Antibiotic prescribing in dental practice in Belgium

Mainjot, Amélie; D’Hoore, William; Vanheusden, Alain; Nieuwenhuysen, John

doi:10.1111/j.1365-2591.2009.01642.x

Cited by 155 publications

(202 citation statements)

References 22 publications

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“…Su 24.421 pazienti visitati, a 1033 venne prescritto un antibiotico con una media, quindi, di 3 prescrizioni in due settimane. In particolare, vennero prescritti antibiotici a largo spettro (amoxicillina, amoxicillina+acido clavulanico e clindamicina) come unico trattamento, anche in assenza di coinvolgimento sistemico (febbre) e anche nel caso in cui la diagnosi fosse pulpite [7] . L'abuso di antibiotici da parte degli odontoiatri secondo gli autori contribuisce nettamente all'antibiotico resistenza [5][6][7] .…”

Section: Secondo Pipalova Et Al In Repubblicaunclassified

Utilizzo degli antibiotici: risultati di un sondaggio condotto su un campione di dentisti italiani

Giargia¹,

Scotti²,

Marchetti³

et al. 2018

Dental Cadmos

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Section: Secondo Pipalova Et Al In Repubblicaunclassified

Utilizzo degli antibiotici: risultati di un sondaggio condotto su un campione di dentisti italiani

Giargia¹,

Scotti²,

Marchetti³

et al. 2018

Dental Cadmos

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“…The most commonly used antibiotic in dental practice, for patients without any medical allergy, was found to be amoxicillin followed by metronidazole and amoxicillin with clavulanate [9][10][11][12][13]. While in patients with allergy to penicillin, choice of drug were: clindamycin [11], macrolides followed by clindamycin [12] and erythromycin [8].…”

Section: Discussionmentioning

confidence: 99%

Knowledge and Pattern of Antibiotic and Non Narcotic Analgesic Prescription for Pulpal and Periapical Pathologies- A Survey Among Dentists

Mavuluri

Karunakar

Vishwanath

et al. 2014

JCDR

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Aim:The objective was to assess the knowledge and pattern of antibiotic and non narcotic analgesic prescription for pulpal and periapical pathologies among dentists, registered with IDA, in and around Hyderabad. Materials and Methods:Cross-sectional survey was conducted from January 2014 to February 2014 in and around Hyderabad, Andhra Pradesh, India. A questionnaire for this cross-sectional survey was designed for evaluating the knowledge and patterns of antibiotic and non narcotic analgesic prescription for pulpal and periapical pathologies. It included some demographic information, questions regarding clinical and non clinical factors, type of antibiotics and non narcotics analgesics prescribed were recorded. Data was computed and analysed using SPSS software. Descriptive statistics was performed. Results:The response rate for the study was 85%, 51.4% being males and 53.9% were pursuing post graduation. Of the respondents, 44.3% would prescribe medication with elevated body temperatures and evidence of systemic involvement, while 42.8% would prescribe medication for non clinical factors such as unsure of diagnosis. Necrotic pulp with acute apical periodontitis with swelling present and mod/severe preoperative symptoms was the most common condition identified for antibiotic therapy (56.4%). The first antibiotic of choice in patients with no medical allergies is amoxicillin, followed by amoxicillin and metronidazole. The first antibiotic of choice in case of allergic to penicillin was erythromycin. 55.1% and 37.3% would not prescribe antibiotic and analgesic after Root canal treatment respectively. The most commonly prescribed NSAID is Diclofenac (51.1%). Factors influencing the choice of analgesics among respondents is severity of pain (61.4%). 31.7% remained informed of current prophylactic practices through pharmaceutical companies followed by university training sessions and scientific societies (30.7%). Conclusion:The results of the present survey have demonstrated a lack of uniformity among the dental practitioners. All the clinicians should make themselves aware of the current guidelines available, to ensure highest degree of patient care.

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“…The influence of the reason for consultation on the decision to prescribe antibiotics has already been evaluated. 16,17 Dailey and Martin 16 found that 62% of adult patients with pain and/or swelling did not receive any treatment; in another study, 18 59% of the patients with periapical abscesses were given antibiotics only, without any local treatment. If treatments were rendered to those patients, the number of inappropriate prescriptions in these studies could be lower.…”

Section: Discussionmentioning

confidence: 99%

“…Amoxicillin with or without clavulanic acid was the most administered antibiotic confi rming the results from other studies conducted in different countries. 7 -9 In contrast, narrow spectrum antibiotics were preferred in Norway 17 and North America. 22 Amoxicillin is the antibiotic of choice for the management of dental infections followed by amoxicillin in combination with clavulanic acid according to the current 6,22 recommendations.…”

mentioning

confidence: 99%

“…The misuse of antibiotics was also reported in other studies, which raised concerns related to the lack of recommendations. 7,17,19 According to Ellison,24 the antibiotherapy can be discontinued if clinical signs and symptoms related to the presence of infection subside within 3 days. The AAE 22 recommended a loading antibiotic double dose which would result in a higher antibiotic concentration in the affected areas and a higher bacteriostatic and bactericidal effectiveness.…”

mentioning

confidence: 99%

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

Asmar

Cochelard

Mokhbat

et al. 2016

The Journal of Contemporary Dental Practice

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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.

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Antibiotic prescribing in dental practice in Belgium

Abstract: Discrepancies between observed and recommended practice support the need for educational initiatives to promote rational use of antibiotics in dentistry in Belgium.

Cited by 155 publications

References 22 publications

Utilizzo degli antibiotici: risultati di un sondaggio condotto su un campione di dentisti italiani

Utilizzo degli antibiotici: risultati di un sondaggio condotto su un campione di dentisti italiani

Knowledge and Pattern of Antibiotic and Non Narcotic Analgesic Prescription for Pulpal and Periapical Pathologies- A Survey Among Dentists

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

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