Evidence map›Paper›PMID 27514339›Full record

ArticleBritish dental journal2016

A change in the NICE guidelines on antibiotic prophylaxis.

M H Thornhill, M Dayer, P B Lockhart, M McGurk, D Shanson, B Prendergast, J B Chambers

Open access · bronzeAbstract read
PubMed Publisher
In one paragraph

Article in British dental journal, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
7.9field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 61 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Infective endocarditis following invasive dental procedures: IDEA case-crossover study.Health technology assessment (Winchester, England) · 2022
    Observational
  11. Article
  12. Article
  13. Article
  14. Methicillin-ResistantInfectious diseases · 2020
    Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Review
  20. Has common sense prevailed?British dental journal · 2018
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 5 institutions in 4 countries.

M H ThornhillProfessor of Translational Research in Dentistry, The School of Clinical Dentistry, University of Sheffield, Adjunct Professor of Oral Medicine, Department of Oral Medicine, Carolinas Medical Centre, Charlotte, North Carolina, USA.
M DayerConsultant Cardiologist, Taunton and Somerset NHS Trust.
P B LockhartResearch Professor, Department of Oral Medicine, Carolinas Medical Centre, Charlotte, North Carolina, USA.
M McGurkProfessor of Oral and Maxillofacial Surgery, Department of Oral and Maxillofacial Surgery.
D ShansonConsultant Cardiologist.
B PrendergastConsultant Cardiologist and Professor of Clinical Cardiology, Guy's and St Thomas' Hospitals, London.
J B ChambersHonourary Consultant Microbiologist at Great Ormond Street Hospital for Children, London.
Carolinas Medical Center · USNational Medical Research Center of Dentistry and Maxillofacial Surgery · RUSt. Thomas Hospital · CATaunton & Somerset NHS Foundation Trust · GBUniversity College London · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

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.

Indexed as

Antibiotic ProphylaxisDental CarePractice Guidelines as TopicDentistsEndocarditisEndocarditis, BacterialHumans

Identifiers

PMID27514339
OpenAlexW2518509307

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.