cardiac condition (85%), followed by MVP (8%), and BAV (4%). Conclusion: Following publication of the 2007 AHA IE prevention guidelines, there was a rapid, 9-fold decrease in antibiotic prophylaxis in patients with MR cardiac conditions who underwent invasive dental procedures in OC. These data are also critical as we attempt to evaluate the impact, if any, of this practice on the incidence of IE due to viridans group streptococci.

Infective Endocarditis Hospitalizations Before and After the 2007 American Heart Association Prophylaxis Guidelines

2016 ◽  
Vol 32 (8) ◽  
pp. 942-948 ◽  
Author(s):  
Andrew S. Mackie ◽  
Wei Liu ◽  
Anamaria Savu ◽  
Ariane J. Marelli ◽  
Padma Kaul
Keyword(s):  
Infective Endocarditis ◽  
American Heart Association ◽  
American Heart ◽  
Heart Association ◽  
Before And After
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