TY - JOUR
T1 - World Workshop on Oral Medicine VIII
T2 - Dentists’ compliance with infective endocarditis prophylaxis guidelines for patients with high-risk cardiac conditions: a systematic review
AU - Diz Dios, Pedro
AU - Monteiro, Luis
AU - Pimolbutr, Kununya
AU - Gobbo, Margherita
AU - France, Katherine
AU - Bindakhil, Mohammed
AU - Holmes, Haly
AU - Sperotto, Francesca
AU - Graham, Laurel
AU - Turati, Federica
AU - Salvatori, Andrea
AU - Hong, Catherine
AU - Sollecito, Thomas P.
AU - Lodi, Giovanni
AU - Thornhill, Martin H.
AU - Lockhart, Peter B.
AU - Edefonti, Valeria
N1 - Funding Information:
The WWOM VIII Steering Committee provided the conceptual framework and logistical support to produce the WWOM VIII Conference in May 2022 in Memphis, Tennessee, USA. In addition, the Steering Committee provided scientific and editorial critiques of this manuscript. The Steering Committee is listed below, in alphabetical order: Arwa M. Farag (Saudi Arabia/USA), Timothy A. Hodgson (UK), Catherine Hong (Singapore), Siri Beier Jensen (Denmark), A. Ross Kerr (USA), Giovanni Lodi (Italy), Richeal Ni Riordain (Ireland), Thomas P. Sollecito (USA). The WWOM VIII Steering Committee gratefully acknowledges the following organizations, companies, and individuals who provided financial support for WWOM VIII: American Academy of Oral Medicine, European Association of Oral Medicine, Church & Dwight Co Inc, Colgate Palmolive, and patients of Dr Ross Kerr. Preliminary results presented at the AAOM-WWOM session (Memphis, May 6th, 2022). Martin Thornhill and Peter Lockhart have been investigators on previous and ongoing studies concerning the interface between oral disease and procedures and infective endocarditis. In addition, some of the reviewers are involved in recent or ongoing grant funded research related to this subject, including (i) NIH/NIDCR5R01DE023375 grant funded project, Lockhart (PI), 8/1/14-7/31/19 (NCE 1/31/20), Carolinas Medical Center: Oral Hygiene, Periodontal Disease and Infective Endocarditis (reviewers Lockhart, Thornhill, Sollecito). (ii) National Institutes for Health Research (UK) Health Technology Assessment grant funded Project 15/57/32—The Invasive Dentistry-Endocarditis Association Study. University of Sheffield 2016-21, Thornhill (PI) (reviewers Thornhill and Lockhart). (iii) Delta Dental of Michigan and it's Research and Data Institute grant funded project—An Evaluation of Antibiotic Prophylaxis Effectiveness in Preventing Infective Endocarditis (The APE-PIE study). University of Sheffield, 2018-20 (NCE Sep 2021), Thornhill (PI) (reviewers Thornhill and Lockhart). (iv) British Heart Foundation Project Grant PG/20/10410—The invasive surgical procedure infective endocarditis association study (The I-SPIE association study). University of Sheffield, 2021-22, Thornhill (PI) (reviewers Thornhill and Lockhart).
Funding Information:
The WWOM VIII Steering Committee gratefully acknowledges the following organizations, companies, and individuals who provided financial support for WWOM VIII: American Academy of Oral Medicine, European Association of Oral Medicine, Church & Dwight Co Inc, Colgate Palmolive, and patients of Dr Ross Kerr.
Publisher Copyright:
© 2023 Elsevier Inc.
PY - 2023/6
Y1 - 2023/6
N2 - Objective: To determine dentists’ awareness and/or adherence to antibiotic prophylaxis (AP) guidelines for preventing infective endocarditis (IE) in patients with high-risk heart conditions. Study Design: A systematic literature review was performed on MEDLINE/PubMed, Scopus, Web of Science, Cochrane Library, Proquest, Embase, Dentistry, and Oral Sciences Source databases, following the Preferred Reporting Items for Systematic Reviews and Meta–Analyses checklist. Nationwide studies based on questionnaires, surveys, and interviews completed by dentists and published since 2007 were included. Results: From 2907 articles screened, 28 studies were selected (across 20 countries). The quality of included studies was poor due to a lack of standard evaluation tools, low response rates, and lack of questionnaire validity and/or reliability. Approximately 75% of surveyed dentists reported being knowledgeable about AP guidelines, but only ∼25% complied. Reported compliance with American Heart Association (AHA) guidelines was 4 times higher than with the National Institute for Health and Care Excellence (NICE) recommendations. Some of the highest adherence rates were reported for other national AP guidelines. Significant geographic differences were observed in the estimated adherence to AHA guidelines and the percentage of dentists who reported seeking advice from physicians and/or cardiologists. Conclusion: Rates of compliance and/or adherence were substantially different from rates of knowledge and/or awareness, including relevant geographic dissimilarities. Compliance/adherence was higher for AHA than NICE.
AB - Objective: To determine dentists’ awareness and/or adherence to antibiotic prophylaxis (AP) guidelines for preventing infective endocarditis (IE) in patients with high-risk heart conditions. Study Design: A systematic literature review was performed on MEDLINE/PubMed, Scopus, Web of Science, Cochrane Library, Proquest, Embase, Dentistry, and Oral Sciences Source databases, following the Preferred Reporting Items for Systematic Reviews and Meta–Analyses checklist. Nationwide studies based on questionnaires, surveys, and interviews completed by dentists and published since 2007 were included. Results: From 2907 articles screened, 28 studies were selected (across 20 countries). The quality of included studies was poor due to a lack of standard evaluation tools, low response rates, and lack of questionnaire validity and/or reliability. Approximately 75% of surveyed dentists reported being knowledgeable about AP guidelines, but only ∼25% complied. Reported compliance with American Heart Association (AHA) guidelines was 4 times higher than with the National Institute for Health and Care Excellence (NICE) recommendations. Some of the highest adherence rates were reported for other national AP guidelines. Significant geographic differences were observed in the estimated adherence to AHA guidelines and the percentage of dentists who reported seeking advice from physicians and/or cardiologists. Conclusion: Rates of compliance and/or adherence were substantially different from rates of knowledge and/or awareness, including relevant geographic dissimilarities. Compliance/adherence was higher for AHA than NICE.
UR - http://www.scopus.com/inward/record.url?scp=85153609552&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85153609552&partnerID=8YFLogxK
U2 - 10.1016/j.oooo.2022.12.017
DO - 10.1016/j.oooo.2022.12.017
M3 - Review article
C2 - 37105883
AN - SCOPUS:85153609552
SN - 2212-4403
VL - 135
SP - 757
EP - 771
JO - Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology
JF - Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology
IS - 6
ER -