• Santhosh Kumar mp saveetha dental college,saveetha university,chennai,india
  • Sneha S


Objective: To evaluate the knowledge and awareness regarding antibiotic prophylaxis for infective endocarditis (IE) among undergraduate dental
Methods: A validated questionnaire of 16 questions, regarding the basic knowledge and awareness about antibiotic prophylaxis for the prevention
of IE, was distributed among 100 students randomly belonging to final year and internship (5
year trainee) of the undergraduate dental program in
Saveetha Dental College and Hospital, Saveetha University, Chennai. The data extracted were tabulated, statistically analyzed, and results obtained.
Results were calculated on the basis of frequency and percentages using SPSS Version 20.0.
Results: About 73% of the students were aware of IE prophylaxis, and 40% of dental students were exposed to treating patients susceptible to IE.
56% of participants answered that amoxicillin is the first line of antibiotic for IE prophylaxis and 59% replied 2 g PO 1 hr before the appointment is
the recommended regimen. 36% said that erythromycin is no longer recommended by American Heart Association for IE prophylaxis. However, only
one-third of the participants knew about the cardiac conditions and dental procedures that require antibiotic prophylaxis for the prevention of IE.
Furthermore, only 16% knew about the recommended dosage of clindamycin.
Conclusion: This study revealed a reasonable knowledge and awareness about IE prophylaxis among undergraduate dental students but was
inadequate. Hence, this study emphasizes the need for improved education in the teaching curriculum for dental students regarding IE prophylaxis.
A standard protocol regarding the training as well as preventive measures for IE should be formulated for the dental students and the knowledge
acquired must be transferred into practice.
Keywords: Infective endocarditis, Prophylaxis, Antibiotics, Dental students, Knowledge.

Author Biography

Santhosh Kumar mp, saveetha dental college,saveetha university,chennai,india

oral and maxillofacial surgery



1. Solomon M, Raveh D, Schlesinger Y, Yinnon AM. Assessment
of knowledge of guidelines for the prevention of infective
endocarditis amongst clinicians in a teaching hospital. J Hosp Infect
2. Tierney LM, McPhee SJ, Papadakis MA. Current Medical Diagnosis
and Treatment 2002. 41
p. 1410.
ed. New York: Lange/Mc Graw Hill; 2002.
3. Manford M, Matharu J, Farrington K. Infective endocarditis in a district
general hospital. J R Soc Med 1992;85(5):262-6.
4. Sandre RM, Shafran SD. Infective endocarditis: Review of 135 cases
over 9 years. Clin Infect Dis 1996;22:276-86.
5. Hricak V, Kovacik J, Marx P, Schramekova E, Fischer V, Vitekova D,
et al. Etiology and risk factors of 180 cases of native valve endocarditis.
Report from a 5-year national prospective survey in Slovak Republic.
Diagn Microbiol Infect Dis 1998;31(3):431-5.
6. Sekido M, Takano T, Takayama M, Hayakawa H. Survey of infective
endocarditis in the last 10 years: Analysis of clinical, microbiological
and therapeutic features. J Cardiol 1999;33(4):209-15.
7. Tomás Carmona I, Diz Dios P, Limeres Posse J, González Quintela A,
Martínez Vázquez C, Castro Iglesias A. An update on infective
endocarditis of dental origin. J Dent 2002;30(1):37-40.
8. Tomas Carmona I, Diz Dios P, Limeres Posse J, Outumuro Rial M,
Caamano Duran F, Fernandez Feijoo J, et al. Pautas de profilaxis
antibiotica de endocaditis bacteriana, recommdadas por los odontologos
en spana. Med Oral 2004;9:56-62.
9. Dajani AS, Taubert KA, Wilson W, Bolger AF, Bayer A, Ferrieri P,
et al. Prevention of bacterial endocarditis. Recommendations by the
American heart association. Circulation 1997;96(1):358-66.
10. Brooks SL. Survey of compliance with American Heart Association
guidelines for prevention of bacterial endocarditis. J Am Dent Assoc
11. Wagner O, Raz R. Survey of compliance with guidelines for the
prevention of infective endocarditis by Israeli dentists. Infect Dis Clin
Pract 1997;6:40-6.
12. Scheinfeld N, Struach S, Ross B. Antibiotic prophylaxis guideline
awareness and antibiotic prophylaxis use among New York State
dermatologic surgeons. Dermatol Surg 2002;28(9):841-4.
13. Adeyemo WL, Oderinu OH, Olojede AC, Ayodele AO, Fashina AA.
Nigerian dentists’ knowledge of the current guidelines for preventing
infective endocarditis. Community Dent Health 2011;28(2):178-81.
14. Watanakunakorn C, Burkert T. Infective endocarditis at a large
community teaching hospital, 1980-1990. A review of 210 episodes.
Medicine (Baltimore) 1993;72(2):90-102.
15. Hogevik H, Olaison L, Andersson R, Lindberg J, Alestig K.
Epidemiologic aspects of infective endocarditis in an urban population. A 5-year prospective study. Medicine (Baltimore)
16. Nelson CL, Van Blaricum CS. Physician and dentist compliance with
American Heart Association guidelines for prevention of bacterial
endocarditis. J Am Dent Assoc 1989;118(2):169-73.
17. Bennis A, Soulami S, Khadir R, Chraibi N. Survey on the practice of
antibiotic prophylaxis of infective endocarditis by dentists. Arch Mal
Coeur Vaiss 1996;89(6):713-8.
18. Chitsazi MT, Pourabbas R. Knowledge of dentists who practice in
Tabriz regarding the latest prophylaxis regimens for prevention of
infective endocarditis. Med J Tabriz Univ Med Sci 2005;64:40-4.
19. Fleming ND. I’m Different, No Dumb: Modes of Presentation
(VARK) in the Tertiary Classroom. In Zelmer A, editor. Research and
Development in Higher Education: Proceeding of the 1995 Annual
Conference of the Higher Education and Research Development
Society of Australia (HERDSA). 1995. p. 308-13.
481 Views | 444 Downloads
How to Cite
Kumar mp, S., and S. S. “KNOWLEDGE AND AWARENESS REGARDING ANTIBIOTIC PROPHYLAXIS FOR INFECTIVE ENDOCARDITIS AMONG UNDERGRADUATE DENTAL STUDENTS”. Asian Journal of Pharmaceutical and Clinical Research, Vol. 9, no. 8, Oct. 2016, pp. 154-9, doi:10.22159/ajpcr.2016.v9s2.13405.
Original Article(s)