June 2011

Volume 28, Issue 2

Nigerian dentists’ knowledge of the current guidelines for preventing infective endocarditis

Authors: W.L. Adeyemo O.H. Oderinu A.C.O. Olojede A.O.S. Ayodele A.A. Fashina
doi: 10.1922/CDH_2718Adeyemo04

Abstract

Objective: This study assessed Nigerian dentists’ knowledge of current guidelines for the prevention of infective endocarditis. Material and methods: A self-administered questionnaire surveyed a cross-section of Nigerian dentists gathering information on respondent demographics, awareness of the American Heart Association current guidelines on preventing infective endocarditis and sources of knowledge regarding that guidance. Respondents indicated: a) whether or not they would prescribe antibiotics before dental treatment in 10 cardiac conditions, b) if antibiotic prophylaxis was reasonable before 10 dental procedures in an endocarditis high-risk patient, and c) a prescription for oral antibiotics for an endocarditis high-risk non-allergic adult about to undergo a dental procedure. Results: Respondents numbered 173 and 41% were aware of the guidelines. Most commonly the sources of this knowledge were undergraduate/postgraduate education. Overall, the correct responses for the 10 cardiac conditions was very low (33%), ranging from 94% for prosthetic heart valves (94.2%) down to 4% for previous coronary artery bypass (3.5%). For clearly invasive procedures, 80% to 96% of respondents indicated that a prophylactic antibiotic was reasonable. For clearly non-invasive procedures, 89% to 92% indicated that antibiotics were not reasonable. Correct antimicrobial agent, dose and timing of administration were prescribed by 89%, 9%, and 57% respectively. Conclusions: A low level of knowledge of the current guidelines was found among Nigerian dentists. Although, most prescribed the correct antimicrobial agent, the numbers prescribing correct dose and time of administration were quite low. Therefore, attempts should be made to teach the current guidelines in Nigerian undergraduate/postgraduate dental education. Key words: Nigeria, infective endocarditis

£10 single article

Other articles in this issue

Article Pages Access
Editorial - The European Association of Dental Public Health: Coming of Age 122-122 £10 single article
Pricing and competition in the private dental market in Finland 123-127 £10 single article
Geographical accessibility to dental care in the Japanese elderly 128-135 £10 single article
Socioeconomic inequality in self-reported oral health status: The experience of Thailand after implementation of the Universal Coverage policy 136-142 £10 single article
Oral health status and inequalities among ambulant older adults living in central Chile 143-148 £10 single article
Oral health status and inequalities among ambulant older adults living in central Chile 143-148 £10 single article
Relationship between dental anxiety, general anxiety level and depression in patients attending a university hospital dental clinic in Turkey. 149-153 £10 single article
Mesial migration and loss of first molars among young adolescents in Kuwait 154-159 £10 single article
Use of Haavikko’s method to assess dental age in Chinese children 160-164 £10 single article
Relationship between bone fragility of the mandibular inferior cortex and tooth loss related to periodontal disease in older people 165-169 £10 single article
The Relationship between Self-Reported Oral Health, Self-Regulation, Proactive Coping, Procrastination and Proactive Attitude 170-173 £10 single article
Is there a correlation between dental caries and body mass index-for-age among adolescents in Iran? 174-177 £10 single article
Nigerian dentists’ knowledge of the current guidelines for preventing infective endocarditis 178-181 £10 single article
A new index to measure tooth wear – methodolgy and practical advice 182-187 £10 single article
Review of report of workshop on “Effective Use of Fluoride in Asia” 188-188 £10 single article

Subscribe

Print
£130
Online (Single user only)
£130
Print & Online (Single user only)
£150
Institution Online (IP address validation)
£220

Back issues may be obtained from the publisher

Consider recommending subscription to your institution's library

You can view Open Access papers without a subscription.