Effect of the American Heart Association 2007 Guidelines on the
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Effect of the American Heart Association 2007 Guidelines on the
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ORIGINAL ARTICLE
Effect of the American Heart Association 2007 Guidelines on the Practice of Dental Prophylaxis for the Prevention of Infective Endocarditis in Olmsted County, Minnesota Daniel C. DeSimone, MD; Abdelghani El Rafei, MD; Douglas W. Challener, MD; Alan B. Carr, DMD; James A. Kelly, DDS; Walter A. Rocca, MD, MPH; Jennifer L. St Sauver, PhD; Cynthia M. Bock-Goodner, BA; Brian D. Lahr, MS; James M. Steckelberg, MD; Walter R. Wilson, MD; and Larry M. Baddour, MD Abstract Objective: To determine the adherence of dental providers to the 2007 American Heart Association (AHA) infective endocarditis prevention guidelines regarding antibiotic drug administration before invasive dental procedures. Patients and Methods: The study included all adults (18 years old) with a moderate-risk (MR) or highrisk (HR) cardiac condition who received dental care at participating dental offices from January 1, 2005, through June 1, 2015, in Olmsted County, Minnesota. Data collected included the date and type of dental procedure performed and receipt of antibiotic prophylaxis (AP). Results: A total of 1351 patients underwent 8854 dental visits at participating dental offices during the study period; 1236 patients had an MR cardiac condition and 115 had an HR condition. The percentage of visits in which antibiotic drugs were used for indicated dental procedures in the MR group declined from 64.6% before to 8.6% after publication of the 2007 AHA guidelines (P
