Pattern of antibiotic prescription in the management of oral diseases among dentists in Kuwait

Salako, Nathanael; Rotimi, Vincent O.; Adib, Salim M.; Al-Mutawa, Sabiha

doi:10.1016/j.jdent.2004.04.001

Cited by 97 publications

(138 citation statements)

References 21 publications

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“…(7) Amoxicillin followed by metronidazole, penicillin 800.000, penicillin V, coamoxiclave were the most common prescribed antibiotics respectively. Salako et al (20) , Mendonca et al (12) , Nezafati et al (11) , reported, amoxillin as the most common anti-biotics. NSAID S such as gelofen, ibuprofen was prescribed more than the other analgesics in our study.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of Drug Prescription Pattern among General Dental Practitioners in Rasht, Iran

Javad

Mahnam²,

Sigaroudi³

2013

3dj

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Section: Discussionmentioning

confidence: 99%

Evaluation of Drug Prescription Pattern among General Dental Practitioners in Rasht, Iran

Javad

Mahnam²,

Sigaroudi³

2013

3dj

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“…Studies done in developing countries reported that abuse of prophylactic antibiotics was to prevent postoperative infection following surgical dental manipulations or to cover either a defect in aseptic clinical technique or improperly sterilized equipment; thus, a 'just in case' principle is practiced. 15,16 For the treatment of acute conditions, β lactam antibiotics were most commonly prescribed (46%) with amoxycillin alone or in combination with clavulanic acid being prescribed in most cases; followed by nitroimidazoles (29%) & quinolones in combination with nitroimidazole (24%). Similar studies have also shown that amoxycillin is the preferred drug for most acute conditions with 70.5% prescribing it in England; & 74.5% in Iran.…”

Section: Discussionmentioning

confidence: 99%

“…4 There are also a limited number of localized oral lesions that are indicated for antibiotic use and these include periodontal abscess, acute necrotizing ulcerative gingivitis, and pericoronitis. 5 Frequency of prescribing is usually mentioned in the known resources for antibiotic prescribing whereas duration of treatment recommended in therapeutic guidelines is most commonly based on expert opinion. 6,7 Inappropriate prescribing of antimicrobials may be associated with unfavorable side effects ranging from gastrointestinal disturbances to fatal anaphylactic shock and especially development of resistance.…”

Section: Introductionmentioning

confidence: 99%

Prescription pattern of antimicrobial agents by dental practitioners: a questionnaire based study

Gour

Kohli

Advani

et al. 2013

Int J Basic Clin Pharmacol

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Background: The aim of this study was to know the pattern & rationality of antimicrobial prescription by dental practitioners. Methods: It was questionnaire based cross sectional study. A total of 175 questionnaires were distributed to dental practitioners working in a tertiary care Dental College & Hospital and private practitioners in Jaipur (Rajasthan). The questionnaire contained questions about years of practice, diagnosis for which antimicrobial were prescribed, dosage and duration of antimicrobial drugs for prophylaxis, acute and chronic conditions, patient compliance & adverse effects. Data was expressed as counts and percentages. Results: Out of 175 questionnaires distributed, 150 were included in the study. 78% dentists had practices less than 5 years duration. Most common indications for which antimicrobials were prescribed were abscess, cellulitis, irreversible pulpitis, and acute gingivitis. Most common antimicrobials used for prophylaxis were Amoxycillin and Metronidazole. For the treatment of acute and chronic conditions, Amoxycillin, Metronidazole, Ofloxacin and Ornidazole alone or in combination were used. Only 20% dentist advised culture & sensitivity tests. 74% patients completed the recommended course of antimicrobials. 56% patients reported adverse drug reactions (ADRs) with the most common being nausea and vomiting, but only 13% dentists reported them to proper authorities. Conclusions: In this study, Amoxycillin and Metronidazole were the most common drugs used for the management of oral diseases, but were prescribed without culture & sensitivity in most cases. 56% patients reported ADRs, but only 13% dentists reported them to proper authorities. Appropriate measures need to be taken to promote rational prescribing and ADR reporting. [Int J Basic Clin Pharmacol 2013; 2(3.000): 311-314

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“…[4][5][6] However, antibiotics have been prescribed empirically and systemically leading to an increased microbial resistance. 7,8 General dentists issue approximately 10% of antibiotic prescriptions across the global medical community consummation. 9,10 Several studies, conducted in different geographical areas, have investigated the antibiotic prescribing protocols of dentists in relation to the patient's medical condition, and the presence of swelling and pain.…”

Section: Introductionmentioning

confidence: 99%

“…9,10 Several studies, conducted in different geographical areas, have investigated the antibiotic prescribing protocols of dentists in relation to the patient's medical condition, and the presence of swelling and pain. [7][8][9][10][11] The therapeutic and prophylactic guidelines of antibiotics prescriptions in dentistry differ among the international…”

Section: Introductionmentioning

confidence: 99%

Prophylactic and Therapeutic Antibiotic Patterns of Lebanese Dentists for the Management of Dentoalveolar Abscesses

Asmar

Cochelard

Mokhbat

et al. 2016

The Journal of Contemporary Dental Practice

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Introduction: General dentists issue approximately 10% of antibiotic prescriptions across the global medical community consummation. The use of antibiotics for the management of dentoalveolar infections should be considered only in the presence of an increased risk of a systemic involvement or to prevent metastatic infections. This study aimed to investigate the prophylactic and therapeutic antibiotic prescription patterns of Lebanese dentists for the management of dentoalveolar abscesses. The aim was to evaluate the influence of the patients' medical condition and clinical signs data on the patterns of antibiotics prescription. Materials and methods:Only patients with a dentoalveolar abscess were included in the study. Age, medical history, reason for consultation, clinical signs and symptoms, diagnosis, type of local treatment, and type of antibiotherapy were collected for each patient attending dental clinics in Beirut. The data were analyzed with chi-square test and multivariate regression.Results: Out of the 563 initial patients, 127 were selected for the study and received a local treatment. The patient's medical condition and age did not affect the decision to prescribe antibiotics 36.2% patients with pain and 11.8% patients with swelling were prescribed antibiotics. Pain and swelling , e-mail: ghadaasmar@gmail.com contributed to a higher level of antibiotic prescription compared to other signs and symptoms. Antibiotics were prescribed inappropriately to 51.76 and 38.10% among patients with an acute or chronic dentoalveolar abscess respectively. The main prescribed antibiotic was amoxicillin. Conclusion:This study showed that dentists often did not follow the current prophylactic and therapeutic antibiotic prescription guidelines.Clinical significance: Antibiotics prescriptions in dentistry will be more pertinent, leading to a decrease in inadequacy of prescriptions, microbial resistance, and the development of multiresistant germs against antibiotics.

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Pattern of antibiotic prescription in the management of oral diseases among dentists in Kuwait

Cited by 97 publications

References 21 publications

Evaluation of Drug Prescription Pattern among General Dental Practitioners in Rasht, Iran

Evaluation of Drug Prescription Pattern among General Dental Practitioners in Rasht, Iran

Prescription pattern of antimicrobial agents by dental practitioners: a questionnaire based study

Prophylactic and Therapeutic Antibiotic Patterns of Lebanese Dentists for the Management of Dentoalveolar Abscesses

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