Antibiotic Prophylaxis Prescribing Practices of Dentists in Singapore

Overview

Journal Int Dent J

Publisher Elsevier

Specialty Dentistry

Date 2014 Jan 14

PMID 24410003

Citations 4

Authors

Huei Jinn Tong

Shijia Hu

Betty Yuen Yue Mok

Intekhab Islam

Catherine Hsu Ling Hong

Affiliations

Soon will be listed here.

Abstract

Background: Infective endocarditis is a serious complication that results in significant morbidity and mortality in susceptible patients. The guidelines for antibiotic prophylaxis have been updated by the American Heart Association and National Institute for Health and Clinical Excellence. The antibiotic prophylaxis prescribing practices among dentists in Singapore are unknown.

Aim: To determine the specific infective endocarditis antibiotic prophylaxis prescribing practices of dentists in Singapore.

Methods: A questionnaire survey was sent through an email link and by postal mail. Statistical analysis was carried out using SPSS 19.0.

Results: Responses were received from 458 dentists (34.3% response rate), of which 278 (65.9%) were general practitioners. The majority of respondents (39.8%) followed the American Heart Association 2007 guidelines and 30.2% followed cardiologists' recommendations. The accuracy of prescriptions for 13 cardiac conditions and 12 dental procedures were evaluated. The median number of accurate answers for cardiac conditions was eight for the American Heart Association 1999 guidelines, and four for the American Heart Association 2007 and National Institute for Health and Clinical Excellence guidelines, respectively. The median number of accurate answers for dental procedures was generally high, both for dentists who followed the American Heart Association 1999 guidelines (median = 10) and American Heart Association 2007 (median = 9) guidelines. Majority of respondents (82.8%) felt that developing a local guideline would be beneficial to the local dental community.

Conclusion: Dentists were accurate in their prescriptions of antibiotic prophylaxis for dental procedures, but not for cardiac conditions. It may be helpful to attain a consensus among local cardiologists and dentists to unify the antibiotic prophylaxis prescription practices in Singapore.

Citing Articles

Antibiotic susceptibility of orofacial infections in Bratislava: a 10-year retrospective study.

Vavro M, Dvoranova B, Czako L, Simko K, Galis B Clin Oral Investig. 2024; 28(10):538.

PMID: 39304566 PMC: 11415437. DOI: 10.1007/s00784-024-05937-3.

Dentists' practice and compliance with current guidelines of infective endocarditis prophylaxis- National survey study.

Sutej I, Par M, Lepur D, Peros K, Pintaric H, Alajbeg I J Clin Exp Dent. 2021; 13(7):e648-e652.

PMID: 34306527 PMC: 8291157. DOI: 10.4317/jced.58054.

Discrepancy in Therapeutic and Prophylactic Antibiotic Prescribing in General Dentists and Maxillofacial Specialists in Australia.

Chen C, Gilpin N, Walsh L Antibiotics (Basel). 2020; 9(8).

PMID: 32784644 PMC: 7459474. DOI: 10.3390/antibiotics9080492.

Rational use of medicine in dentistry: do dentists prescribe antibiotics in appropriate indications?.

Koyuncuoglu C, Aydin M, Kirmizi N, Aydin V, Aksoy M, Isli F Eur J Clin Pharmacol. 2017; 73(8):1027-1032.

PMID: 28462430 DOI: 10.1007/s00228-017-2258-7.

References

Sadowsky D, Kunzel C . Recommendations for prevention of bacterial endocarditis: compliance by dental general practitioners. Circulation. 1988; 77(6):1316-8. DOI: 10.1161/01.cir.77.6.1316. View

Lockhart P, Blizzard J, Maslow A, Brennan M, Sasser H, Carew J . Drug cost implications for antibiotic prophylaxis for dental procedures. Oral Surg Oral Med Oral Pathol Oral Radiol. 2012; 115(3):345-53. DOI: 10.1016/j.oooo.2012.10.008. View

Lauber C, Lalh S, Grace M, Smith M, MacDougall K, West P . Antibiotic prophylaxis practices in dentistry: a survey of dentists and physicians. J Can Dent Assoc. 2007; 73(3):245. View

Wilson W, Taubert K, Gewitz M, Lockhart P, Baddour L, Levison M . Prevention of infective 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.... Circulation. 2007; 116(15):1736-54. DOI: 10.1161/CIRCULATIONAHA.106.183095. View

Ellervall E, Brehmer B, Knutsson K . How confident are general dental practitioners in their decision to administer antibiotic prophylaxis? A questionnaire study. BMC Med Inform Decis Mak. 2008; 8:57. PMC: 2631027. DOI: 10.1186/1472-6947-8-57. View

Oxman A, Thomson M, Davis D, Haynes R . No magic bullets: a systematic review of 102 trials of interventions to improve professional practice. CMAJ. 1995; 153(10):1423-31. PMC: 1487455. View

Glenny A, Oliver R, Roberts G, Hooper L, Worthington H . Antibiotics for the prophylaxis of bacterial endocarditis in dentistry. Cochrane Database Syst Rev. 2013; (10):CD003813. DOI: 10.1002/14651858.CD003813.pub4. View

Harrold L, Field T, Gurwitz J . Knowledge, patterns of care, and outcomes of care for generalists and specialists. J Gen Intern Med. 1999; 14(8):499-511. PMC: 1496728. DOI: 10.1046/j.1525-1497.1999.08168.x. View

Zadik Y, Findler M, Livne S, Levin L, Elad S . Dentists' knowledge and implementation of the 2007 American Heart Association guidelines for prevention of infective endocarditis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2008; 106(6):e16-9. DOI: 10.1016/j.tripleo.2008.08.009. View

10.

Friedman C, Gatti G, Franz T, Murphy G, Wolf F, Heckerling P . Do physicians know when their diagnoses are correct? Implications for decision support and error reduction. J Gen Intern Med. 2005; 20(4):334-9. PMC: 1490097. DOI: 10.1111/j.1525-1497.2005.30145.x. View

11.

Richey R, Wray D, Stokes T . Prophylaxis against infective endocarditis: summary of NICE guidance. BMJ. 2008; 336(7647):770-1. PMC: 2287232. DOI: 10.1136/bmj.39510.423148.AD. View

12.

Tleyjeh I, Steckelberg J, Murad H, Anavekar N, Ghomrawi H, Mirzoyev Z . Temporal trends in infective endocarditis: a population-based study in Olmsted County, Minnesota. JAMA. 2005; 293(24):3022-8. DOI: 10.1001/jama.293.24.3022. View

13.

Ellervall E, Vinge E, Rohlin M, Knutsson K . Antibiotic prophylaxis in oral healthcare - the agreement between Swedish recommendations and evidence. Br Dent J. 2010; 208(3):E5. DOI: 10.1038/sj.bdj.2010.107. View

14.

Habib G, Hoen B, Tornos P, Thuny F, Prendergast B, Vilacosta I . Guidelines on the prevention, diagnosis, and treatment of infective endocarditis (new version 2009): the Task Force on the Prevention, Diagnosis, and Treatment of Infective Endocarditis of the European Society of Cardiology (ESC). Endorsed by the.... Eur Heart J. 2009; 30(19):2369-413. DOI: 10.1093/eurheartj/ehp285. View

15.

Soheilipour S, Scambler S, Dickinson C, Dunne S, Burke M, Jabbarifar S . Antibiotic prophylaxis in dentistry: part I. A qualitative study of professionals' views on the NICE guideline. Br Dent J. 2011; 211(1):E1. DOI: 10.1038/sj.bdj.2011.524. View

16.

Epstein J, Chong S, Le N . A survey of antibiotic use in dentistry. J Am Dent Assoc. 2000; 131(11):1600-9. DOI: 10.14219/jada.archive.2000.0090. View

17.

Soheilipour S, Scambler S, Dickinson C, Dunne S, Burke M, Jabbarifar S . Antibiotic prophylaxis in dentistry: part II. A qualitative study of patient perspectives and understanding of the NICE guideline. Br Dent J. 2011; 211(1):E2. DOI: 10.1038/sj.bdj.2011.525. View

18.

Strom B, Abrutyn E, Berlin J, Kinman J, FELDMAN R, STOLLEY P . Dental and cardiac risk factors for infective endocarditis. A population-based, case-control study. Ann Intern Med. 1998; 129(10):761-9. DOI: 10.7326/0003-4819-129-10-199811150-00002. View

19.

Lockhart P . Antibiotic prophylaxis for dental procedures: are we drilling in the wrong direction?. Circulation. 2012; 126(1):11-2. DOI: 10.1161/CIRCULATIONAHA.112.115204. View

20.

Baumann A, Deber R, Thompson G . Overconfidence among physicians and nurses: the 'micro-certainty, macro-uncertainty' phenomenon. Soc Sci Med. 1991; 32(2):167-74. DOI: 10.1016/0277-9536(91)90057-j. View