Arend A Yeong M September 2017 Patients at risk of developing endocarditis Acquired valvular heart disease with stenosis or regurgitation Hypertrophic cardiomyopathy Previous infective endocarditis ID: 1047027
Download Presentation The PPT/PDF document "Endocarditis Prevention Advice Audit" is the property of its rightful owner. Permission is granted to download and print the materials on this web site for personal, non-commercial use only, and to display it on your personal computer provided you do not modify the materials and that you retain all copyright notices contained in the materials. By downloading content from our website, you accept the terms of this agreement.
1. Endocarditis Prevention Advice AuditArend A, Yeong MSeptember 2017
2. Patients at risk of developing endocarditis*Acquired valvular heart disease with stenosis or regurgitationHypertrophic cardiomyopathyPrevious infective endocarditisStructural congenital heart disease, including surgically corrected or palliated structural conditions, but excluding isolated atrial septal defects, fully repaired ventricular septal defects or fully repaired patent ductus arteriosus, and closure devices that are judged to be endothelialisedValve replacementVital to provide clear and consistent advice regarding endocarditis prevention to these patients.Background*nice.org.uk/guidance/cg64
3. To assess the compliance with providing clear and consistent information regarding endocarditis prevention in the cardiology clinic letters to patients at risk of developing endocarditis . Audit Aim
4. Review the clinic letters in peripheral cardiology clinics in North Devon District Hospital from June to August 2017.Identify the patients at risk of developing endocarditisAssess advice given to the patient regarding endocarditis prevention.Objectives
5. Standards/CriteriaNo.Standard/criteriaAll patients at risk of endocarditis are given advice to:TargetAny exceptions1Maintain good oral health 100%nil2Have at least 6 monthly dental reviews. 100%nil3Discourage from having tattoos and piercings 100%nil
6. ResultsTotal of 30 clinic patients identified from 2 peripheral clinic sessions.28 clinic letters available for review. 2 patient DNA18 patients identified to be at risk of developing endocarditis based on reference criteria.
7. Results Close to 2/3 of clinic patient are at risk of developing endocarditis
8. Results
9. ResultsNo.Standard/criteria, for those at risk of endocarditis are given advice to:TargetResult1Maintain good oral health 100%66.7%2Minimum of dental reviews at every 6 months. 100%66.7%3Discouraged from having tattoos and piercings 100%44.4%
10. ConclusionsThere is suboptimal provision of endocarditis prevention advice.There may be verbal provision of this advice but not documented in the clinical notes or clinic letters.There is lack of a standard statement in the clinic letters regarding this advice.
11. Action planNo.Agreed actionImplementation dateWho is going to do it ?1Clinic letter foot note with endocarditis prevention advice.September 2017Dr Andy Arend, Dr Michael Yeong2Repeat audit to assess compliance with providing advice.October 2017Dr Andy Arend, Dr Michael YeongThank you
12.
13. Action planNo.Agreed actionImplementation dateWho is going to do it ?1Statement in clinic letter regarding endocarditis prevention advice on all letters to patients at risk of developing endocarditisSeptember 2017Reminder of bacterial endocarditis: ......patient Christian name......has a very small risk of a potentially severe infective complication of structural heart disease. This infection risk can be substantially minimised by maintaining good dental health with 6 monthly dental assessments and avoiding if possible non-medical invasive procedures such as tattoos and piercing. Recommended information is available at [http://guidance.nice.uk/cg64
14. Endocarditis – inflammation of endocardial surface of heart and may involve heart valves and endocardium that covers implanted materialEndocarditis is uncommon but associated with significant morbidity and mortalityBackground