Perception Regarding the NICE Guideline on Antibiotic Prophylaxis against Infective Endocarditis Following Dental Procedures: A Cross-Sectional Study
This study explores the opinions of Malaysian clinical specialists on the antibiotic prophylaxis against infective endocarditis (IE) as described in the 2008 National Institute for Health and Care Excellence (NICE) guideline. This cross-sectional study was performed from September 2017 to March 2019...
| Main Authors: | , , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2023-04-01
|
| Series: | Antibiotics |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2079-6382/12/4/696 |
| _version_ | 1797606703207809024 |
|---|---|
| author | Siti Salmiah Mohd Yunus Syed Nabil Muhd Fazlynizam Rashdi Abd Jabar Nazimi Rifqah Nordin Huann Lan Tan Oteh Maskon Hamat H. Che Hassan Tzar Mohd Nizam Khaithir Aznida Firzah Abdul Aziz Yee Guan Ng Ridwan Yeop Ismail Roszalina Ramli |
| author_facet | Siti Salmiah Mohd Yunus Syed Nabil Muhd Fazlynizam Rashdi Abd Jabar Nazimi Rifqah Nordin Huann Lan Tan Oteh Maskon Hamat H. Che Hassan Tzar Mohd Nizam Khaithir Aznida Firzah Abdul Aziz Yee Guan Ng Ridwan Yeop Ismail Roszalina Ramli |
| author_sort | Siti Salmiah Mohd Yunus |
| collection | DOAJ |
| description | This study explores the opinions of Malaysian clinical specialists on the antibiotic prophylaxis against infective endocarditis (IE) as described in the 2008 National Institute for Health and Care Excellence (NICE) guideline. This cross-sectional study was performed from September 2017 to March 2019. The self-administered questionnaire comprised two sections: background information of the specialists and their opinions on the NICE guideline. The questionnaire was distributed to 794 potential participants, and 277 responded (response rate of 34.9%). In general, 49.8% of the respondents believed that clinicians should adhere to the guideline, although the majority of oral and maxillofacial surgeons (54.5%) actually disagreed with this view. The dental procedures that were perceived as presented moderate-to-high risk for IE were minor surgery for an impacted tooth with a recent episode of infection, dental implant surgery, periodontal surgery and dental extraction in patients with poor oral hygiene. The cardiac conditions that were strongly recommended for antibiotic prophylaxis were severe mitral valve stenosis or regurgitation and previous IE. Less than half of Malaysian clinical specialists agreed with the changes in the 2008 NICE guideline, contributing to their insistence that antibiotic prophylaxis is still needed for high-risk cardiac conditions and selected invasive dental procedures. |
| first_indexed | 2024-03-11T05:18:50Z |
| format | Article |
| id | doaj.art-528c3406c37a46468f86f3dc8882ecf1 |
| institution | Directory Open Access Journal |
| issn | 2079-6382 |
| language | English |
| last_indexed | 2024-03-11T05:18:50Z |
| publishDate | 2023-04-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Antibiotics |
| spelling | doaj.art-528c3406c37a46468f86f3dc8882ecf12023-11-17T18:02:41ZengMDPI AGAntibiotics2079-63822023-04-0112469610.3390/antibiotics12040696Perception Regarding the NICE Guideline on Antibiotic Prophylaxis against Infective Endocarditis Following Dental Procedures: A Cross-Sectional StudySiti Salmiah Mohd Yunus0Syed Nabil1Muhd Fazlynizam Rashdi2Abd Jabar Nazimi3Rifqah Nordin4Huann Lan Tan5Oteh Maskon6Hamat H. Che Hassan7Tzar Mohd Nizam Khaithir8Aznida Firzah Abdul Aziz9Yee Guan Ng10Ridwan Yeop Ismail11Roszalina Ramli12Department of Oral & Maxillofacial Surgery, Faculty of Dentistry, Universiti Kebangsaan Malaysia (UKM), Kuala Lumpur 50300, MalaysiaDepartment of Oral & Maxillofacial Surgery, Faculty of Dentistry, Universiti Kebangsaan Malaysia (UKM), Kuala Lumpur 50300, MalaysiaDepartment of Oral & Maxillofacial Surgery, Hospital Canselor Tuanku Muhriz (HCTM), Universiti Kebangsaan Malaysia, Kuala Lumpur 56000, MalaysiaDepartment of Oral & Maxillofacial Surgery, Faculty of Dentistry, Universiti Kebangsaan Malaysia (UKM), Kuala Lumpur 50300, MalaysiaDepartment of Oral & Maxillofacial Surgery, Faculty of Dentistry, Universiti Kebangsaan Malaysia (UKM), Kuala Lumpur 50300, MalaysiaDepartment of Oral & Maxillofacial Surgery, Faculty of Dentistry, Universiti Kebangsaan Malaysia (UKM), Kuala Lumpur 50300, MalaysiaDepartment of Medicine (Cardiology Unit), Faculty of Medicine, Universiti Kebangsaan Malaysia (UKM), Kuala Lumpur 56000, MalaysiaDepartment of Medicine (Cardiology Unit), Faculty of Medicine, Universiti Kebangsaan Malaysia (UKM), Kuala Lumpur 56000, MalaysiaDepartment of Microbiology and Immunology, Faculty of Medicine, Universiti Kebangsaan Malaysia (UKM), Kuala Lumpur 56000, MalaysiaDepartment of Family Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia (UKM), Kuala Lumpur 56000, MalaysiaDepartment of Environmental Occupational Health, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia (UPM), Serdang 43400, MalaysiaDepartment of Oral & Maxillofacial Surgery, Hospital Tuanku Fauziah, Kangar 01000, MalaysiaDepartment of Oral & Maxillofacial Surgery, Faculty of Dentistry, Universiti Kebangsaan Malaysia (UKM), Kuala Lumpur 50300, MalaysiaThis study explores the opinions of Malaysian clinical specialists on the antibiotic prophylaxis against infective endocarditis (IE) as described in the 2008 National Institute for Health and Care Excellence (NICE) guideline. This cross-sectional study was performed from September 2017 to March 2019. The self-administered questionnaire comprised two sections: background information of the specialists and their opinions on the NICE guideline. The questionnaire was distributed to 794 potential participants, and 277 responded (response rate of 34.9%). In general, 49.8% of the respondents believed that clinicians should adhere to the guideline, although the majority of oral and maxillofacial surgeons (54.5%) actually disagreed with this view. The dental procedures that were perceived as presented moderate-to-high risk for IE were minor surgery for an impacted tooth with a recent episode of infection, dental implant surgery, periodontal surgery and dental extraction in patients with poor oral hygiene. The cardiac conditions that were strongly recommended for antibiotic prophylaxis were severe mitral valve stenosis or regurgitation and previous IE. Less than half of Malaysian clinical specialists agreed with the changes in the 2008 NICE guideline, contributing to their insistence that antibiotic prophylaxis is still needed for high-risk cardiac conditions and selected invasive dental procedures.https://www.mdpi.com/2079-6382/12/4/696endocarditispractice guidelineantibiotic prophylaxisdental careheart disease |
| spellingShingle | Siti Salmiah Mohd Yunus Syed Nabil Muhd Fazlynizam Rashdi Abd Jabar Nazimi Rifqah Nordin Huann Lan Tan Oteh Maskon Hamat H. Che Hassan Tzar Mohd Nizam Khaithir Aznida Firzah Abdul Aziz Yee Guan Ng Ridwan Yeop Ismail Roszalina Ramli Perception Regarding the NICE Guideline on Antibiotic Prophylaxis against Infective Endocarditis Following Dental Procedures: A Cross-Sectional Study Antibiotics endocarditis practice guideline antibiotic prophylaxis dental care heart disease |
| title | Perception Regarding the NICE Guideline on Antibiotic Prophylaxis against Infective Endocarditis Following Dental Procedures: A Cross-Sectional Study |
| title_full | Perception Regarding the NICE Guideline on Antibiotic Prophylaxis against Infective Endocarditis Following Dental Procedures: A Cross-Sectional Study |
| title_fullStr | Perception Regarding the NICE Guideline on Antibiotic Prophylaxis against Infective Endocarditis Following Dental Procedures: A Cross-Sectional Study |
| title_full_unstemmed | Perception Regarding the NICE Guideline on Antibiotic Prophylaxis against Infective Endocarditis Following Dental Procedures: A Cross-Sectional Study |
| title_short | Perception Regarding the NICE Guideline on Antibiotic Prophylaxis against Infective Endocarditis Following Dental Procedures: A Cross-Sectional Study |
| title_sort | perception regarding the nice guideline on antibiotic prophylaxis against infective endocarditis following dental procedures a cross sectional study |
| topic | endocarditis practice guideline antibiotic prophylaxis dental care heart disease |
| url | https://www.mdpi.com/2079-6382/12/4/696 |
| work_keys_str_mv | AT sitisalmiahmohdyunus perceptionregardingtheniceguidelineonantibioticprophylaxisagainstinfectiveendocarditisfollowingdentalproceduresacrosssectionalstudy AT syednabil perceptionregardingtheniceguidelineonantibioticprophylaxisagainstinfectiveendocarditisfollowingdentalproceduresacrosssectionalstudy AT muhdfazlynizamrashdi perceptionregardingtheniceguidelineonantibioticprophylaxisagainstinfectiveendocarditisfollowingdentalproceduresacrosssectionalstudy AT abdjabarnazimi perceptionregardingtheniceguidelineonantibioticprophylaxisagainstinfectiveendocarditisfollowingdentalproceduresacrosssectionalstudy AT rifqahnordin perceptionregardingtheniceguidelineonantibioticprophylaxisagainstinfectiveendocarditisfollowingdentalproceduresacrosssectionalstudy AT huannlantan perceptionregardingtheniceguidelineonantibioticprophylaxisagainstinfectiveendocarditisfollowingdentalproceduresacrosssectionalstudy AT otehmaskon perceptionregardingtheniceguidelineonantibioticprophylaxisagainstinfectiveendocarditisfollowingdentalproceduresacrosssectionalstudy AT hamathchehassan perceptionregardingtheniceguidelineonantibioticprophylaxisagainstinfectiveendocarditisfollowingdentalproceduresacrosssectionalstudy AT tzarmohdnizamkhaithir perceptionregardingtheniceguidelineonantibioticprophylaxisagainstinfectiveendocarditisfollowingdentalproceduresacrosssectionalstudy AT aznidafirzahabdulaziz perceptionregardingtheniceguidelineonantibioticprophylaxisagainstinfectiveendocarditisfollowingdentalproceduresacrosssectionalstudy AT yeeguanng perceptionregardingtheniceguidelineonantibioticprophylaxisagainstinfectiveendocarditisfollowingdentalproceduresacrosssectionalstudy AT ridwanyeopismail perceptionregardingtheniceguidelineonantibioticprophylaxisagainstinfectiveendocarditisfollowingdentalproceduresacrosssectionalstudy AT roszalinaramli perceptionregardingtheniceguidelineonantibioticprophylaxisagainstinfectiveendocarditisfollowingdentalproceduresacrosssectionalstudy |