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Nigerian dentists' knowledge of the current guidelines for preventing infective endocarditis
W L Adeyemo1, O H Oderinu, A C O Olojede
1Department of Oral and Maxillofacial Surgery, Faculty of Dental Sciences, College of Medicine, University of Lagos, Nigeria. lanreadeyemo@yahoo.com
Nigerian dentists show low awareness of infective endocarditis prevention guidelines. While most select the correct antibiotic, significant gaps exist in prescribing the appropriate dose and timing, highlighting educational needs.
Area of Science:
- Dentistry
- Infectious Diseases
- Public Health
Background:
- Infective endocarditis prevention guidelines are crucial for high-risk patients undergoing dental procedures.
- Awareness and adherence to these guidelines among dental professionals are essential to minimize complications.
Purpose of the Study:
- To evaluate Nigerian dentists' knowledge of current infective endocarditis prevention guidelines.
- To identify gaps in understanding and application of antibiotic prophylaxis recommendations.
Main Methods:
- A cross-sectional survey using self-administered questionnaires was conducted among 173 Nigerian dentists.
- The questionnaire assessed awareness of American Heart Association guidelines, antibiotic prescription practices for various cardiac conditions and procedures, and specific prescription details.
Main Results:
- Only 41% of Nigerian dentists were aware of the current infective endocarditis prevention guidelines.
- Knowledge regarding antibiotic prescription for specific cardiac conditions was low (33% correct responses).
- While 89% prescribed the correct antimicrobial agent, only 9% prescribed the correct dose and 57% the correct timing.
Conclusions:
- Nigerian dentists demonstrate a low level of knowledge regarding current infective endocarditis prevention guidelines.
- Educational interventions focusing on correct antibiotic dosage and timing are recommended for dental curricula.
- Improving guideline adherence can enhance patient outcomes and reduce the incidence of infective endocarditis.
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