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 20...

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Main Authors: Mohd Yunus, Siti Salmiah, Syed Nabil, Rashdi, Muhd Fazlynizam, Nazimi, Abd Jabar, Nordin, Rifqah, Tan, Huann Lan, Maskon, Oteh, Che Hassan, Hamat H., Khaithir, Tzar Mohd Nizam, Abdul Aziz, Aznida Firzah, Ng, Yee Guan, Ismail, Ridwan Yeop, Ramli, Roszalina
Format: Article
Published: Multidisciplinary Digital Publishing Institute 2023
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author Mohd Yunus, Siti Salmiah
Syed Nabil
Rashdi, Muhd Fazlynizam
Nazimi, Abd Jabar
Nordin, Rifqah
Tan, Huann Lan
Maskon, Oteh
Che Hassan, Hamat H.
Khaithir, Tzar Mohd Nizam
Abdul Aziz, Aznida Firzah
Ng, Yee Guan
Ismail, Ridwan Yeop
Ramli, Roszalina
author_facet Mohd Yunus, Siti Salmiah
Syed Nabil
Rashdi, Muhd Fazlynizam
Nazimi, Abd Jabar
Nordin, Rifqah
Tan, Huann Lan
Maskon, Oteh
Che Hassan, Hamat H.
Khaithir, Tzar Mohd Nizam
Abdul Aziz, Aznida Firzah
Ng, Yee Guan
Ismail, Ridwan Yeop
Ramli, Roszalina
author_sort Mohd Yunus, Siti Salmiah
collection UPM
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.
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spelling upm.eprints-1091982024-08-27T04:50:16Z http://psasir.upm.edu.my/id/eprint/109198/ Perception regarding the NICE guideline on antibiotic prophylaxis against infective endocarditis following dental procedures: a cross-sectional study Mohd Yunus, Siti Salmiah Syed Nabil Rashdi, Muhd Fazlynizam Nazimi, Abd Jabar Nordin, Rifqah Tan, Huann Lan Maskon, Oteh Che Hassan, Hamat H. Khaithir, Tzar Mohd Nizam Abdul Aziz, Aznida Firzah Ng, Yee Guan Ismail, Ridwan Yeop Ramli, Roszalina 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. Multidisciplinary Digital Publishing Institute 2023-04-02 Article PeerReviewed Mohd Yunus, Siti Salmiah and Syed Nabil and Rashdi, Muhd Fazlynizam and Nazimi, Abd Jabar and Nordin, Rifqah and Tan, Huann Lan and Maskon, Oteh and Che Hassan, Hamat H. and Khaithir, Tzar Mohd Nizam and Abdul Aziz, Aznida Firzah and Ng, Yee Guan and Ismail, Ridwan Yeop and Ramli, Roszalina (2023) Perception regarding the NICE guideline on antibiotic prophylaxis against infective endocarditis following dental procedures: a cross-sectional study. Antibiotics, 12 (4). art. no. 696. pp. 1-15. ISSN 2079-6382 https://www.mdpi.com/2079-6382/12/4/696 10.3390/antibiotics12040696
spellingShingle Mohd Yunus, Siti Salmiah
Syed Nabil
Rashdi, Muhd Fazlynizam
Nazimi, Abd Jabar
Nordin, Rifqah
Tan, Huann Lan
Maskon, Oteh
Che Hassan, Hamat H.
Khaithir, Tzar Mohd Nizam
Abdul Aziz, Aznida Firzah
Ng, Yee Guan
Ismail, Ridwan Yeop
Ramli, Roszalina
Perception regarding the NICE guideline on antibiotic prophylaxis against infective endocarditis following dental procedures: a cross-sectional study
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
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