Assessment of the Knowledge and Awareness Levels of Dentists Regarding Prophylaxis for Infective Endocarditis

Aim: Infective endocarditis (IE) is a serious heart disease with high mortality and morbidity. Antibiotic prophylaxis is recommended for patients at risk of infective endocarditis before dental procedures. This Turkish online descriptive survey aimed to evaluate the knowledge and awareness levels of dentists and dental studentsregarding antibiotic prophylaxis for patients at risk of infective endocarditis.Method: Data on participants’ demographics and responses regarding dental treatments and heart diseasesrequiring prophylaxis as well as antibiotic dosage, duration, and administration time were collected betweenFebruary 1 and June 30, 2016 in Turkey. For each correct answer one point was given. A score of >4 was consideredsuccessful.Results: In total, 584 dentists and 199 dental students participated in the questionnaire survey. The rate of ad-ministration of antibiotic prophylaxis against infective endocarditis was found as 92.59%. Overall success ratesof dental procedures requiring prophylaxis and knowledge regarding heart diseases were 90.3% and 72.6%,respectively. Knowledge levels regarding the use of antibiotic prophylaxis for heart diseases and antibiotic do-sage and duration were greater in women, those with ≤5 years of professional experience, dentists, and thoseworking at dental faculties (p<0.05). Dentists with ≤5 years of professional experience had greater levels ofawareness about dental procedures requiring prophylaxis than those with >5 years of experience (p<0.001).Conclusion: Given their poor knowledge of antibiotic prophylaxis against infective endocarditis, once again ithas been revealed that dentists should receive in-service training to keep up with current practices.

Anahtar Kelime:

Diş Hekimlerinin İnfektif Endokardit Profilaksisi Hakkında Bilgi ve Farkındalık Düzeylerinin Değerlendirilmesi

Öz:

Amaç: İnfektif endokardit (İE), yüksek mortalite ve morbiditeye sahip ciddi bir kalp hastalığıdır. İE riski taşıyan hastalara dental girişim öncesinde antibiyotik profilaksisi önerilmektedir. Online uygulanan tanımlayıcı nitelikteki bu anket çalışmasının amacı, İE gelişme riski bulunan hastalara diş hekimlerin ve diş hekimliği öğrencilerinin anti- biyotik profilaksisi uygulama konusundaki bilgi ve farkındalık düzeylerini değerlendirmektir. Yöntem: Profilaksi gerektiren dental girişimler ve kalp hastalıkları, profilakside uygulanan antibiyotiklerin dozu, süresi ve uygulama zamanı ile ilgili sorulara verilen yanıtlar ile birlikte katılımcıların demografik bilgilerini içe- ren anket verileri 1 Şubat-30 Haziran 2016 tarihleri arasında toplanmıştır. Her doğru cevaba bir puan verilmiş ve dört puan üstü başarılı olarak kabul edilmiştir. Bulgular: Toplamda 584 diş hekimi ve 199 diş hekimliği öğrencisi ankete katılmıştır. İE profilaksisi uygulama oranı %92,6 saptanmıştır. Profilaksi gerektiren dental prosedürler ve kalp hastalıkları ile ilişkili sorularda genel başarı oranı sırasıyla %90,3 ve %72,6 olarak bulunmuştur. Kadınların, beş ve beş yıldan daha az deneyimi olan diş hekimlerin ve diş hekimliği fakültelerinde çalışanların profilaksi gerektiren kalp hastalıkları, antibiyotik dozu ve uygulama süresi ile ilgili bilgi düzeyleri daha yüksek saptanmıştır (p<0,05). Beş ve beş yıldan daha az deneyimli diş hekimlerinin profilaksi gerektiren dental prosedür konusundaki farkındalık düzeyi beş yıldan fazla deneyim sahibi olanlara göre daha faz- ladır (p<0,001). Sonuç: Diş hekimlerinin İE profilaksisi uygulama konusunda bilgi düzeylerinin düşük saptanması, diş hekimlerinin güncel gelişmeleri takip etmeleri için hizmet içi eğitimlerin gerekliliği bir kez daha ortaya koymuştur.

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

1. Fowler VG, Scheld WM, AS B. Endocarditis and Intravacular Infections. In: Principles and Practice of Infectious Diseases. 2010; 1067-1112.
2. Paster BJ, Olsen I, Aas JA, Dewhirst FE. The breadth of bacte- rial diversity in the human periodontal pocket and other oral sites. Periodontol 2000. 2006;42(1):80-7. https://doi.org/10.1111/j.1600-0757.2006.00174.x
3. Lockhart PB, Brennan MT, Sasser HC, Fox PC, Paster BJ, Bahrani-Mougeot FK. Bacteremia associated with toothbrus- hing and dental extraction. Circulation. 2008;117(24):3118- 25. https://doi.org/10.1161/CIRCULATIONAHA.107.758524
4. Owen CP, Huang WH. Antibiotic prophylaxis for dental proce- dures: is it necessary? SADJ. 2012;67(7):413-9. https://doi.org/10.18773/austprescr.2017.054
5. NICE. Prophylaxis against infective endocarditis: antimicro- bial prophylaxis against infective endocarditis in adults and children undergoing interventional procedures. NICE Clin Guid 64. 2008;(April 2007). http://www.ncbi.nlm.nih.gov/pubmed/21656971.
6. Habib G, Lancellotti P, Antunes MJ, et al. 2015 ESC Guidelines for the management of infective endocarditis. Eur Heart J. 2015;36(44):3075-3128. https://doi.org/10.1093/eurheartj/ehv319
7. Wilson W, Taubert KA, Gewitz M, et al. Prevention of infec- tive endocarditis: guidelines from the American Heart Association: a guideline from the American Heart Association Rheumatic Fever, Endocarditis, and Kawasaki Disease Committee, Council on Cardiovascular Disease in the Young, and the Council on Clinical Cardiology, Council on Cardiovascular Surgery and Anesthesia, and the Quality of Care and Outcomes Research Interdisciplinary Working Group. Circulation. 2007;116(15):1736-54. https://doi.org/10.1161/CIRCULATIONAHA.106.183095
8. Olsen I. Update on bacteraemia related to dental procedures. Transfus Apher Sci. 2008;39(2):173-8. https://doi.org/10.1016/j.transci.2008.06.008
9. Türk Kardiyoloji Derneği. İnfektif Endokarditten Korunma Kılavuzu. https://www.tkd.org.tr/kilavuz/k04.htm. Published 2000. Accessed September 6, 2018.
10. Yalçın-Yeler D, Nihat Ç, Hasan Y. Infective endocarditis and prophylaxis requirement in dentistry. Cumhur Dent J. 2011;14(2):133-9. http://dergipark.gov.tr/download/article-file/48234. Accessed September 6, 2018.
11. Hatipoğlu H, Demiralp B. The Evaluation of Medically Comp- romised Periodontal Patients and the Analysis of Consultati- on Forms. Clin Dent Res. 2005;29(3):65-75. http://www.dishekdergi.hacettepe.edu.tr/htdergi/ makaleler/2005sayi3makale-11.pdf. Accessed September 6, 2018.
12. Maia LC, Coutinho AC, Castro GF. Knowledge and practices of dentists in preventing infective endocarditis in children. Spec Care Dent. 2009;29(4):175-8. https://doi.org/10.1111/j.1754-4505.2009.00087.x
13. Ahmadi-Motamayel F, Vaziri S, Roshanaei G. Knowledge of General Dentists and Senior Dental Students in Iran about Prevention of Infective Endocarditis. Chonnam Med J. 2012;48(1):15-20. https://doi.org/10.4068/cmj.2012.48.1.15
14. Ryalat S, Hassona Y, Al-Shayyab M, Abo-Ghosh M, Sawair F. Dentists’ knowledge and practice regarding prevention of infective endocarditis. Eur J Dent. 2016;10(4):480-5. https://doi.org/10.4103/1305-7456.195158
15. Zadik Y, Findler M, Livne S, Levin L, Elad S. Dentists’ knowled- ge and implementation of the 2007 American Heart Association guidelines for prevention of infective endocarditis. Oral Surgery, Oral Med Oral Pathol Oral Radiol Endodontology. 2008;106(6):16-9. https://doi.org/10.1016/j.tripleo.2008.08.009
16. Hashemipour M, Baharlooei K, Mohammadi A. Iranian dentits’ knowledge of antibiotic prophylaxis guidelines for prevention of bacterial endocarditis. Shiraz Univ Den J. 2007;8:46-57.
17. Bahammam MA, Abdelaziz NM. Awareness of Antimicrobial Prophylaxis for Infective Endocarditis Among Dental Students and Interns at a Teaching Hospital in Jeddah, Saudi Arabia. Open Dent J. 2015;9:176-80. https://doi.org/10.2174/1874210601509010176
18. Kumar S, Snena S. Knowledge and awareness regarding antibiotic prophylaxis for infective endocarditis among undergraduate dental students. Asian J Pharm Clin Res. 2016;9:154-9. https://doi.org/10.22159/ajpcr.2016.v9s2.13405
19. Eskandari A, Abolfazli N, Lafzi A. Endocarditis Prophylaxis in Cardiac Patients: Knowledge among General Dental Prac- titioners in Tabriz. J Dent Res Dent Clin Dent Prospects. 2008;2:15-9. https://doi.org/10.5681/joddd.2008.003
20. Ghaderi F, Oshagh M, Dehghani R, Hasanshahi R. Awareness of Iranian’s General Dentists Regarding the Latest Prophyla- xis Guideline for Prevention of Infective Endocarditis. J Dent (Shiraz, Iran). 2013;14(1):6-12. http://www.ncbi.nlm.nih. gov/pubmed/24724110. Accessed September 6, 2018.
21. Lauber C, Lalh SS, Grace M, et al. Antibiotic prophylaxis prac- tices in dentistry: A survey of dentists and physicians. J Can Dent Assoc (Tor). 2007:263-269.

APA	Yılmaz Karadağ F, Şimşek-Yavuz S, CINAR G, Tukenmez Tigen E, SIRMATEL F, karadeniz a, Aydın Ö, ergen p, Yilmaz N, Çabadak H, Tekin R, AYDIN M, Meriç Koç M, şensoy a, ocalmaz m, Timurkaynak F (2019). Assessment of the Knowledge and Awareness Levels of Dentists Regarding Prophylaxis for Infective Endocarditis. , 39 - 46. 10.5222/MMJ.2019.76736
Chicago	Yılmaz Karadağ Fatma,Şimşek-Yavuz Serap,CINAR GULE,Tukenmez Tigen Elif,SIRMATEL FATMA,karadeniz aslı,Aydın Özlem,ergen pınar,Yilmaz Neziha,Çabadak Hatice,Tekin Recep,AYDIN MEHTAP,Meriç Koç Meliha,şensoy ayfer,ocalmaz mutlu seyda,Timurkaynak Funda Assessment of the Knowledge and Awareness Levels of Dentists Regarding Prophylaxis for Infective Endocarditis. (2019): 39 - 46. 10.5222/MMJ.2019.76736
MLA	Yılmaz Karadağ Fatma,Şimşek-Yavuz Serap,CINAR GULE,Tukenmez Tigen Elif,SIRMATEL FATMA,karadeniz aslı,Aydın Özlem,ergen pınar,Yilmaz Neziha,Çabadak Hatice,Tekin Recep,AYDIN MEHTAP,Meriç Koç Meliha,şensoy ayfer,ocalmaz mutlu seyda,Timurkaynak Funda Assessment of the Knowledge and Awareness Levels of Dentists Regarding Prophylaxis for Infective Endocarditis. , 2019, ss.39 - 46. 10.5222/MMJ.2019.76736
AMA	Yılmaz Karadağ F,Şimşek-Yavuz S,CINAR G,Tukenmez Tigen E,SIRMATEL F,karadeniz a,Aydın Ö,ergen p,Yilmaz N,Çabadak H,Tekin R,AYDIN M,Meriç Koç M,şensoy a,ocalmaz m,Timurkaynak F Assessment of the Knowledge and Awareness Levels of Dentists Regarding Prophylaxis for Infective Endocarditis. . 2019; 39 - 46. 10.5222/MMJ.2019.76736
Vancouver	Yılmaz Karadağ F,Şimşek-Yavuz S,CINAR G,Tukenmez Tigen E,SIRMATEL F,karadeniz a,Aydın Ö,ergen p,Yilmaz N,Çabadak H,Tekin R,AYDIN M,Meriç Koç M,şensoy a,ocalmaz m,Timurkaynak F Assessment of the Knowledge and Awareness Levels of Dentists Regarding Prophylaxis for Infective Endocarditis. . 2019; 39 - 46. 10.5222/MMJ.2019.76736
IEEE	Yılmaz Karadağ F,Şimşek-Yavuz S,CINAR G,Tukenmez Tigen E,SIRMATEL F,karadeniz a,Aydın Ö,ergen p,Yilmaz N,Çabadak H,Tekin R,AYDIN M,Meriç Koç M,şensoy a,ocalmaz m,Timurkaynak F "Assessment of the Knowledge and Awareness Levels of Dentists Regarding Prophylaxis for Infective Endocarditis." , ss.39 - 46, 2019. 10.5222/MMJ.2019.76736
ISNAD	Yılmaz Karadağ, Fatma vd. "Assessment of the Knowledge and Awareness Levels of Dentists Regarding Prophylaxis for Infective Endocarditis". (2019), 39-46. https://doi.org/10.5222/MMJ.2019.76736

APA	Yılmaz Karadağ F, Şimşek-Yavuz S, CINAR G, Tukenmez Tigen E, SIRMATEL F, karadeniz a, Aydın Ö, ergen p, Yilmaz N, Çabadak H, Tekin R, AYDIN M, Meriç Koç M, şensoy a, ocalmaz m, Timurkaynak F (2019). Assessment of the Knowledge and Awareness Levels of Dentists Regarding Prophylaxis for Infective Endocarditis. Medeniyet Medical Journal, 34(1), 39 - 46. 10.5222/MMJ.2019.76736
Chicago	Yılmaz Karadağ Fatma,Şimşek-Yavuz Serap,CINAR GULE,Tukenmez Tigen Elif,SIRMATEL FATMA,karadeniz aslı,Aydın Özlem,ergen pınar,Yilmaz Neziha,Çabadak Hatice,Tekin Recep,AYDIN MEHTAP,Meriç Koç Meliha,şensoy ayfer,ocalmaz mutlu seyda,Timurkaynak Funda Assessment of the Knowledge and Awareness Levels of Dentists Regarding Prophylaxis for Infective Endocarditis. Medeniyet Medical Journal 34, no.1 (2019): 39 - 46. 10.5222/MMJ.2019.76736
MLA	Yılmaz Karadağ Fatma,Şimşek-Yavuz Serap,CINAR GULE,Tukenmez Tigen Elif,SIRMATEL FATMA,karadeniz aslı,Aydın Özlem,ergen pınar,Yilmaz Neziha,Çabadak Hatice,Tekin Recep,AYDIN MEHTAP,Meriç Koç Meliha,şensoy ayfer,ocalmaz mutlu seyda,Timurkaynak Funda Assessment of the Knowledge and Awareness Levels of Dentists Regarding Prophylaxis for Infective Endocarditis. Medeniyet Medical Journal, vol.34, no.1, 2019, ss.39 - 46. 10.5222/MMJ.2019.76736
AMA	Yılmaz Karadağ F,Şimşek-Yavuz S,CINAR G,Tukenmez Tigen E,SIRMATEL F,karadeniz a,Aydın Ö,ergen p,Yilmaz N,Çabadak H,Tekin R,AYDIN M,Meriç Koç M,şensoy a,ocalmaz m,Timurkaynak F Assessment of the Knowledge and Awareness Levels of Dentists Regarding Prophylaxis for Infective Endocarditis. Medeniyet Medical Journal. 2019; 34(1): 39 - 46. 10.5222/MMJ.2019.76736
Vancouver	Yılmaz Karadağ F,Şimşek-Yavuz S,CINAR G,Tukenmez Tigen E,SIRMATEL F,karadeniz a,Aydın Ö,ergen p,Yilmaz N,Çabadak H,Tekin R,AYDIN M,Meriç Koç M,şensoy a,ocalmaz m,Timurkaynak F Assessment of the Knowledge and Awareness Levels of Dentists Regarding Prophylaxis for Infective Endocarditis. Medeniyet Medical Journal. 2019; 34(1): 39 - 46. 10.5222/MMJ.2019.76736
IEEE	Yılmaz Karadağ F,Şimşek-Yavuz S,CINAR G,Tukenmez Tigen E,SIRMATEL F,karadeniz a,Aydın Ö,ergen p,Yilmaz N,Çabadak H,Tekin R,AYDIN M,Meriç Koç M,şensoy a,ocalmaz m,Timurkaynak F "Assessment of the Knowledge and Awareness Levels of Dentists Regarding Prophylaxis for Infective Endocarditis." Medeniyet Medical Journal, 34, ss.39 - 46, 2019. 10.5222/MMJ.2019.76736
ISNAD	Yılmaz Karadağ, Fatma vd. "Assessment of the Knowledge and Awareness Levels of Dentists Regarding Prophylaxis for Infective Endocarditis". Medeniyet Medical Journal 34/1 (2019), 39-46. https://doi.org/10.5222/MMJ.2019.76736