Abstract
Objective
To determine dentists' awareness/adherence to antibiotic prophylaxis (AP) guidelines
for the prevention of infective endocarditis (IE) in patients with high-risk heart
conditions.
Study Design
A systematic literature review was performed on MEDLINE/PubMed, Scopus, Web of Science,
Cochrane Library, Proquest, Embase, Dentistry and Oral Sciences Source databases,
following the PRISMA checklist. Nationwide studies based on questionnaires, surveys,
and interviews completed by dentists and published since 2007 were included.
Results
From 2907 articles screened, 28 studies were selected (across 20 countries). The quality
of included studies was poor due to lack of standard evaluation tools, low response
rates, and lack of questionnaire validity/reliability. Approximately 75% of surveyed
dentists reported being knowledgeable about AP guidelines, but only ∼25% complied
with them. Reported compliance with American Heart Association (AHA) guidelines was
fourtimes higher than with the National Institute for Health and Care Excellence (NICE)
recommendations. Some of the highest adherence rates were reported for other national
AP guidelines. Significant geographical differences were observed in the estimated
adherence to AHA guidelines and the percentage of dentists who reported seeking advice
from physicians/cardiologists.
Conclusion
Rates of compliance/adherence were substantially different from rates of knowledge/awareness,
including relevant geographical dissimilarities. Compliance/adherence was higher for
AHA than NICE.
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Article info
Publication history
Accepted:
December 14,
2022
Received:
November 14,
2022
Publication stage
In Press Journal Pre-ProofIdentification
Copyright
© 2023 Elsevier Inc. All rights reserved.
