Common knowledge regarding prevention of infective endocarditis among general dentists in Japan
Common knowledge regarding prevention of infective endocarditis among general dentists in Japan
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DOI：
10.1016/j.jjcc.2010.09.001
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发表时间：
2011-01-01
影响因子：
2.5
通讯作者：
Ooshima, Takashi
中科院分区：
文献类型：
--
作者：
Nakano, Kazuhiko;Ooshima, Takashi
背景资料：感染性心内膜炎（IE）被认为是一种危及生命的疾病，菌血症诱导的牙科手术被认为是主要因素之一。因此，广泛推荐使用抗生素预防IE发作。美国制定的预防和治疗指南是众所周知的，而日本循环学会最近提出了自己的指南。另一方面，有一些关于IE prevention.Methods和结果的牙科医生的一般知识的研究：通过邮政邮件分发给毕业于大坂大学牙科系的牙医。那些有特殊背景的人，如口腔外科医生，麻醉师和口腔科医生，被排除在外。我们分析了159份问卷，这些问卷是由日本各地的私人牙科诊所的老板和工作人员返回的，他们的牙医职业生涯从5年到53年不等。大约90%的人报告说，每年遇到的IE风险患者少于几个，只有40%的受访者知道预防IE的指南。此外，只有23名牙医报告使用阿莫西林预防IE，不同的剂量和时间noted.Conclusions：这些研究结果表明，促进指导方针，预防IE的一般牙医是很重要的，虽然一般牙医遇到的情况下的频率是非常低的。(C)2011年日本心脏病学院。由爱思唯尔有限公司出版。保留所有权利。
Background: Infective endocarditis (IE) is known as a life-threatening disease, with bacteremia-inducing dental procedures considered to be one of the major factors. Thus, prevention of IE onset with antibiotics is widely recommended. Guidelines composed in the USA for prevention and treatment are well known, while the Japanese Circulation Society recently presented their own guidelines. On the other hand, there are few studies of the general knowledge of dentists regarding IE prevention.Methods and results: Questionnaires were distributed by postal mail to dentists who graduated from the Osaka University Faculty of Dentistry. Those with special backgrounds, such as oral surgeons, anesthesiologists, and orthodontists, were excluded. We analyzed a total of 159 questionnaires that were returned by the owners and staff of private dental clinics throughout Japan, whose careers as dentists ranged from 5 to 53 years. Approximately 90% reported encountering fewer than several patients at risk for IE per year and only 40% of the respondents were aware of the guidelines for its prevention. Furthermore, only 23 dentists reported the use of amoxicillin for prevention of IE, with diverse dosages and timing noted.Conclusions: These findings suggest that promotion of guidelines for prevention of IE to general dentists is important, although the frequency of cases encountered by general dentists is extremely low. (C) 2011 Japanese College of Cardiology. Published by Elsevier Ltd. All rights reserved.