2019, Number 2
Endocarditis prophylaxis in dental practice: Evaluation of knowledge among dental students, pediatric dentistry residents, and specialists in pediatric dentistry
Language: English
References: 17
Page: 67-73
PDF size: 209.48 Kb.
ABSTRACT
Objective:We aimed to determine the degree of knowledge about endocarditis prophylaxis (EP) among dental students, pediatric dentistry residents, and specialists in pediatric dentistry, and to identify the areas of knowledge that require attention. Material and methods: This is a cross-sectional research including 155 participants divided into three study groups. Respondents completed a questionnaire to evaluate their knowledge on EP consisting of three domains: dental procedures, dose/medication, and heart condition. Data were examined through analysis of variance (ANOVA) using generalized linear models. Results: We stratified EP knowledge into three areas: dental procedures (no differences), dose/medication (statistically significant difference between group 2 and 3 [84.62% vs. 38.89%, p =0.044]) and heart condition (no differences but low degree of knowledge [35.48%, 53.85%, and 44.44%]). Conclusions: The three groups had inadequate knowledge of dental procedures. Pediatric dentistry residents showed a greater knowledge in the dose/medication area. Finally, the three groups require more attention and reinforcement in the heart condition area. It is thus necessary to reinforce EP knowledge in undergraduate and postgraduate programs and to encourage pediatric dentists to keep up-to-date in this issue.REFERENCES
Wilson W, Taubert KA, Gewitz M, Lockhart PB, Baddour LM, Levison M et al. Prevention of infective endocarditis: guidelines from the American Heart Association: a guideline from the American Heart Association Rheumatic Fever, Endocarditis, and Kawasaki Disease Committee, Council on Cardiovascular Disease in the Young, and the Council on Clinical Cardiology, Council on Cardiovascular Surgery and Anesthesia, and the Quality of Care and Outcomes Research Interdisciplinary Working Group. Circulation. 2007; 116 (15): 1736-1754.
National Institute for Health and Care Excellence. Prophylaxis against infective endocarditis: antimicrobial prophylaxis against infective endocarditis in adults and children undergoing interventional procedures [on line]. London: National Institute for Health and Clinical Excellence (UK); 2008. Available from: https://www.nice.org.uk/guidance/cg64
Habib G, Lancellotti P, Antunes MJ, Bongiorni MG, Casalta JP, Del Zotti F et al. 2015 ESC Guidelines for the management of infective endocarditis: The Task Force for the Management of Infective Endocarditis of the European Society of Cardiology (ESC). Endorsed by: European Association for Cardio-Thoracic Surgery (EACTS), the European Association of Nuclear Medicine (EANM). Eur Heart J. 2015; 36 (44): 3075-3128.