Coutinho Ana Claudia, Castro Gloria Fernanda, Maia Lucianne Cople
Post-graduate Student, Department of Pediatric Dentistry and Orthodontics, School of Dentistry Federal University of Rio de Janeiro, Brazil.
Spec Care Dentist. 2009 Jul-Aug;29(4):175-8. doi: 10.1111/j.1754-4505.2009.00087.x.
This preliminary study assessed the knowledge and practices of dentists in the prevention of infective endocarditis (IE). The study included 21 dentists working at two public hospitals in Brazil who cared for children with special needs who also have cardiac conditions. The data from a semistructured interview were processed for qualitative and quantitative analysis. All subjects defined IE correctly. Most subjects (81%) said they had treated patients with a previous history of IE and 7 (33%) stated that many guardians seemed to be afraid to mention that their child had a previous history of IE. The main risk of infectivity was the oral cavity according to 16 subjects (76%). Nine subjects (43%) considered a dental procedure involving any amount of bleeding as being a risk, and periodontal/endodontic treatments were mentioned by 5 (24%) as procedures that needed antibiotic prophylaxis. As for prophylactic treatment, only 7 subjects (33%) said they followed the American Heart Association guidelines. The authors concluded that the subjects' knowledge and practices in preventing IE were inadequate.
这项初步研究评估了牙医在预防感染性心内膜炎（IE）方面的知识和实践。该研究纳入了在巴西两家公立医院工作的21名牙医，这些牙医负责护理患有特殊需求且患有心脏疾病的儿童。对来自半结构化访谈的数据进行了定性和定量分析。所有受试者都正确定义了IE。大多数受试者（81%）表示他们曾治疗过有IE病史的患者，7名（33%）受试者称许多监护人似乎不敢提及他们的孩子有IE病史。16名受试者（76%）认为主要的感染风险是口腔。9名受试者（43%）认为任何导致出血的牙科操作都有风险，5名（24%）受试者提到牙周/牙髓治疗是需要抗生素预防的操作。至于预防性治疗，只有7名受试者（33%）表示他们遵循美国心脏协会的指南。作者得出结论，受试者在预防IE方面的知识和实践不足。
