Analysis of clinical records of dental patients attending Jordan University Hospital: Documentation of drug prescriptions and local anesthetic injections

Dar‐Odeh, Najla; Ryalat, Soukaina; Shayyab, Mohammad; Abu‐Hammad, Osama

doi:10.2147/tcrm.s3727

Cited by 29 publications

(30 citation statements)

References 27 publications

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“…Dentists prescribe medications for the management of a number of oral conditions, mainly orofacial infections 1. Since most human orofacial infections originate from odontogenic infections,2 the prescribing of antibiotics by dental practitioners has become an important aspect of dental practice.…”

Section: Introductionmentioning

confidence: 99%

Antibiotic prescribing practices by dentists: a review

Dar‐Odeh

Abu‐Hammad²,

AL‐Omiri³

et al. 2010

TCRM

214

251

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Antibiotics are prescribed by dentists for treatment as well as prevention of infection. Indications for the use of systemic antibiotics in dentistry are limited, since most dental and periodontal diseases are best managed by operative intervention and oral hygiene measures. However, the literature provides evidence of inadequate prescribing practices by dentists, due to a number of factors ranging from inadequate knowledge to social factors. Here we review studies that investigated the pattern of antibiotic use by dentists worldwide. The main defects in the knowledge of antibiotic prescribing are outlined. The main conclusion is that, unfortunately, the prescribing practices of dentists are inadequate and this is manifested by over-prescribing. Recommendations to improve antibiotic prescribing practices are presented in an attempt to curb the increasing incidence of antibiotic resistance and other side effects of antibiotic abuse.

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Section: Introductionmentioning

confidence: 99%

Antibiotic prescribing practices by dentists: a review

Dar‐Odeh

Abu‐Hammad²,

AL‐Omiri³

et al. 2010

TCRM

214

251

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“…1 The prescribing of antimicrobials by dental practitioners has become an important aspect of dental practice. For this reason, antimicrobials account for the vast majority of medicines prescribed by dentists.…”

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

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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

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“…Dental practitioners very often encounter odontogenic infections [1] in the form of periodontitis, gingivitis, pulpitis, abscess and post root canal treatment (RCT) and post extraction infections which makes the prescription of oral antimicrobials an important aspect in dental practice. Antimicrobials along with analgesics (including paracetamol and aceclofenac) and chlorhexidine mouthwashes (0.1%) are most commonly prescriptions [2].…”

Section: Introductionmentioning

confidence: 99%

Prescription Pattern of Antimicrobial Agents Among Dental Practitioners in a Tertiary Care Centre in North India

Suhaib

Ahmad²,

Ahmad³

2017

Asian J Pharm Clin Res

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Objective: The purpose of the study was to find out the pattern of antimicrobial prescription among dental practitioners in a tertiary care center in North India. Methods:A total of 100 prescriptions of the patients attending the various dental outpatient departments of Ziauddin Ahmad Dental College, Aligarh Muslim University were collected and tabulated between January 2016 and June 2016. An observational study was done on the obtained prescriptions on various aspects like dental pathology for which antimicrobial were prescribed, antimicrobial agents used for management of acute and chronic conditions along with their dose and duration. Compliance of the patients during therapy and adverse effects associated with the regimen was also taken into consideration, and the final data were expressed as counts and percentages.Results: Out of a total of 100 patients, 54 (54.0%) were males while females were numbered as 46 (42.0%) with maximum distribution of the patients between 31 and 40 years. On analysis, the most commonly presented dental condition for which antimicrobials were prescribed were acute/chronic periodontitis (48%), acute/chronic gingivitis (32%), caries (11%), post root canal treatment (4%), pericoronitis (3%), oral trauma (1%), and other condition (1%). For the management of above conditions, antimicrobials were the most extensively used agents which were prescribed for only 3-5 days which may not be sufficient, followed by analgesics and antimicrobial mouthwashes. Among the antimicrobials used, most frequently used agents were amoxicillin (50%) followed by ornidazole (21%), ofloxacin (20%), doxycycline (16%), cefixime (9%), and ciprofloxacin (3%) used either alone or in combination for the management of acute and chronic conditions. Only two patients were advised for culture and sensitivity tests before antimicrobial therapy because of noncompliance of patients. The majority (74%) of patients completed the prescribed regimen of antimicrobials while 7 patients reported adverse drug reactions (ADRs), among which most common were nausea and vomiting. Conclusions:In our study, we found that the periodontal diseases were the most frequently reported conditions followed by acute/chronic gingivitis for which antimicrobials were prescribed while amoxicillin and ornidazole were the most commonly used antimicrobials for the management of various acute and chronic dental conditions, but were prescribed without culture and sensitivity in most cases. 7% patients reported ADRs. To conclude appropriate measures are to be promoted for rational prescribing and ADR reporting.

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Analysis of clinical records of dental patients attending Jordan University Hospital: Documentation of drug prescriptions and local anesthetic injections

Cited by 29 publications

References 27 publications

Antibiotic prescribing practices by dentists: a review

Antibiotic prescribing practices by dentists: a review

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

Prescription Pattern of Antimicrobial Agents Among Dental Practitioners in a Tertiary Care Centre in North India

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