Thornhill, M.H. orcid.org/0000-0003-0681-4083, Prendergast, B., Dayer, M. et al. (3 more authors) (Accepted: 2024) Prevention of infective endocarditis in at risk patients: how should dentists proceed in 2024? British Dental Journal. ISSN 0007-0610 (In Press)
Abstract
NICE guidelines are ambiguous over the need for patients at increased risk of infective endocarditis (IE) to receive antibiotic prophylaxis (AP) prior to invasive dental procedures (IDPs) and this has caused confusion for patients and dentists alike. Moreover, the current law on consent requires clinicians to ensure that patients are made aware of any material risk they might be exposed to by any proposed dental treatment and what can be done to ameliorate this risk, so that the patient can decide for themselves how they wish to proceed. The aim of this article is to provide dentists with the latest information on the IE-risk posed by IDPs to different patient populations (the general population and those defined as being at moderate- or high-risk of IE), and data on the effectiveness of AP in reducing the IE-risk in these populations. This provides the information dentists need to facilitate the informed consent discussions they are legally required to have with patients at increased risk of IE about the risks posed by IDPs and how this can be minimised. The article also provides practical information and advice for dentists on how to manage patients at increased IE-risk who present for dental treatment.
Metadata
Authors/Creators: |
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Copyright, Publisher and Additional Information: | © 2024 The Author(s). |
Keywords: | Infective endocarditis; Antibiotic prophylaxis; Invasive dental procedures; Guidelines |
Dates: |
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Institution: | The University of Sheffield |
Academic Units: | The University of Sheffield > Faculty of Medicine, Dentistry and Health (Sheffield) > School of Clinical Dentistry (Sheffield) |
Depositing User: | Symplectic Sheffield |
Date Deposited: | 21 Feb 2024 15:19 |
Last Modified: | 21 Feb 2024 15:19 |
Status: | In Press |
Publisher: | Springer Nature [academic journals on nature.com] |
Refereed: | Yes |
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Filename: Revised 2nd BDJ Article 11-01-2024.docx