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: | , , , , , , , , , , , , |
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| Format: | Article |
| Published: |
Multidisciplinary Digital Publishing Institute
2023
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| Online Access: | http://psasir.upm.edu.my/id/eprint/109198/ https://www.mdpi.com/2079-6382/12/4/696 |
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| Summary: | 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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