Involvement of Tunisian General Practitioners in the Management of Patients at Risk of Infective Endocarditis: A Cross-Sectional Study

Abstract

Objectives. This work aimed to estimate the knowledge and practice of general dentists in the governorate of Manouba regarding the management of patients at risk of infective endocarditis. Materials and Methods. A survey involving private sector general dentists in the governorate of Manouba was performed. It contained 21 questions, and it was addressed to 111 dentists. Only 82 dentists responded. To carry out the descriptive study, we used the SPSS software version 21.0. Results. Our results proved the lack of knowledge among dentists in the governorate of Manouba with regard to the management of patients at risk of infective endocarditis. An overestimation of the risk and an overprescription of antibiotic were found in order to ensure an over-protection for the patients as well as the dentist. In fact, 85.4% of these dentists prescribed antibiotic prophylaxis for the two groups of patients (high risk and moderate risk). Only 9.8% followed the right modality of antibiotic prophylaxis prescription; 4.9% of the dentists prescribed antibiotic only 1 hour before the act and 4.9% of them prescribed antibiotic 1 hour before the act and continued the treatment in case of the presence of an infectious site. Conclusion. A discrepancy towards an over-estimation of risk and overprescription of antibiotic was found between the recommendations and real practice. Similar studies in the other governorates of Tunisia are recommended in order to better understand the problem.

Dentists’ Habits of Antibiotic Prescribing May be Influenced by Patient Requests for Prescriptions

“…The finding that some dentists do not agree on whether to or not to prescribe prophylactic antibiotics in high-risk patients confirms a recent finding by [ 28 ] who concluded that antibiotic prescribing practices were inconsistent, and dentists' practices did not meet the highest antibiotic stewardship standards. Furthermore, findings from this study highlight the lack of consensus in the guidelines and perhaps the confusion surrounding this area as suggested by [ 29 ] and Lagha et al [ 30 ]. This further suggests that the majority of Jordanian dentists follow the European [ 22 ] and American guidelines [ 24 ].…”

Conhecimento e práticas dos cirurgiões-dentistas para prevenção da endocardite infecciosa: uma revisão sistemática

“…Initially, 1085 studies were identified (Figure I), from which 33 studies were selected after screening the titles and abstracts. Eleven studies were excluded: in five of them (KOKOMOTO et al, 2018;LAGHA et al, 2021;MAYBODI et al, 2018;NAKANO AND OOSHIMA, 2011;RYALAT et al, 2016), AHA data could not be isolated; five (BROOKS, 1980;KUNZEL AND SADOWSKY, 1989;NELSON AND BLARICUM, 1989;SADOWSKY et al, 1985;SADOWSKY AND KUNZEL, 1988) did not measure in detail the variables included in this systematic review and one (ROCHA et al, 2008) did not specify which guideline was followed.…”