Michael Briggs
18 Apr 2024 · Coroner Sophie Loman · Derby and Derbyshire
The coroner's concerns
1. infective endocarditis following dental procedures
“The matters of concern arise in the context of patients who are at increased risk of infective endocarditis following dental procedures and whether such patients should be given antibiotic prophylaxis.”
2. lack of implementation guidance for dentists
“The guideline does not provide any implementation advice for dentists on how they should manage patients who are at an increased risk.”
3. absence of reciprocal endorsement of SDCEP advice
“There is no reciprocal endorsement or mention of the SDCEP advice in GC64 and there does not appear to be any such implementation advice applicable to dentists in England and Wales.”
4. conflicting guidance between ESC and NICE
“The court heard evidence that cardiologists in England and Wales are regularly following this guidance which conflicts with the 2016 NICE guideline.”