Thornhill, M.H. orcid.org/0000-0003-0681-4083, Dayer, M., Lockhart, P.B. et al. (4 more authors) (2016) A change in the NICE guidelines on antibiotic prophylaxis. British Dental Journal, 221 (3). pp. 112-114. ISSN 0007-0610
Abstract
Since 2008, NICE clinical guidelines have stated: ‘Antibiotic prophylaxis against infective endocarditis is not recommended for people undergoing dental procedures’. This put UK guidance at odds with guidance in the rest of the world, where antibiotic prophylaxis is recommended for patients at high-risk of infective endocarditis undergoing invasive dental procedures. Many dentists also felt this wording prohibited the use of antibiotic prophylaxis, regardless of the wishes of the patient or their personal risk of infective endocarditis and made it difficult for them to use their clinical judgment to deliver individualised care in the best interests of their patients. NICE have now changed this guidance to ‘Antibiotic prophylaxis against infective endocarditis is not recommended routinely for people undergoing dental procedures.’ This article examines the implications of this small but important change.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © 2016 Nature. This is an author produced version of a paper subsequently published in British Dental Journal. Uploaded in accordance with the publisher's self-archiving policy. |
Keywords: | Clinical governance; antibiotic prophylaxis; pharmacology |
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: | 15 Aug 2016 08:49 |
Last Modified: | 14 Apr 2017 02:26 |
Published Version: | http://dx.doi.org/10.1038/sj.bdj.2016.554 |
Status: | Published |
Publisher: | Nature Publishing Group |
Identification Number: | 10.1038/sj.bdj.2016.554 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:103697 |