Cloitre Alexandra, Duval Xavier, Hoen Bruno, Alla François, Lesclous Philippe
INSERM, UMR-S 1229, RMeS, Université de Nantes, CHU de Nantes, Nantes, France.
INSERM CIC 1425, AP-HP, Hôpital Universitaire Bichat, INSERM U1137 IAME, Université Paris Diderot, Paris, France.
Oral Surg Oral Med Oral Pathol Oral Radiol. 2018 Apr;125(4):295-303. doi: 10.1016/j.oooo.2017.10.002. Epub 2017 Oct 18.
To prevent infective endocarditis in patients with predisposing cardiac conditions, antibiotic prophylaxis is recommended worldwide, except in the United Kingdom. To determine the relevance of this strategy, investigating how the current guidelines are applied is crucial. The first aim of this study was to assess dentists' implementation of the current guidelines. The secondary aims were to identify relevant areas to improve the training of dentists and to determine temporal trends in practitioners' attitudes by comparison with 2 previous surveys conducted in 1991 and 2001.
An electronic national survey was sent to the 12,000 member practitioners of the French Union for Oral Health.
Even though 58.9% of the respondents stated that their knowledge of current guidelines was good, a scoring system showed that only 34.5% had overall knowledge of these guidelines.
This study revealed relevant areas to improve the training of dentists, such as knowledge of some cardiac conditions, the potential side effects of the antibiotics used, and the pathogenesis of infective endocarditis. Consequently, dentists' knowledge should be improved before any conclusions can be drawn on the relevance of this antibiotic prophylaxis strategy and its influence on infective endocarditis incidence.
为预防有易患心脏疾病的患者发生感染性心内膜炎，除英国外，全球均推荐使用抗生素预防。为确定该策略的相关性，研究当前指南的应用方式至关重要。本研究的首要目的是评估牙医对当前指南的执行情况。次要目的是确定改进牙医培训的相关领域，并通过与1991年和2001年进行的两项先前调查相比较，确定从业者态度的时间趋势。
向法国口腔健康联盟的12000名会员从业者发送了一项全国性电子调查。
尽管58.9%的受访者表示他们对当前指南的了解程度良好，但一个评分系统显示，只有34.5%的人对这些指南有全面的了解。
本研究揭示了改进牙医培训的相关领域，如某些心脏疾病的知识、所用抗生素的潜在副作用以及感染性心内膜炎的发病机制。因此，在就这种抗生素预防策略的相关性及其对感染性心内膜炎发病率的影响得出任何结论之前，应提高牙医的知识水平。
