Antibiotic prophylaxis prescribing practices of dentists in Singapore

Tong, Huei Jinn; Hu, Shijia; Mok, Betty Y Y; Islam, Intekhab; Hong, Catherine

doi:10.1111/idj.12088

Cited by 20 publications

(36 citation statements)

References 22 publications

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“…These results are encouraging as they are higher than the percentage of dentists determined to be following the 2007 AHA guidelines by researchers Tong et al 26 (40%) and Coutinho et al 28 (33%). However, our study found that 36% of dentists preferred to follow the patient's physician/specialist orders.…”

Section: Discussionmentioning

confidence: 68%

“…The questionnaire for our investigation was a modified version of a survey developed by Tong et al 26 Our survey consisted of 25 questions containing multiple choice, yes/no response, and space for additional comments.…”

Section: Methodsmentioning

confidence: 99%

“…[23][24][25][26][27][28][29] Lauber et al 23 surveyed Canadian dentists and family physicians and found that dentists were more familiar with the 2007 AHA antibiotic prophylaxis protocols than physicians in selecting the correct "first-line" antibiotic for prophylaxis. Jain et al 24 found that the majority of Canadian dentists (89.2%) and dental hygienists (89.9%) deferred antibiotic prophylaxis prescription decisions to the patient's cardiologist.…”

Section: 5005/jp-journals-10024-2084mentioning

confidence: 99%

“…Another Canadian study found that 77% of orthopedic surgeons and 71% of dental surgeons routinely prescribe antibiotic prophylaxis for patients with total joint replacement, even though the 2012 AAOS guidelines no longer recommend routine prophylactic coverage. 25 Tong et al 26 surveyed Singapore dentists and found that 39.8% followed the 2007 AHA guidelines and could accurately identify which dental procedures required antibiotic prophylaxis. However, 30.2% of the dentists reported their prescribing practices were based solely on the patient's cardiologist's recommendations.…”

Section: 5005/jp-journals-10024-2084mentioning

confidence: 99%

“…However, 30.2% of the dentists reported their prescribing practices were based solely on the patient's cardiologist's recommendations. 26 Zadik et al 27 surveyed Israeli dentists and found that the majority of dentists (81.3%) identified the cardiac conditions that require antibiotic prophylaxis. However, 42% of the dentists stated they would prescribe antibiotic prophylaxis for patients with mitral valve prolapse (MVP) with regurgitation, which implied that some Israeli dentists were still following the 1997 AHA guidelines.…”

Section: 5005/jp-journals-10024-2084mentioning

confidence: 99%

See 4 more Smart Citations

Current prescribing Practices for Antibiotic Prophylaxis: A Survey of Dental Practitioners

Spittle¹,

Muzzin²,

Campbell³

et al. 2017

The Journal of Contemporary Dental Practice

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Aim: Antibiotic prophylaxis guidelines have been developed for health care and dentistry. The authors examined whether dentists were following the 2007 American Heart Association (AHA) and the 2012 American Association of Orthopaedic Surgeons (AAOS) recommendations for antibiotic prophylaxis. Materials and methods:A survey was sent to 600 dentists in the south-central region of the United States. The survey examined dentists' prescribing practices for patients with cardiac and prosthetic joint replacements, antibiotic regimen prescribed, confidence in their prescription decisions, and dentistry's contribution to antibiotic resistance. Results:The response rate was 28.7% (n = 172). Dentists followed the 2007 AHA guidelines for patients with a history of infective endocarditis (95%), and cardiac valves repaired with prosthetic materials (76%) or animal/donor tissue (61%). For prosthetic joint replacement, 72% prescribed antibiotic prophylaxis within the first 2 years after placement and 58% continued to prescribe after 2 years. Amoxicillin was the most frequently prescribed antibiotic for cardiac conditions (92%) and prosthetic joint replacements (77%). No significant differences were found in relation to dentists' gender (p = 0.75), year of graduation (p = 0.71), scope of practice (p = 0.30), and their confidence in their prescription decisions; 73% believed taking multiple doses of antibiotics leads to antibiotic resistance. Conclusion:The majority of dentists were following the 2007 AHA guidelines. Confusion regarding the 2012 AAOS guidelines for prosthetic joint replacement was evident.Clinical significance: Keeping current with changing antibiotic prophylaxis guidelines ensures dentists are providing the best evidence-based dentistry for their patients.

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Section: Discussionmentioning

confidence: 68%

Section: Methodsmentioning

confidence: 99%

Section: 5005/jp-journals-10024-2084mentioning

confidence: 99%

Section: 5005/jp-journals-10024-2084mentioning

confidence: 99%

Section: 5005/jp-journals-10024-2084mentioning

confidence: 99%

See 3 more Smart Citations

Current prescribing Practices for Antibiotic Prophylaxis: A Survey of Dental Practitioners

Spittle¹,

Muzzin²,

Campbell³

et al. 2017

The Journal of Contemporary Dental Practice

View full text Add to dashboard Cite

show abstract

Rational use of medicine in dentistry: do dentists prescribe antibiotics in appropriate indications?

Koyuncuoğlu

Aydın

Kırmızı

et al. 2017

Eur J Clin Pharmacol

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Antibiotic susceptibility of orofacial infections in Bratislava: a 10-year retrospective study

Vavro,

Dvoranová,

Czakó

et al. 2024

Clin Oral Invest

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Objectives Aim of this study was to analyse causal microbiological agents and their bacterial resistance in orofacial infections requiring hospital admission. Materials and methods Presented is a 10-year retrospective study of patients hospitalised at a single department in 2014–2023. 744 patients were involved. In the statistical analysis, following data was evaluated: causal microbes and their resistance to Penicillin, Amoxicillin-Clavulanate, Clindamycin and Metronidazole. Results Most frequent aetiology was odontogenic with causal tooth in socket (n = 468; 62,9%), followed by odontogenic – post extraction (n = 152; 20.4%), jaw fracture (n = 41; 5.5%), sialadenitis n = 31 (4.2%), osteonecrosis n = 22 (3.0%), oncological diagnosis in head and neck (n = 17; 2.3%), unknown (n = 10; 1.3%) and multiple factors (n = 3; 0.4%). 408 patients (54.8%) underwent extraoral abscess revision, 336 patients (45.2%) patients were treated locally without extraoral revision. In odontogenic group with tooth still present, superior CRP (m = 145.8 mg/l; SD = 117.7) and leukocyte values (m = 13.6*109l; SD = 6.6) were observed in comparison to other groups. There were 698 cultivated bacteria in 362 patients. Most frequent bacteria were Streptococci (n = 162; 23.2%), Prevotella (n = 83; 11.2%) and Parvimonas (n = 65; 9.3%). Clindamycin resistance was highest (n = 180 resistant bacteria; 25.8%), followed by Metronidazole (n = 178; 25.5%), Penicillin (n = 107; 15.3%) and Amoxicillin-Clavulanate (n = 34; 4.9%). Conclusions Orofacial infections in head and neck region are mostly of odontogenic origin with causal tooth still in socket. Causal bacteria show a high antibiotic resistance rate, especially to Clindamycin and Metronidazole. Clinical Relevance Acquired data will be used to determine guidelines for empirical antibiotic prescription in cases of orofacial infections.

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Antibiotic prophylaxis prescribing practices of dentists in Singapore

Abstract: Dentists were accurate in their prescriptions of antibiotic prophylaxis for dental procedures, but not for cardiac conditions. It may be helpful to attain a consensus among local cardiologists and dentists to unify the antibiotic prophylaxis prescription practices in Singapore.

Cited by 20 publications

References 22 publications

Current prescribing Practices for Antibiotic Prophylaxis: A Survey of Dental Practitioners

Current prescribing Practices for Antibiotic Prophylaxis: A Survey of Dental Practitioners

Rational use of medicine in dentistry: do dentists prescribe antibiotics in appropriate indications?

Antibiotic susceptibility of orofacial infections in Bratislava: a 10-year retrospective study

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