Rational use of medicine in dentistry: do dentists prescribe antibiotics in appropriate indications?

Koyuncuoğlu, Cenker Zeki; Aydın, Mehtap; Kırmızı, Neriman İpek; Aydın, Volkan; Aksoy, Mesil; İşli, Fatma; Akıcı, Ahmet

doi:10.1007/s00228-017-2258-7

Cited by 49 publications

(45 citation statements)

References 24 publications

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“…The preference of prescribing broad‐spectrum antibiotics from the penicillin group (particularly amoxicillin) in our study was similar to that in the emergency dental service in the UK (70.5% and 72.0% of the total number of prescribed antibiotics, respectively) . A similar practice of prescribing broad‐spectrum penicillin was reported for dentists in Turkey, with amoxicillin being the antibiotic most commonly prescribed (67.8%) . By contrast, the antibiotic prescription practice of Norwegian dentists is more conservative and narrow spectrum pencillin is preferred .…”

Section: Discussionsupporting

confidence: 77%

Antibiotic prescription in emergency dental service in Zagreb, Croatia – a retrospective cohort study

Bjelovucic¹,

Par

Rubcic³

et al. 2019

International Dental Journal

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Objectives To analyse prescription of antibodies in emergency dental service according to antibiotic type, working diagnosis, patient visit time and patient demographic characteristics. Additionally, prescription practices among individual dentists were analysed. Methods The data in this retrospective cohort study were collected from electronic medical records and analyzed using descriptive statistics. Statistical analyses were conducted using the chi‐square test and the Z‐test with post‐hoc Bonferroni adjustment (α =0.05). Results The study covered 20,879 patient visits during a 1.5‐year period (from 1 June 2015 to 1 December 2016). Antibiotics were prescribed in 10,188 (48.8%) visits. In 6,202 (29.7%) visits, no dental treatment was performed and only an antibiotic was prescribed. The antibiotics most frequently prescribed were from the penicillin group and also contained clavulanic acid (70.5%); the second most frequently prescribed antibiotic was clindamycin (15.0%). The most common diagnoses for which an antibiotic was prescribed were acute apical abscess, pericoronitis and retained root; for these diagnoses, an antibiotic was prescribed in 79.8%, 64.3% and 63.3% of visits, respectively. Prescription of an antibiotic was significantly more frequent during Sundays and holidays (55.6% of visits) than during working days (33.2% of visits). Prescription of an antibiotic increased from the age of 1 towards the age of 75 and decreased thereafter. Female dentists prescribed antibiotics slightly but significantly (P < 0.001) more frequently than male dentists (50.8% and 46.8% of visits, respectively). High heterogeneity was observed among dentists regarding their criteria for prescribing antibiotics; individual dentists prescribed antibiotics in 15.0%–72.1% of the total number of visits. Conclusion Multiple possible issues in the prescription of antibiotics were observed, ranging from administration for inappropriate indications to noncritical and excessive prescription.

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Section: Discussionsupporting

confidence: 77%

Antibiotic prescription in emergency dental service in Zagreb, Croatia – a retrospective cohort study

Bjelovucic¹,

Par

Rubcic³

et al. 2019

International Dental Journal

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“…Indeed, a nationwide study of antibiotic prescriptions by Turkish dentists found that 96.6% of prescriptions were unnecessary. 7 Our findings indicated that some dentists still believe in using antibiotics for odontogenic pain or a root abscess. A lack of pharmacological knowledge such as cross allergy and adverse drug reactions was also observed and should be addressed.…”

Section: Discussionmentioning

confidence: 64%

“…Prescribing antibiotics without an appropriate indication is one of the major causes of irrational drug use. Indeed, a nationwide study of antibiotic prescriptions by Turkish dentists found that 96.6% of prescriptions were unnecessary . Our findings indicated that some dentists still believe in using antibiotics for odontogenic pain or a root abscess.…”

Section: Discussionmentioning

confidence: 66%

“…The awareness of dentists regarding the rational use of antibiotics and their antibiotic prescribing behaviors are important. However, studies have found arbitrary and unnecessary prescribing practices by dentists due to many factors, mainly lack of knowledge …”

Section: Introductionmentioning

confidence: 99%

“…However, studies have found arbitrary and unnecessary prescribing practices by dentists due to many factors, mainly lack of knowledge. [7][8][9][10] Understanding the knowledge, perceptions, and attitudes of Thai dentists is crucial in managing knowledge to achieve high-quality dental care. Specifically, the aim of this study was to assess the extent of Thai dentists' knowledge, perceptions, and attitudes towards the rational use of antibiotics.…”

Section: Introductionmentioning

confidence: 99%

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Managing knowledge for health care quality: An investigation of rational antibiotic use among Thai dentists

Pisarnturakit

Sooampon

2019

Health Planning & Management

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Summary Objectives Because of the irrational use of antibiotics, antimicrobial resistance is now a global concern that requires developing effective strategies against. The aim of this study was to assess the knowledge gap that causes the irrational use of antibiotics among Thai dentists. Methods Thai dentists were asked to complete an online questionnaire regarding their knowledge, perception, and attitude towards rationale antibiotic use. The survey was conducted during November to December 2018. Results Online questionnaires were completed by 588 dentists. Most respondents had a positive perception and were aware of the rational use of antibiotics. However, the use of antibiotics without proper indication and the lack of pharmacological knowledge were found. A mobile application was considered the most preferable approach to manage knowledge for rational drug use. Conclusion Irrational drug use among Thai dentists can be caused by lack of knowledge, attitude, and the perception of each dentist. Policy makers should promote self‐learning through knowledge management strategies that can complement the pharmacology courses taught in dental school.

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Failed endocarditis prophylaxis before a dental procedure in a high‐risk single‐lung patient with a bioprosthetic heart valve: A rare case report

Pinter-Högerle

Oehsen²,

Högerle

et al. 2021

Clinical Case Reports

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Rational use of medicine in dentistry: do dentists prescribe antibiotics in appropriate indications?

Cited by 49 publications

References 24 publications

Antibiotic prescription in emergency dental service in Zagreb, Croatia – a retrospective cohort study

Antibiotic prescription in emergency dental service in Zagreb, Croatia – a retrospective cohort study

Managing knowledge for health care quality: An investigation of rational antibiotic use among Thai dentists

Failed endocarditis prophylaxis before a dental procedure in a high‐risk single‐lung patient with a bioprosthetic heart valve: A rare case report

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