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

Abstract

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.

Knowledge, practice and attitudes regarding antibiotics use among Lebanese dentists

“…It reports results parallel with the international literature: inappropriate use in terms of dosage, duration and frequency is evident, with amoxicillin being the primary prescribed agent. 27 …”

Characterization of blaNDM-19-producing IncX3 plasmid isolated from carbapenem-resistant Escherichia coli and Klebsiella pneumoniae

“…Many hospitals in Lebanon implement antimicrobial stewardship to improve treatment regimens of infectious diseases and minimize emergence of resistance. Several studies revealed the common resistance mechanisms and profiles within clinical samples recovered from hospitals across Lebanon [ [8] , [9] , [10] , [11] , [32] , [33] , [34] , [35] , [36] , [37] , [38] , [39] , [40] , [41] ]. This, however, should be coupled with genomic surveillance to track, monitor, and address antibiotic resistance.…”

Study to Assess the Drug Consumption and Rationality in the Prescription of Outpatients Undergoing Periodontal Treatment

“…The most common antibiotic for dental patients was found to be amoxicillin in some other Indian studies as well. Ravichandran et al 17 , Kaul et al 18 and Suhaib et al 19 Agossa et al 20 26 documented that the most commonly prescribed antibiotic was Amoxicillin. However, according to Aly et al 27 Deniz-Sungur et al 28 Javed et al 29 and Shrestha et al 30 , the most often prescribed antibiotic was amoxicillin & clavulanic acid combination.…”