An analysis of antibiotic prescriptions from general dental practitioners in England

Palmer, Nikolaus O A; Martin, Michael V.; Pealing, R; Ireland, Robin

doi:10.1093/jac/46.6.1033

Cited by 90 publications

(91 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…[4][5][6][7][8][9][10][11] The defi nitive treatment of a dentoalveolar abscess is drainage and removal of the cause of the infection. 14,17,18,[29][30][31][32][33][34][35][36][37][38][39] In the majority of cases this is the only treatment required.…”

Section: Current Prescribing Practicesmentioning

confidence: 99%

“…2,3 In 1997 GDPs issued over 3.5 million antibiotic prescriptions. 4 Studies in the United Kingdom have consistently shown that there is widespread variation in the prescribing habits of GDPs, with many prescribing inappropriately, with inconsistent dose and frequency and often for prolonged periods. [4][5][6][7][8][9][10] This was also shown to be the case when patients sought advice and treatment from their general medical practitioners.…”

Section: Introductionmentioning

confidence: 99%

“…4 Studies in the United Kingdom have consistently shown that there is widespread variation in the prescribing habits of GDPs, with many prescribing inappropriately, with inconsistent dose and frequency and often for prolonged periods. [4][5][6][7][8][9][10] This was also shown to be the case when patients sought advice and treatment from their general medical practitioners. 11 In a UK dental survey carried out by a major pharmaceutical company 12 looking at the factors infl uencing frequency and type of regularly prescribed antibiotic, 75% of dentists gave antibiotics at least once a week with over 15% of those dentists prescribing them on a daily basis.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

The role of phenoxymethylpenicillin, amoxicillin, metronidazole and clindamycin in the management of acute dentoalveolar abscesses – a review

Ellison

2009

Br Dent J

View full text Add to dashboard Cite

Section: Current Prescribing Practicesmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

The role of phenoxymethylpenicillin, amoxicillin, metronidazole and clindamycin in the management of acute dentoalveolar abscesses – a review

Ellison

2009

Br Dent J

View full text Add to dashboard Cite

“…Published literature in this context related to either use of AMAs by dental practitioners in routine clinical practice or the success and failure of oral implants with or without AMAs [23][24][25][26][27][28][29][30]. Only one study from Jordan had specifically reported the use of AMAs by dentists performing oral implant surgery [31].…”

Section: Introductionmentioning

confidence: 99%

Current Trend of Antimicrobial Prescription for Oral Implant Surgery Among Dentists in India

Datta

Grewal

Batth

et al. 2013

J. Maxillofac. Oral Surg.

View full text Add to dashboard Cite

Objectives The aim of our study was to evaluate antimicrobial prescription behaviour amongst dentists performing oral implant surgery in India. Study Design Dentists performing oral implant surgery from different parts of India were personally approached during various national events such as conferences and academic meetings and information regarding their prescription habits for antimicrobial agents in routine oral implant surgery was collected using a structured questionnaire. Results Out of a total sample of 332 dentists, 85.5 % prescribed 17 different groups or combinations of antibiotics routinely for oral implant surgery in the normal healthy patient. Majority preferred the peri-operative protocol of drug therapy (72.2 %) with variable and prolonged duration of therapy after surgery, ranging from 3 to 10 days. An antimicrobial mouthwash was routinely prescribed by all the doctors (14.5 %) not in favour of prescribing antimicrobials in a normal healthy patient.Conclusions Our findings suggest that there is a trend of antimicrobial agent misuse by dentists performing oral implant surgery in India, both in terms of drugs used and the protocols prescribed. The majority of these dentists prescribed a variety of antimicrobial agents for prolonged durations routinely even in the normal, healthy patients.

show abstract

“…2 More common dental infections present in the form of pulpitis and periapical periodontitis, which require only operative measures like fillings, root canal therapy, or extraction if the tooth is not restorable. 3 Clinical situations that require antibiotic therapy on empirical basis are limited, and they include oral infection accompanied by elevated body temperature and evidence of systemic spread like lymphadenopathy and trismus. 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.…”

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

View full text Add to dashboard Cite

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

show abstract

An analysis of antibiotic prescriptions from general dental practitioners in England

Cited by 90 publications

References 5 publications

The role of phenoxymethylpenicillin, amoxicillin, metronidazole and clindamycin in the management of acute dentoalveolar abscesses – a review

The role of phenoxymethylpenicillin, amoxicillin, metronidazole and clindamycin in the management of acute dentoalveolar abscesses – a review

Current Trend of Antimicrobial Prescription for Oral Implant Surgery Among Dentists in India

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

Contact Info

Product

Resources

About