Prescribing errors in antibiotic prophylaxis by dentists in a large Brazilian city

Lisboa, Sheila Monteiro; Martins, Maria Auxiliadora Parreiras; Castilho, Lia Silva de; Silva, Maria Elisa de Souza e; Abreu, Mauro Henrique Nogueira Guimarães de

doi:10.1016/j.ajic.2015.03.028

Cited by 16 publications

(17 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…However, the prophylaxis dose should be used in a single dose; in other words, its use should be avoided the following days once it is implemented once. The misuse of prophylactic antibiotics may lead to multiple unfavorable consequences for patients such as unsuccessful drug therapy, avoidable adverse effects, destructive drug interactions and avoidable costs (Lisboa et al, 2015).…”

Section: Discussionmentioning

confidence: 99%

Evaluation of Dentists’ Knowledge in Infective Endocarditis Prophylaxis

Şatiroğlu

Kamalak

2021

Black Sea Journal of Health Science

View full text Add to dashboard Cite

Infective endocarditis (IE) is an infection caused by microorganisms affecting the natural/prosthetic heart valve and surrounding tissues. Antibiotic prophylaxis is necessary to prevent IE in some dental procedures due to mortality rate. This particular study was primarily motivated to evaluate the dentists' knowledge in IE prophylaxis. Participants of the study were 80 dentists who were selected through the purposive sampling method (Female= 44; Male= 36). To collect data, a questionnaire with questions about prophylaxis data on heart diseases, dental procedures, the purpose, frequency, duration and dose of the drugs used was used. The participants were informed about prophylaxis of IE after the data collection during a seminar. Subsequently, their responses to the questionnaire items were statistically analyzed and the relevant results were presented in the following section. 36 male and 44 female dentists working in Kahramanmaras city center and districts participated in the study on a voluntary basis. It was revealed that the respondents tend to decide on IE prophylaxis mostly requesting consultation from cardiologists (68.8%), family physicians (2.6%) and infectious diseases specialists (1.3%) while 3.9% of them applied prescription only based on their professional experience. This particular research has shown that dentists made some mistakes while performing antibiotic prophylaxis such as unnecessary use of antibiotics. Based on this finding, they should be provided in-service training programmes organized on a regular basis to contribute to their professional development by updating their field knowledge.

show abstract

Section: Discussionmentioning

confidence: 99%

Evaluation of Dentists’ Knowledge in Infective Endocarditis Prophylaxis

Şatiroğlu

Kamalak

2021

Black Sea Journal of Health Science

View full text Add to dashboard Cite

show abstract

“…Other studies have already demonstrated that the dentists' knowledge of prophylactic antibiotic therapy is poor and worrying, and our results certainly corroborate this fact. 16 The prescription of antibiotic prophylaxis prior to dental procedures is systemically used compromised patients, despite the inexistence of scientific evidence to support this practice. This misuse of antibiotic prophylaxis put these patients at risk of drug exposure.…”

Section: Resultsmentioning

confidence: 99%

Knowledge and attitudes of dentists regarding the treatment of renal transplant patients

et al. 2018

View full text Add to dashboard Cite

| Objectives: the objective of this study was to assess the knowledge and attitude of dentists towards the dental treatment of renal transplant patients through questionnaires. Methods: a total of 416 dentists were interviewed and responded 10 multiple-choice questions. Results: most participants (214/416; 51.4%) felt uncomfortable extracting teeth in renal transplant patients. The great majority (354/416, 85%) would prescribe prophylactic antibiotics before simple dental extraction, whereas 43% would prescribe antibiotics, even before non-invasive procedures. Conclusions: our data showed that the interviewed dentists are unfamiliar with the management of renal transplant patients and most of them would prescribe prophylactic antibiotics inappropriately, despite the inexistence of scientific evidence supporting this practice.DESCRIPTORS | Dental Care; Kidney Transplantation; Antibiotic Prophylaxis; Immunocompromised Host; Antibiotics.RESUMO | Conhecimentos e atitudes de dentistas sobre o tratamento de pacientes de transplante renal • Objetivos: o objetivo deste estudo foi avaliar os conhecimentos e as atitudes de dentistas sobre tratamento odontológico de pacientes de transplantes renais, por meio de questionários. Métodos: ao todo, 416 dentistas foram entrevistados e responderam 10 questões de múltipla escolha. Resultados: a maioria dos participantes (214/416; 51.4%) se sentiu desconfortável na extração de dentes em pacientes com transplantes renais. A grande maioria (354/416, 85%) prescreveria antibioticoterapia profilática antes de uma exodontia simples, enquanto 43% prescreveriam antibióticos, mesmo antes de procedimentos não invasivos. Conclusões: nossos dados mostraram que os dentistas entrevistados não estão familiarizados com o manejo de pacientes de transplante renal, sendo que a maioria prescreveria antibióticos profiláticos erroneamente, apesar da inexistência de evidências científicas embasando tal prática.

show abstract

“…Globally, antibiotic prescription in dental care has continuously increased over the last 17 years, and a lot of evidence has been published on wide antibiotic misuse or overuse, in industrialized, low-and middle-income countries [62][63][64][65][66][67][68][69][70]. Dental prescriptions make up 5-11% of all antibiotic prescription among patients in some European countries, Canada, and the USA [19,20,65,71,72].…”

Section: The Broad Antibiotic Misuse or Overuse In Dentistrymentioning

confidence: 99%

“…At the cellular level, implant-associated infections are the result of two critical phases in the first 6 h post implantation; firstly, the bacterial adhesion to a biomaterial surface by weak and unspecific forces within 1-2 h after implantation, and approximately 2-3 h later, a stronger adhesion with the formation of microcolonies and biofilm, which precedes clinical infection [63]. It is important that Staphylococcus species, isolated in dental settings, show high affinity to titanium and good biofilm production [102,159], which are concurrent detrimental factors for osteogenesis [160,161].…”

Section: Why Does the Debridement In Dentistry?mentioning

confidence: 99%

Infection Control in Dentistry and Drug-Resistant Infectious Agents: A Burning Issue. Part 1

Barenghi¹,

Barenghi²,

Blasio³

2020

Surgical Infections - Some Facts

View full text Add to dashboard Cite

Using molecular biological methods and retrospective investigations, some outbreaks in dental settings have been proven to be caused by mainly blood-borne viruses and water-borne bacteria. Nowadays, drug-resistant bacteria seem further hazards taking into account the worldwide overuse of antibiotics in dentistry, the limited awareness on infection prevention guidelines, and the lapses and errors during infection prevention (reported in more detail in Part 2). We chose MRSA and VRE as markers since they are considered prioritized bacteria according antibiotic resistance threats. Antibiotic-resistant bacterial infections inside of dental setting are relevant, and we argue about some hazards in dentistry, including dedicated surgeries. MRSA has a key role for its colonization in patients and dental workers, presence on gloves, resistance (days-months on dry inanimate surfaces), the contamination of different clinical contact surfaces in dental settings, the ability of some strains to produce biofilm, and finally its estimated low infective dose. For better dental patient and healthcare personnel safety, we need evidence-based guidelines to improve education and training initiatives in surgery.

show abstract

Prescribing errors in antibiotic prophylaxis by dentists in a large Brazilian city

Cited by 16 publications

References 7 publications

Evaluation of Dentists’ Knowledge in Infective Endocarditis Prophylaxis

Evaluation of Dentists’ Knowledge in Infective Endocarditis Prophylaxis

Knowledge and attitudes of dentists regarding the treatment of renal transplant patients

Infection Control in Dentistry and Drug-Resistant Infectious Agents: A Burning Issue. Part 1

Contact Info

Product

Resources

About