Key result
AHA-recommended antibiotic prophylaxis precedes only ~14% of invasive dental procedures in high-risk cardiac patients.
Why the study?
Compliance to American Heart Association guidelines for antibiotic prophylaxis of infective endocarditis in high-risk heart disease patients undergoing invasive dental procedures had not been evaluated in Korea.
Population
184 patients with high-risk heart diseases undergoing 255 invasive dental procedures in Korea
Comparison
Antibiotic prophylaxis use and appropriateness according to AHA recommendations
Design
Retrospective multicentered observational study in 8 Korean university hospitals
Authors
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Low compliance with AHA prophylaxis in high-risk patients supports targeted education; leaves open effects on endocarditis incidence.
Observational (n=184)
Yes
Compliance with AHA guidelines for infective endocarditis prophylaxis during invasive dental procedures in high-risk patients was very low (14.1%) in Korea, highlighting the need for protocol-based education.
Ki et al. (2005) conducted an observational in High-risk heart diseases requiring invasive dental procedures (n=184). Antibiotic prophylaxis according to AHA recommendations vs. Inappropriate or no prophylaxis was evaluated on Proportion of procedures with appropriate antibiotic prophylaxis according to AHA recommendations. Appropriate antibiotic prophylaxis according to AHA recommendations was performed in only 14.1% of invasive dental procedures among patients with high-risk heart diseases.
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