Knowledge and Compliance of Dentists' and Dental Students' With Respect to Relevant Guidelines for Prescribing Antibiotic Prophylaxis for the Prevention of Infective Endocarditis: A Systematic Review.

Antibiotic Prophylaxis Cross-Sectional Studies Dentists Endocarditis Guideline Adherence Humans Students, Dental
Antibiotic prophylaxis Compliance Dentistry Guidelines Infective endocarditis Knowledge

Journal

The journal of evidence-based dental practice
ISSN: 1532-3390
Titre abrégé: J Evid Based Dent Pract
Pays: United States
ID NLM: 101083101

Informations de publication

Date de publication:
Mar 2020
Historique:
received: 08 09 2018
revised: 17 01 2019
accepted: 23 01 2019
entrez: 9 5 2020
pubmed: 10 5 2020
medline: 20 6 2020
Statut: ppublish

Résumé

It is essential that dental clinicians, including dental students, have sufficient knowledge of and adhere to relevant prophylactic guidelines for the prevention of infective endocarditis. Because the overprescription of antibiotics contributes to the development of drug resistance, antibiotic stewardship should be at the forefront of patient care. The aim of this review is to determine the level of knowledge and compliance of dentists and dental students to relevant guidelines regarding antibiotic prophylaxis for the prevention of infective endocarditis. In addition, we aim to identify the factors that influence the level of knowledge and compliance. The following electronic databases were searched: MEDLINE (OvidSP), Scopus, Web of Science, CINAHL (EBSCOhost), and Informit Health Database. Inclusion criteria were (1) published quantitative studies that assessed dentists' and dental students' knowledge of and compliance with relevant guidelines for prescribing antibiotic prophylaxis for the prevention of infective endocarditis; (2) studies in English; and (3) studies published on any date. The National Institutes of Health, National Heart, Lung and Blood Institute Quality Assessment Tool for Observational Cohort and Cross-Sectional Studies was used to appraise each of the included studies. The required data were collected and formatted to provide a narrative synthesis. A total of 3427 articles were identified, 167 full-text articles were reviewed, and 43 articles from 37 studies were included. Overall knowledge of guidelines ranged from as low as 1.9% to as high as 100% depending on the detail being examined. No statistically significant difference was found between dental students' and qualified dentists' knowledge. Overall compliance with guidelines ranged from 40% to 81%. Respondents' age and postgraduate training were the variables most associated with dentists' knowledge of guidelines for infective endocarditis. A limitation of this review is that only quantitative studies in English were assessed. Knowledge levels of guidelines for antibiotic prophylaxis varied greatly depending on the study design, respondent characteristics, and time period factors. There is a lack of research published on compliance rates for dentists and dental students with respect to guidelines for the prevention of infective endocarditis.

Sections du résumé

BACKGROUND BACKGROUND
It is essential that dental clinicians, including dental students, have sufficient knowledge of and adhere to relevant prophylactic guidelines for the prevention of infective endocarditis. Because the overprescription of antibiotics contributes to the development of drug resistance, antibiotic stewardship should be at the forefront of patient care. The aim of this review is to determine the level of knowledge and compliance of dentists and dental students to relevant guidelines regarding antibiotic prophylaxis for the prevention of infective endocarditis. In addition, we aim to identify the factors that influence the level of knowledge and compliance.
MATERIALS AND METHODS METHODS
The following electronic databases were searched: MEDLINE (OvidSP), Scopus, Web of Science, CINAHL (EBSCOhost), and Informit Health Database. Inclusion criteria were (1) published quantitative studies that assessed dentists' and dental students' knowledge of and compliance with relevant guidelines for prescribing antibiotic prophylaxis for the prevention of infective endocarditis; (2) studies in English; and (3) studies published on any date. The National Institutes of Health, National Heart, Lung and Blood Institute Quality Assessment Tool for Observational Cohort and Cross-Sectional Studies was used to appraise each of the included studies. The required data were collected and formatted to provide a narrative synthesis.
RESULTS RESULTS
A total of 3427 articles were identified, 167 full-text articles were reviewed, and 43 articles from 37 studies were included. Overall knowledge of guidelines ranged from as low as 1.9% to as high as 100% depending on the detail being examined. No statistically significant difference was found between dental students' and qualified dentists' knowledge. Overall compliance with guidelines ranged from 40% to 81%. Respondents' age and postgraduate training were the variables most associated with dentists' knowledge of guidelines for infective endocarditis. A limitation of this review is that only quantitative studies in English were assessed.
CONCLUSION CONCLUSIONS
Knowledge levels of guidelines for antibiotic prophylaxis varied greatly depending on the study design, respondent characteristics, and time period factors. There is a lack of research published on compliance rates for dentists and dental students with respect to guidelines for the prevention of infective endocarditis.

Identifiants

DOI: 10.1016/j.jebdp.2019.01.007 PMID: 32381401
pubmed: 32381401
pii: S1532-3382(18)30261-6
doi: 10.1016/j.jebdp.2019.01.007
pii:
doi:

Types de publication

Journal Article Systematic Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

101311

Informations de copyright

Copyright © 2019 Elsevier Inc. All rights reserved.

Auteurs

Jessie Cummins (J)

Postgraduate Honours Student, College of Medicine and Dentistry, James Cook University, Cairns, Australia. Electronic address: jlacummins@hotmail.com.

Michael McCarthy (M)

Private Practice, Kilkenny, Republic of Ireland.

Adrian Esterman (A)

Professor of Biostatistics and Public Health, The Australian Institute of Tropical Health and Medicine, James Cook University, Cairns, Australia; Professor of Biostatistics, University of South Australia Cancer Research Institute and School of Nursing and Midwifery, University of South Australia, Adelaide, Australia.

Avanti Karve (A)

Staff Specialist, Special Needs Dentistry, Westmead Hospital, Sydney West Local Health District; Honorary Clinical Lecturer Special Needs Dentistry, School of Dentistry, University of Sydney, Sydney, Australia.

Andrew Lee (A)

Associate Professor of Preventative and Special Needs Dentistry, College of Medicine and Dentistry, James Cook University, Cairns, Australia; Visiting Specialist in Special Needs Dentistry, Royal Darwin Hospital, Northern Territory Oral Health Services, Darwin, Australia.

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Classifications MeSH

questionsmedicales.fr › Thérapeutique › Traitement médicamenteux › Prémédication › Antibioprophylaxie › Knowledge and Compliance of Dentists' and...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Caractéristiques des études épidémiologiques › Études épidémiologiques › Études transversales › Knowledge and Compliance of Dentists' and...
questionsmedicales.fr › Établissements, main d'oeuvre et services de soins de santé › Personnel de santé › Dentistes › Knowledge and Compliance of Dentists' and...
questionsmedicales.fr › Maladies cardiovasculaires › Cardiopathies › Endocardite › Knowledge and Compliance of Dentists' and...
questionsmedicales.fr › Qualité, accès, évaluation des soins de santé › Qualité des soins de santé › Mécanismes d'évaluation des soins de santé › Adhésion aux directives › Knowledge and Compliance of Dentists' and...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Knowledge and Compliance of Dentists' and...
questionsmedicales.fr › Personnes › Étudiants › Étudiants des professions de santé › Étudiant dentisterie › Knowledge and Compliance of Dentists' and...