Antibiotic stewardship in dentistry

England, Rachael

doi:10.1111/idj.12553

Cited by 3 publications

(2 citation statements)

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“…In France, antibiotics are mainly prescribed for outpatients (93%), and general practitioners are responsible for 70% of all antibiotic prescriptions [ 5 ]. Dentists generate a significant proportion of these prescriptions, estimated at 12.1% of all antibiotic prescriptions in France [ 6 ] and approximately 10% worldwide [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

Perceptions of Antibiotic Use and Resistance: Are Antibiotics the Dentists’ Anxiolytics?

et al. 2021

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Background: Antibiotic resistance is a global health crisis. The aim of this study was to explore dentists’ perceptions of antibiotic resistance. Methods: A qualitative method was used. Seventeen dentists practising in the Nancy (Lorraine, France) region were surveyed. They were general practitioners or specialised in oral surgery, implantology, or periodontology. The practitioners took part in semi-structured interviews between September 2019 and July 2020. All of the interviews were transcribed in full and analysed thematically. Results: Four major themes have been selected: attitudes of the dentists in regard to the guidelines, clinical factors that influence prescriptions, non-clinical factors that influence prescriptions, and the perception of antibiotic resistance. The dentists stated that they were very concerned regarding the public health issue of antibiotic resistance. However, they often prescribe according to their own interests and habits rather than according to the relevant guidelines. Conclusions: Although dentists are generally well aware of antibiotic resistance, they often do not adequately appreciate the link between their prescribing habits and the phenomenon of antibiotic resistance. Regular updating of practitioners’ knowledge in this regard is necessary, but patients and the general public should also be made more aware of the issue.

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Section: Introductionmentioning

confidence: 99%

Perceptions of Antibiotic Use and Resistance: Are Antibiotics the Dentists’ Anxiolytics?

et al. 2021

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“…A 2020 World Dental Federation policy statement, aimed to promote responsible use of antibiotics and tackle resistance at local and national levels [ 9 ]. In line with antimicrobial stewardship principles, to treat an infection that is not life-threatening, narrow spectrum antimicrobials should be used.…”

Section: Introductionmentioning

confidence: 99%

A survey of dental professionals’ opinions around the use of antibiotics in molar 3 extractions and dental implant placement

Torof,

Newton,

Morrissey

et al. 2023

Medicine and Pharmacy Reports

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Aim. This survey was conducted to determine the type and frequency of antibiotics (AB) use for the prevention of infections in dental third molar (M3) extraction and implantation procedures (DIP) among UK dentists and the opinions underpinning their practice. Methods and design. Systematic reviews of the evidence were undertaken alongside this survey of practicing dentists in the United Kingdom to identify the opinions and practices of those undertaking the procedures. With ethical approval, a survey was designed for online delivery and was sent to every dental practitioner in the UK with a publicly available email address or social media contact. The opening page provided the project information sheet and proceeding to complete and submit the questionnaire was considered consent to participate. The online survey was circulated to 900 identified addresses and a total of 145 responses were received. Responses were collated in Microsoft® Excel™ and analyzed using IBM® SPSS™ plus thematic analysis of free text responses. Results. There were 42% of participants (n=61) who discouraged AB prophylactic use in M3 extractions in people with no systemic conditions and who also preferred postoperative AB use when required. Where, 57.9% of respondents (n=84) supported the short-term use of ABs (5-7 days) for M3 extraction and 53% (n=77) in DIP placement in patients with no relevant medical history. As an ad hoc finding, dentists reported on the negative impact of heavy smoking and oral parafunctional behavior on DIP success. Conclusion. The use of antibiotics and broad spectrum antibiotics remains higher than current guidelines would recommend. Further research is required to clarify the specific risks arising from underlying medical conditions to further clarify where prophylaxis is required.

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Odontogén tályogok diagnosztikája és kezelése a nemzetközi ajánlások tükrében

Vetró

Vlocskó

Piffkò

et al. 2022

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Fogorvosok, háziorvosok, sürgősségi osztályon dolgozók, arc-, állcsont- és szájsebészek, fül-orr-gégészek vagy akár központi ügyeletben szolgálatot teljesítők is gyakran találkozhatnak dentális eredetű gyulladásos elváltozásokkal. Ezen beolvadó folyamatok a környező struktúrákra terjedve, a nyaki spatiumok mentén, ritkábban hematogén vagy limfogén úton akár életet veszélyeztető állapotot okozhatnak. Megelőzésük vagy a már kialakult kórkép megfelelő ellátása kiemelt fontosságú, mivel a nem megfelelő, halogatott ellátás elkerülhető többletterhet ró az egészségügyi ellátórendszerre. A közlemény célja, hogy áttekintést adjon az odontogén fertőzések kialakulásának, diagnosztizálásának és kezelésének aktuális vonatkozásairól. A nemzetközi és a magyar nyelvű szakirodalom áttekintését és összefoglalását végeztük el. A dentális beolvadó folyamatok azonnali incisiót és drenázst igénylő elváltozások, ennek tekintetében egységesnek mondható a szakirodalom. A radiológiai vizsgálatok fejlődésével korábban fatális kimenetelű szövődmények váltak felismerhetővé. A dentális beolvadó folyamatok ellátása során alkalmazott antibiotikumterápia módozatairól, szükségességéről, időtartamáról megoszlanak a vélemények, az alkalmazott protokollok intézményenként, orvosonként változhatnak. A kórkép gyakorisága ellenére hiányoznak a nagy esetszámú, prospektív vizsgálatok, amelyek effektívebbé, evidenciaalapúvá tehetnék ezen betegek ellátását. Orv Hetil. 2022; 163(37): 1455–1463.

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Antibiotic stewardship in dentistry

Cited by 3 publications

References 2 publications

Perceptions of Antibiotic Use and Resistance: Are Antibiotics the Dentists’ Anxiolytics?

Perceptions of Antibiotic Use and Resistance: Are Antibiotics the Dentists’ Anxiolytics?

A survey of dental professionals’ opinions around the use of antibiotics in molar 3 extractions and dental implant placement

Odontogén tályogok diagnosztikája és kezelése a nemzetközi ajánlások tükrében

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