[Prophylaxis of bacterial endocarditis in children with congenital heart disease: current status of parents' knowledge]
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Published on: March 10, 2020
M R Pérez-Piaya Moreno1, P de Diego Fernández, J M Chinchilla Molina
1Unidad de Cardiología Pediátrica, Departamento de Pediatría, Hospital Universitario Virgen de las Nieves, Granada.
Insights
Parents of children with congenital heart disease understand their child's condition but lack knowledge of bacterial endocarditis (EB) and its prophylaxis (PEB). Reinforcing PEB information is crucial for preventing EB complications.
Area of Science:
- Pediatrics
- Cardiology
- Infectious Diseases
Background:
- Congenital heart disease (CHD) requires vigilant management to prevent complications.
- Bacterial endocarditis (BE) is a serious infection that can affect children with CHD.
- Prophylaxis for bacterial endocarditis (PBE) is essential in high-risk pediatric populations.
Purpose of the Study:
- To evaluate parental knowledge regarding bacterial endocarditis (BE) and its prophylaxis (PBE) in children with congenital heart disease (CHD).
Main Methods:
- A questionnaire assessed knowledge in 100 parents of children requiring PBE.
- Data analyzed based on child's age, parental education, and history of septic foci.
- Parental understanding of CHD, BE, and PBE practices was evaluated.
Main Results:
- Parents demonstrated high awareness (85%) of their child's CHD but limited knowledge (14%) of BE.
- Only 67.7% of children with a history of septic foci correctly received PBE.
- Parental knowledge regarding BE and PBE correlated with their educational background.
Conclusions:
- Healthcare providers must enhance education on BE prophylaxis for families of children with CHD.
- Improved PBE knowledge can reduce morbidity and mortality associated with bacterial endocarditis.
- Targeted educational interventions are needed to improve PBE adherence in at-risk children.
Objective:
The purpose of this study was to assess the knowledge that parents of children with congenital cardiac disease have about bacterial endocarditis (EB) and its prophylaxis (PEB).
Patients And Methods:
To this end, an elusive questionnaire was prepared and offered to one hundred parents of children who needed PEB. The group was classified according to the age of the children, the cultural level of the parents an the event of a dental or if another septic focus was known in the past. Likewise, the parents' knowledge of their child's disease was analyzed.
Results:
Of the results obtained, it stood-out that the parents appeared well informed about their child's illness, but their information was insufficient in relationship to EB and PEB. Of those tested, 85% defined the child's heart disease, while only 14% did so for EB. Likewise, only 67.7% of the children who underwent an intervention for a septic focus performed PEB correctly. The knowledge of this theme are in relationship to the family's cultural formation.
Conclusions:
We emphasize the need to reinforce the information about PEB that the cardiologists, pediatricians and general physicians give to the families in order to prevent the morbidity and mortality caused by EB.
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