Effect of the American Heart Association 2007 Guidelines on the Practice of Dental Prophylaxis for the Prevention of Infective Endocarditis in Olmsted County, Minnesota

Abstract Objective To determine the adherence of dental providers to the 2007 American Heart Association (AHA) infective endocarditis prevention guidelines regarding antibiotic drug administration before invasive dental procedures. Patients and Methods The study included all adults (≥18 years old) w...

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Bibliographic Details
Published in:Mayo Clinic proceedings 2017-06, Vol.92 (6), p.881-889
Main Authors: DeSimone, Daniel C., MD, El Rafei, Abdelghani, MD, Challener, Douglas W., MD, Carr, Alan B., DMD, Kelly, James A., DDS, Rocca, Walter A., MD, MPH, St Sauver, Jennifer L., PhD, Bock-Goodner, Cynthia M., BA, Lahr, Brian D., MS, Steckelberg, James M., MD, Wilson, Walter R., MD, Baddour, Larry M., MD
Format: Article
Language:English
Subjects:
Analysis
Antibiotics
Congenital diseases
Dental care
Dental prophylaxis
Dentists
Disease prevention
Dosage and administration
Drug therapy
Endocarditis
Epidemiology
Health care
Heart
Infectious diseases
Infective endocarditis
Internal Medicine
Medical records
Patients
Population
Practice guidelines (Medicine)
Prevention
Prophylaxis
Surgeons
Xenografts
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Summary:Abstract Objective To determine the adherence of dental providers to the 2007 American Heart Association (AHA) infective endocarditis prevention guidelines regarding antibiotic drug administration before invasive dental procedures. Patients and Methods The study included all adults (≥18 years old) with a moderate-risk (MR) or high-risk (HR) cardiac condition who received dental care at participating dental offices from January 1, 2005, through June 1, 2015, in Olmsted County, Minnesota. Data collected included the date and type of dental procedure performed and receipt of antibiotic prophylaxis (AP). Results A total of 1351 patients underwent 8854 dental visits at participating dental offices during the study period; 1236 patients had an MR cardiac condition and 115 had an HR condition. The percentage of visits in which antibiotic drugs were used for indicated dental procedures in the MR group declined from 64.6% before to 8.6% after publication of the 2007 AHA guidelines ( P
ISSN:0025-6196
1942-5546
DOI:10.1016/j.mayocp.2017.03.013