Cognitive competencies on antibiotic prophylaxis of infective endocarditis in dentistry students
Keywords:
antibiotic prophylaxis, endocarditis bacterial, knowledge, pharmacology, students.Abstract
Introduction: Infective endocarditis is a potentially life-threatening disease that can be caused by dental treatment. Therefore, dental surgeons should have basic knowledge about the prevention of infective endocarditis.Objective: To determine the level of knowledge of antibiotic prophylaxis of infective endocarditis prior to dental procedures in undergraduate and postgraduate students of stomatology at the Universidad Cientifica del Sur, Lima - Peru.
Method: A descriptive and cross-sectional study was designed with a sample of 74 undergraduate and 234 graduate students of the Universidad Cientifica del Sur Stomatology career in 2019. A questionnaire previously validated in Peru was used, consisting of 20 multiple-choice questions, and divided into 4 dimensions (epidemiology, etiopathogenesis, indication, and pharmacology of antibiotic prophylaxis of infective endocarditis). The results were categorized into low, regular, and high levels of knowledge.
Results: 73.1% of the students presented a low level of global knowledge, while 23.7% presented a regular level and 3.2% a high level. The average score was 8.71 ± 2.78 [95% CI 8.40 to 9.10]. Undergraduate students had a score of 8.64 ± 2.72 [CI 95% 8.01 to 9.26] and graduate students; 8.74 ± 2.80 [CI95% 8.38 to 9.10].
Conclusion: The level of knowledge of antibiotic prophylaxis for the prevention of infective endocarditis prior to dental procedures was predominantly low in undergraduate and postgraduate students.
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References
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21. Hussein H, Montesinos-Guevara C, Abouelkheir M, Brown RS, Hneiny L, Amer YS. Quality appraisal of antibiotic prophylaxis guidelines to prevent infective endocarditis following dental procedures: a systematic review. Oral Surg Oral Med Oral Pathol Oral Radiol. 2022; 134(5):562-72. DOI: 10.1016/j.oooo.2022.07.012
22. Bhayat A, Jarab F, Mansuri S, Ahmad MS, Mahrous MS. Assessment of Knowledge of Dental Staff at a Saudi Arabian University Regarding the Prophylaxis for Infective Endocarditis. Open Dent J. 2013; 7:82-7. DOI: 10.2174/1874210601307010082
23. Bahammam MA, Abdelaziz NM. Awareness of Antimicrobial Prophylaxis for Infective Endocarditis Among Dental Students and Interns at a Teaching Hospital in Jeddah, Saudi Arabia. Open Dent J. 2015; 9:176-80. DOI: 10.2174/1874210601509010176
24. Al-Mohaissen MA, Al-Mehisen R, Lee T, Al-Madi EM. Managing cardiac patients: Dentists' knowledge, perceptions, and practices. Int Dent J. 2022;72(3):296-307. DOI: 10.1016/j.identj.2021.04.006
25. Adeyemo WL, Oderinu OH, Olojede ACO, Ayodele AOS, Fashina AA. Nigerian dentists' knowledge of the current guidelines for preventing infective endocarditis. Community Dent Health. 2011 [acceso: 24/04/2023]; (2):178-81. Disponible en: https://www.cdhjournal.org/issues/28-2-june-2011/368-nigerian-dentists-knowledge-of-the-current-guidelines-for-preventing-infective-endocarditis
2. National Institute for Health and Care Excellence (NICE). Prophylaxis against infective endocarditis. 2015 [acceso: 22/04/2023]. Disponible en: https://www.ncbi.nlm.nih.gov/books/NBK550305/
3. American Heart Association (AHA). Infective Endocarditis. EE. UU; 2021. [acceso: 22/04/2023]. Disponible en: https://www.heart.org/en/health-topics/infective-endocarditis
4. Goff DA, Mangino JE, Glassman AH, Goff D, Larsen P, Scheetz R. Review of guidelines for dental antibiotic prophylaxis for prevention of endocarditis and prosthetic joint infections and need for dental stewardship. Clin Infect Dis. 2020;71(2):455-62. DOI:10.1093/cid/ciz1118
5. Lockhart PB, Thornhill MH, Zhao J, Baddour LM, Gilbert GH, McKnight PE, et al. Factors that affect dentists' use of antibiotic prophylaxis: Findings from The National Dental Practice-Based Research Network questionnaire. J Am Dent Assoc. 2022;153(6):552-62. DOI: 10.1016/j.adaj.2021.11.010
6. Ahmadi-Motamayel F, Vaziri S, Roshanaei G. Knowledge of General Dentists and Senior Dental Students in Iran about Prevention of Infective Endocarditis. Chonnam Med J. 2012;48(1):15-20. DOI: 10.4068/cmj.2012.48.1.15
7. Cummins J, McCarthy M, Esterman A, Karve A, Lee A. Knowledge and Compliance of Dentists' and Dental Students' With Respect to Relevant Guidelines for Prescribing Antibiotic Prophylaxis for the Prevention of Infective Endocarditis: A Systematic Review. J Evid-Based Dent Pract. 2020;20(1):101311. DOI: 10.1016/j.jebdp.2019.01.007
8. Ryalat S, Hassona Y, Al-Shayyab M, Abo-Ghosh M, Sawair F. Dentists' knowledge and practice regarding prevention of infective endocarditis. Eur J Dent. 2016;10(4):480-5. DOI: 10.4103/1305-7456.195158
9. Shati AA. Dentists' knowledge and practices about infective endocarditis antibiotics prophylaxis among children in aseer region, Southwestern Saudi Arabia. Niger J Clin Pract. 2022; 25(2):123-9. DOI: 10.4103/njcp.njcp_651_20
10. Aragoneses JM, Aragoneses J, Brugal VA, Algar J, Suarez A. Evaluation of the Current Knowledge About Bacterial Endocarditis Prevention Among General Dentists in the City of Santo Domingo, Dominican Republic. Front Public Health. 2020; 8:585332. DOI: 10.3389/fpubh.2020.585332
11. Šutej I, Par M, Lepur D, Peroš K, Pintaric H, Alajbeg I, et al. Dentists' practice and compliance with current guidelines of infective endocarditis prophylaxis- National survey study. J Clin Exp Dent. 2021; 13(7):648-52. DOI: 10.4317/jced.58054
12. De Wolf D, Genouw A, Standaert C, Victor A, Vanoverbeke N, De Groote K, et al. Endocarditis prophylaxis in daily practice of pediatricians and dentists in Flanders. Eur J Pediatr. 2021; 180(2):397-405. DOI: 10.1007/s00431-020-03769-3
13. Lagha M, Khemiss M, Kallel I, Araissia A, Belkhir C, Sahtout S, et al. Involvement of Tunisian general practitioners in the management of patients at risk of infective endocarditis: A cross-sectional study. Int J Dent. 2021:1-7. DOI: 10.1155/2021/5542534
14. Chumpitaz-Cerrate V, Aguirre-Montes P, Chávez-Rimache L. Nivel de conocimiento sobre profilaxis antibiótica de endocarditis infecciosa en estudiantes de Odontología de Lima. Rev Habanera Cienc Médicas. 2020 [acceso: 21/04/2023]; 19(1):125-42. Disponible en: http://www.revhabanera.sld.cu/index.php/rhab/article/view/2597
15. Parikh N, Risinger D, Holland JN, Molony DA, van der Hoeven D. Evaluating dental students' perspectives on the concurrent teaching of didactic and case-based courses. J Dent Educ. 2022;86(12):1643-52. DOI: 10.1002/jdd.13081
16. Al-Fouzan AF, Al-Shinaiber RM, Al-Baijan RS, Al-Balawi MM. Antibiotic prophylaxis against infective endocarditis in adult and child patients. Saudi Med J. 2015; 36(5):554-61. DOI: 10.15537/smj.2015.5.10738
17. Dabaghi-Tabriz F, Ghaffari R, Hanaee J, Barzegar M, Bilan N, Dehghani AH, et al. Comparison of General Dentistry Curriculum in Iran with Eight of the World's Top Dental Faculties. Maedica. 2019;(2):104-15. DOI: 10.26574/maedica.2019.14.2.104
18. ?Delgado V, Ajmone Marsan N, de Waha S, Bonaros N, Brida M, Burri H, et al. 2023 ESC Guidelines for the management of endocarditis. Eur Heart J. 2023;44(39):3948-4042. DOI:10.1093/eurheartj/ehad193
19. Nakatani S, Ohara T, Ashihara K, Izumi C, Iwanaga S, Eishi K, et al. JCS 2017 Guideline on Prevention and Treatment of Infective Endocarditis. Circ J Off J Jpn Circ Soc. 2019; 83(8):1767-809. DOI: 10.1016/j.ehj.2003.11.008
20. National Institute for Health and Care Excellence (NICE). Prophylaxis against infective endocarditis: antimicrobial prophylaxis against infective endocarditis in adults and children undergoing interventional procedures. London; 2008. [acceso: 21/04/2023]. Disponible en: https://www.nice.org.uk/guidance/cg64
21. Hussein H, Montesinos-Guevara C, Abouelkheir M, Brown RS, Hneiny L, Amer YS. Quality appraisal of antibiotic prophylaxis guidelines to prevent infective endocarditis following dental procedures: a systematic review. Oral Surg Oral Med Oral Pathol Oral Radiol. 2022; 134(5):562-72. DOI: 10.1016/j.oooo.2022.07.012
22. Bhayat A, Jarab F, Mansuri S, Ahmad MS, Mahrous MS. Assessment of Knowledge of Dental Staff at a Saudi Arabian University Regarding the Prophylaxis for Infective Endocarditis. Open Dent J. 2013; 7:82-7. DOI: 10.2174/1874210601307010082
23. Bahammam MA, Abdelaziz NM. Awareness of Antimicrobial Prophylaxis for Infective Endocarditis Among Dental Students and Interns at a Teaching Hospital in Jeddah, Saudi Arabia. Open Dent J. 2015; 9:176-80. DOI: 10.2174/1874210601509010176
24. Al-Mohaissen MA, Al-Mehisen R, Lee T, Al-Madi EM. Managing cardiac patients: Dentists' knowledge, perceptions, and practices. Int Dent J. 2022;72(3):296-307. DOI: 10.1016/j.identj.2021.04.006
25. Adeyemo WL, Oderinu OH, Olojede ACO, Ayodele AOS, Fashina AA. Nigerian dentists' knowledge of the current guidelines for preventing infective endocarditis. Community Dent Health. 2011 [acceso: 24/04/2023]; (2):178-81. Disponible en: https://www.cdhjournal.org/issues/28-2-june-2011/368-nigerian-dentists-knowledge-of-the-current-guidelines-for-preventing-infective-endocarditis
Published
2024-01-22
How to Cite
1.
Mercado-Hermoza AP, Chumpitaz-Cerrate V, Chávez-Rimache L, Aponte-Labán AS, Pérez-Jimenez VR. Cognitive competencies on antibiotic prophylaxis of infective endocarditis in dentistry students. Rev Cubana Med Milit [Internet]. 2024 Jan. 22 [cited 2025 Apr. 19];53(1):e024015935. Available from: https://revmedmilitar.sld.cu/index.php/mil/article/view/15935
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