Ryalat Soukaina, Hassona Yazan, Al-Shayyab Mohammad, Abo-Ghosh Mais, Sawair Faleh
Department of Oral and Maxillofacial Surgery, Oral Medicine, and Periodontics, Faculty of Dentistry, The University of Jordan, Amman, Jordan.
Internist at the Department of Oral and Maxillofascial Surgery, Faculty of Dentistry, The University of Jordan, Amman, Jordan.
Eur J Dent. 2016 Oct-Dec;10(4):480-485. doi: 10.4103/1305-7456.195158.
The objective of this study is to assess the knowledge and practice of dentists from Jordan, regarding prevention of infective endocarditis (IE) in dental practice.
A sample of Jordanian dentists was interviewed regarding their IE knowledge and practice using a validated and pretested survey instrument.
Most of the dentists have encountered a patient with IE who needed prophylactic antibiotic (PA) and have prescribed antibiotics to prevent IE. Jordanian dentists' approach to patients in need for PA varied between the National Institute for Health and Clinical Excellence recommendations and the American Heart Association to a lesser degree, but still a relatively high percent (39%) did not know any guidelines to follow although 74% have encountered patients who needed endocarditis prophylaxis. Patients with prosthetic heart valve were ranked on top of medical conditions that required PA (87.4%), and most dentists (94.5%) thought that dental extractions need PA followed by periodontal surgery (88.2%).
There is a lack of consistency in the knowledge and practice of Jordanian dentists with regard to IE. There is a need to take actions to improve dentist's knowledge regarding this topic.
本研究的目的是评估约旦牙医在牙科实践中对感染性心内膜炎（IE）预防的知识和实践情况。
采用经过验证和预测试的调查工具，就约旦牙医对IE的知识和实践情况对其进行访谈。
大多数牙医曾遇到过需要预防性使用抗生素（PA）的IE患者，并曾开具抗生素以预防IE。约旦牙医对需要PA的患者的处理方法在一定程度上介于英国国家卫生与临床优化研究所的建议和美国心脏协会的建议之间，但仍有相对较高比例（39%）的牙医不知道应遵循的任何指南，尽管74%的牙医曾遇到过需要心内膜炎预防的患者。人工心脏瓣膜患者在需要PA的医疗状况中排名第一（87.4%），大多数牙医（94.5%）认为拔牙需要使用PA，其次是牙周手术（88.2%）。
约旦牙医在IE的知识和实践方面缺乏一致性。需要采取行动提高牙医关于该主题的知识水平。
