Controversies over Infective Endocarditis Prophylaxis and the need for National Guidelines

Infective endocarditis (IE) is a relatively rare but invariably fatal disease if left untreated. Over decades, individuals with certain congenital or acquired heart defects were given antibiotic prophylaxis before certain procedures to prevent IE. However, controversies on this regimen have begun to...

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Main Authors: Selim Ahmed, Liew, Constance Sat Lin, Doreen Sumpat, Alvin Oliver Payus, Lo, Zhen Zhen, Mandrinos Symeon, Kew, Teik Seih, Rajesh Kumar Muniandy, Raman S RM Subramaniam Chettiar
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Language:English
English
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Online Access:https://eprints.ums.edu.my/id/eprint/29159/1/Controversies%20over%20Infective%20Endocarditis%20Prophylaxis%20and%20the%20Need%20for%20National%20Guidelines.pdf
https://eprints.ums.edu.my/id/eprint/29159/2/Controversies%20over%20Infective%20Endocarditis%20Prophylaxis%20and%20the%20Need%20for%20National%20Guidelines%20_ABSTRACT.pdf
https://eprints.ums.edu.my/id/eprint/29159/
http://www.jcdronline.org/admin/Uploads/Files/623fff18434658.37882384.pdf
https://doi.org/10.31838/jcdr.2022.13.01.47
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spelling my.ums.eprints.291592022-08-01T00:48:42Z https://eprints.ums.edu.my/id/eprint/29159/ Controversies over Infective Endocarditis Prophylaxis and the need for National Guidelines Selim Ahmed Liew, Constance Sat Lin Doreen Sumpat Alvin Oliver Payus Lo, Zhen Zhen Mandrinos Symeon Kew, Teik Seih Rajesh Kumar Muniandy Raman S RM Subramaniam Chettiar RC666-701 Diseases of the circulatory (Cardiovascular) system Infective endocarditis (IE) is a relatively rare but invariably fatal disease if left untreated. Over decades, individuals with certain congenital or acquired heart defects were given antibiotic prophylaxis before certain procedures to prevent IE. However, controversies on this regimen have begun to grow since 2002 and in 2007-2008, three major international health organizations, the American Heart Association (AHA), the European Society for Cardiology (ESC), and the National Institute for Health and Clinical Excellence (NICE), UK published have their revised guidelines where AHA and ESC markedly shortened the list of indications for IE prophylaxis and NICE abandoned the concept of IE prophylaxis altogether. This has literally divided not only the medical practitioners around the world but practitioners within countries who used to follow either AHA, ESC or NHS guidelines in absence of their own national guidelines. This chaotic situation has also affected the medical teaching in those countries because of contradictory teaching from teachers having different views and belongingness on this issue. Even follow up review five years after the introduction of revised guidelines has failed to resolve the controversies and it deems un resolvable in near future. In such circumstances, every country needs to have own guideline for uniform medical teaching and practice. EManuscript Services 2022 Article PeerReviewed text en https://eprints.ums.edu.my/id/eprint/29159/1/Controversies%20over%20Infective%20Endocarditis%20Prophylaxis%20and%20the%20Need%20for%20National%20Guidelines.pdf text en https://eprints.ums.edu.my/id/eprint/29159/2/Controversies%20over%20Infective%20Endocarditis%20Prophylaxis%20and%20the%20Need%20for%20National%20Guidelines%20_ABSTRACT.pdf Selim Ahmed and Liew, Constance Sat Lin and Doreen Sumpat and Alvin Oliver Payus and Lo, Zhen Zhen and Mandrinos Symeon and Kew, Teik Seih and Rajesh Kumar Muniandy and Raman S RM Subramaniam Chettiar (2022) Controversies over Infective Endocarditis Prophylaxis and the need for National Guidelines. Journal of Cardiovascular Disease Research, 13. pp. 364-375. ISSN 0975-3583 (P-ISSN) , 0976-2833 (E-ISSN) http://www.jcdronline.org/admin/Uploads/Files/623fff18434658.37882384.pdf https://doi.org/10.31838/jcdr.2022.13.01.47
institution Universiti Malaysia Sabah
building UMS Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Malaysia Sabah
content_source UMS Institutional Repository
url_provider http://eprints.ums.edu.my/
language English
English
topic RC666-701 Diseases of the circulatory (Cardiovascular) system
spellingShingle RC666-701 Diseases of the circulatory (Cardiovascular) system
Selim Ahmed
Liew, Constance Sat Lin
Doreen Sumpat
Alvin Oliver Payus
Lo, Zhen Zhen
Mandrinos Symeon
Kew, Teik Seih
Rajesh Kumar Muniandy
Raman S RM Subramaniam Chettiar
Controversies over Infective Endocarditis Prophylaxis and the need for National Guidelines
description Infective endocarditis (IE) is a relatively rare but invariably fatal disease if left untreated. Over decades, individuals with certain congenital or acquired heart defects were given antibiotic prophylaxis before certain procedures to prevent IE. However, controversies on this regimen have begun to grow since 2002 and in 2007-2008, three major international health organizations, the American Heart Association (AHA), the European Society for Cardiology (ESC), and the National Institute for Health and Clinical Excellence (NICE), UK published have their revised guidelines where AHA and ESC markedly shortened the list of indications for IE prophylaxis and NICE abandoned the concept of IE prophylaxis altogether. This has literally divided not only the medical practitioners around the world but practitioners within countries who used to follow either AHA, ESC or NHS guidelines in absence of their own national guidelines. This chaotic situation has also affected the medical teaching in those countries because of contradictory teaching from teachers having different views and belongingness on this issue. Even follow up review five years after the introduction of revised guidelines has failed to resolve the controversies and it deems un resolvable in near future. In such circumstances, every country needs to have own guideline for uniform medical teaching and practice.
format Article
author Selim Ahmed
Liew, Constance Sat Lin
Doreen Sumpat
Alvin Oliver Payus
Lo, Zhen Zhen
Mandrinos Symeon
Kew, Teik Seih
Rajesh Kumar Muniandy
Raman S RM Subramaniam Chettiar
author_facet Selim Ahmed
Liew, Constance Sat Lin
Doreen Sumpat
Alvin Oliver Payus
Lo, Zhen Zhen
Mandrinos Symeon
Kew, Teik Seih
Rajesh Kumar Muniandy
Raman S RM Subramaniam Chettiar
author_sort Selim Ahmed
title Controversies over Infective Endocarditis Prophylaxis and the need for National Guidelines
title_short Controversies over Infective Endocarditis Prophylaxis and the need for National Guidelines
title_full Controversies over Infective Endocarditis Prophylaxis and the need for National Guidelines
title_fullStr Controversies over Infective Endocarditis Prophylaxis and the need for National Guidelines
title_full_unstemmed Controversies over Infective Endocarditis Prophylaxis and the need for National Guidelines
title_sort controversies over infective endocarditis prophylaxis and the need for national guidelines
publisher EManuscript Services
publishDate 2022
url https://eprints.ums.edu.my/id/eprint/29159/1/Controversies%20over%20Infective%20Endocarditis%20Prophylaxis%20and%20the%20Need%20for%20National%20Guidelines.pdf
https://eprints.ums.edu.my/id/eprint/29159/2/Controversies%20over%20Infective%20Endocarditis%20Prophylaxis%20and%20the%20Need%20for%20National%20Guidelines%20_ABSTRACT.pdf
https://eprints.ums.edu.my/id/eprint/29159/
http://www.jcdronline.org/admin/Uploads/Files/623fff18434658.37882384.pdf
https://doi.org/10.31838/jcdr.2022.13.01.47
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