Medication Prescribing Practices in Croatian Dental Offices and Their Contribution to National Consumption

Šutej, Ivana; Lepur, Dragan; Božić, Darko; Pernarić, Katja

doi:10.1016/j.identj.2021.01.004

Cited by 13 publications

(19 citation statements)

References 30 publications

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“…For cefazolin, the prescriptions were 3 g per os for 5 days, for cefalexin 1.5 g per os for 5 days, and for amoxiclav 1.5 g per os for 5 days as well. A similarity with the Croatian study was in the most common indication for antibiotics prescription, in Kosovo for KO4.7 (periapical abscess) without sinus and in Croatia for periapical or periodontal abscess, 21 a fact which is similar also with findings of Palmer et al 24 This pattern of antibiotic prescribing is found to be accurate with the actual recommendations. But this result has to be confirmed with a further study determining prescription patterns for primary private dental health care, which are not part of clinics.…”

Section: Discussionsupporting

confidence: 86%

“…In Croatia, the most used antibiotics are amoxicillin with clavulanic acid, amoxicillin, and clindamycin, respectively, according to studies by national health insurance data and cross-sectional self-reported study. 20 21 Amoxicillin is part of the penicillin group of antibiotics, but is effective against a broader range of organisms and recommendations for antibiotic treatments in dentistry are to start with a narrower one (amoxicillin), so the broader one could be effective when needed. Observing these differences in results, with a great increase in amoxicillin with clavulanic acid, we may suggest that a shift has occurred in the first-choice antibiotic.…”

Section: Discussionmentioning

confidence: 99%

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Administration of Systemic Antibiotics for Dental Treatment in Kosovo Major Dental Clinics: A National Survey

Mustafa

Islami²,

Šutej

2022

Eur J Dent

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Objective Antibiotics misuse and a high level of antibiotics resistance is observed worldwide, but particularly in developing countries. Kosovo in the last decade is facing challenges regarding antimicrobial resistance. The purpose of the present study was to investigate patterns of antibiotics prescriptions of dentists in Kosovo's major dental clinics. Materials and Methods For Kosovo's prescribing pattern, data collection was obtained from 10 Regional Dental Clinics and a Tertiary Health Center regarding patients who were prescribed antibiotics in the years 2015 to 2019. Data analysis was performed by using descriptive statistics and was processed by using MS Excel. Results Most prescribed antibiotic during the observed period from 2015 to 2019 in Kosovo was amoxicillin, although a drastic increase of amoxicillin with clavulanic acid—as a broad-spectrum antibiotic—is observed. The trend of antibiotics use in tertiary health institutions is in an overall decrease in Kosovo with an exception in the year 2017. Despite this overall decrease, inconsistency in prescribing is observed when the pattern is analyzed for each region separately. The highest number of patients in health care dental clinics received antibiotics for maxilla-related health conditions and the lowest number of them for oncologic ones. Conclusion The patterns of antibiotics prescriptions by dental practitioners in Kosovo during the years 2015 to 2019 are fluctuating. Compared with the global health care standards, the irrational use of antibiotics in dental health care clinics in Kosovo still exist and this issue should be further addressed by respective actors.

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Section: Discussionsupporting

confidence: 86%

Section: Discussionmentioning

confidence: 99%

Administration of Systemic Antibiotics for Dental Treatment in Kosovo Major Dental Clinics: A National Survey

Mustafa

Islami²,

Šutej

2022

Eur J Dent

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“…NSAID prescriptions experienced an approximate 46% increase from 2014 to 2018. There has been a notable surge in the utilization of analgesics derived from propionic acid, notably ibuprofen and ketoprofen, while the usage of diclofenac demonstrated a statistically significant decrease [ 18 , 19 , 20 , 21 ]. Studies also indicated that Croatia has low opioid consumption rates, with tramadol being the most frequently prescribed narcotic [ 18 , 19 ].…”

Section: Introductionmentioning

confidence: 99%

Evaluating Knowledge, Self-Reported Confidence Levels, and Prescription Patterns among Dental Practitioners Regarding Analgesics in Dentistry: A Cross-Sectional Study

Badrov,

Tadin

2024

Medicina

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Background and Objectives: Dental pain is a common problem that often leads to unscheduled dental visits and requires a comprehensive understanding of analgesics, including their indications and contraindications. The aim of this study was to investigate dentists’ knowledge, self-reported confidence levels, and prescribing patterns of analgesics in dentistry. Materials and Methods: A nationwide cross-sectional online survey was conducted, resulting in 379 responses. Of these, 68.6% were general dentists, and 31.4% were specialists. The collected data included sociodemographic information, levels of knowledge, and prescription patterns. The survey questionnaire explored self-perceived practices, patient information during prescription, and guiding factors. Descriptive statistics and a generalized linear model for regression were used for data analysis. Results: Higher levels of knowledge were observed in specific contexts such as secondary/tertiary healthcare (p = 0.022), specialization in endodontics (p = 0.003), and a higher number of working hours with patients (p = 0.038). Conversely, increased self-confidence was observed among endodontists (p = 0.008), oral surgeons (p = 0.011), and dentists with more than 6 h of patient interaction (p ≤ 0.001). Orthodontists and prosthodontists demonstrated lower knowledge levels, while specialists in family dentistry exhibited lower self-confidence. Self-confidence and knowledge displayed a significant positive correlation (r = 0.039, p < 0.001). The most frequently prescribed medication was ibuprofen (97.9%), primarily for surgical (83.9%) and endodontic procedures (60.9%), with the main indications being pulpal (85.8%), periradicular (57.3%), and postoperative pain (40.1%). Conclusions: This study reveals significant knowledge and confidence gaps among dentists, including limited awareness of the efficacy of nonsteroidal anti-inflammatory drugs for odontogenic pain, a lack of time for effective counseling, and perceived deficits in pharmacology education. To address these issues, targeted educational interventions are recommended to improve analgesic prescribing practice, close knowledge gaps, and increase dentists’ confidence in more effective pain management.

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“…Antibiotics represent one of the most important classes of drugs in clinical practice today and are the most prescribed class of drugs in dentistry, with their use increasing annually worldwide. 1,2 In dentistry, antibiotic therapy is recommended as an adjunct to mechanical dental treatment to control acute infections and for prophylaxis in high-risk patients, [3][4][5] with amoxicillin as the first-line antibiotic. Antibiotics alone, without drainage, are ineffective in preventing the spread of infection.…”

Section: Introductionmentioning

confidence: 99%

The Pattern in the Utilization of the First-Choice Antibiotic among Dentists in the Republic of Kosovo: A Prospective Study

Mustafa

Islami

Šutej

2023

European Journal of General Dentistry

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Objective Antibiotics are prescribed by dentists during dental treatments, depending on the diagnosis and severity of the disease. Appropriate indicators of the benefit of systematic and regular use of antibiotics in dentistry are limited, because a large number of dental and periodontal problems can be treated either by surgical intervention or by maintaining good oral hygiene. Improper use of antibiotics leads to antimicrobial resistance. In Kosovo, this problem is very evident and more studies are required to identify antibiotic prescribing patterns by health care workers. In this context, this study aims to investigate the issue of antibiotic use in dentistry. Materials and Methods This prospective study was conducted for 6 months and followed the dental practice of 80 dentists. Data were collected from 795 patient forms. Results After analysis, results showed that amoxicillin with clavulanic acid and amoxicillin alone were the most commonly prescribed antibiotics, each accounting for 35%. The most common indications for antibiotic prescription were dental and periodontal abscesses (24.9%), while 20.7% of antibiotics were prescribed for postextraction healing, pericoronitis (15%), chronic periodontitis (12.8%), and dry socket (11.5%). Conclusion These results suggest that the problem of inappropriate antibiotic prescribing is not only overprescribing but also the selection of inappropriate agents, especially amoxicillin with clavulanic acid, instead of amoxicillin alone.

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Medication Prescribing Practices in Croatian Dental Offices and Their Contribution to National Consumption

Cited by 13 publications

References 30 publications

Administration of Systemic Antibiotics for Dental Treatment in Kosovo Major Dental Clinics: A National Survey

Administration of Systemic Antibiotics for Dental Treatment in Kosovo Major Dental Clinics: A National Survey

Evaluating Knowledge, Self-Reported Confidence Levels, and Prescription Patterns among Dental Practitioners Regarding Analgesics in Dentistry: A Cross-Sectional Study

The Pattern in the Utilization of the First-Choice Antibiotic among Dentists in the Republic of Kosovo: A Prospective Study

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