Surveillance of antibiotic and analgesic use in the Oral Surgery Department of the University Dentistry Clinical Center of Kosovo

Abstract

BackgroundBecause Kosovo has no reliable information on antimicrobial and analgesic use in dental practice, the survey reported here evaluated the antibiotic and analgesic prescriptions in the Oral Surgery Department of the University Dentistry Clinical Center of Kosovo (UDCCK).MethodsThe data of 2,442 registered patients for a 1-year period were screened and analyzed concerning antibiotic and analgesic use as per standards of rational prescription.ResultsDentistry doctors prescribed antibiotics significantly more often than analgesics. Antibiotics were prescribed in 8.11% of all cases, while only 1.35% of total prescriptions were for analgesics. The total consumption of antibiotic drugs in the UDCCK was 4.53 Defined Daily Doses [DDD]/1,000 inhabitants/day, compared with only 0.216 DDD/1,000 inhabitants/day for analgesics. From a total number of 117 patients, 32 patients received combinations of two antibiotics.ConclusionPharmacotherapy analysis showed that the prescription rates of antibiotics and analgesics in the UDCCK are not rational in terms of the qualitative aspects of treatment. For the qualitative improvement of prescription of these drug groups, we recommend the implementation of treatment guidelines following rational standards.

Prescriptions of analgesics and anti-inflammatory drugs in municipalities from a Brazilian Southeast state

“…2,3 Nonsteroidal anti-inflammatory drugs (NSAID), opioids, and analgesics are frequently prescribed by dental practitioners. 3,4,5 Research shows an overall increase in the prescription of medicines to control pain. 6,7,8 It is recognized that millions of people suffer from untreated pain around the world.…”

“…12 Furthermore, the majority and most recent populational research on analgesics prescriptions by dental practitioners does not evaluate the influence of social health determinants. [5][6][7][8] In this study, we aimed to describe dental prescriptions of NSAID, opioids, and analgesics dispensed by the Brazilian National Health System (BNHS, SUS in Portuguese) of a Southeastern state and to analyze their association with socioeconomic and oral health care services' characteristics at municipal-level from January to December 2017.…”

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

“…These data show an improvement in the antibiotic of first choice compared with previous studies in Kosovo, where the antibiotic of first choice was co-amoxiclav, regardless of the institutions where the studies were conducted. [11][12][13] This improvement in prescribing patterns at HUSCK could be due to the fact that dentists working in a university/hospital setting are more confident in their treatment decisions and adhere to guidelines. 14 The most recent survey conducted in Kosovo based on official data of patients from secondary and tertiary health care facilities showed that antibiotic use varied according to the county/city surveyed.…”

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“…Generic drug prescriptions in the present study were lower than the WHO standard value (100%), and slightly more than onethird of the branded drugs were prescribed to the patients, which is lower than the branded drug prescriptions reported by Fader and his coinvestigator from their study conducted in Nigeria 4 . Similarly, studies conducted in India, Nepal, and Kosovo highlighted low generic and high branded drug prescription among the patients visited to the dental clinic 6,25,26 . Moreover, percentage of encounters with an antibiotic prescription (32.02%) was higher than the WHO standard value (20-27%) and mostly drugs were prescribed from essential drug list of the country 6,26 .…”

“…Similarly, studies conducted in India, Nepal, and Kosovo highlighted low generic and high branded drug prescription among the patients visited to the dental clinic 6,25,26 . Moreover, percentage of encounters with an antibiotic prescription (32.02%) was higher than the WHO standard value (20-27%) and mostly drugs were prescribed from essential drug list of the country 6,26 . However, a study conducted in Nepal described a smaller number of drugs prescribed from EDL 25 .…”