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


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


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


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