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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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 |
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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 |
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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. |
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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 |
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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 |
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EManuscript Services |
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2022 |
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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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