Antibiotic prescription patterns in primary dental health care in Kosovo

Haliti, Naim; Krasniqi, Shaip; Begzati, Agim; Gllareva, Bashkim Bejtë; Krasniqi, Lumnije; Shabani, Nora; Mahmeti, Blerim; Haliti, Fehim

doi:10.5114/fmpcr.2017.67866

Cited by 9 publications

(11 citation statements)

References 18 publications

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“…No gender differences in antibiotic prescription were found in British Columbia, whereas general dentists in the USA prescribed antibiotics more frequently for female patients than for male patients (8.5% and 6.9% respectively) . By contrast, dentists from Kosovo prescribed antibiotics slightly more often for male patients (52%) than for female patients (48%) …”

Section: Discussionmentioning

confidence: 89%

“…12 By contrast, dentists from Kosovo prescribed antibiotics slightly more often for male patients (52%) than for female patients (48%). 31 The gender of the dentist slightly, but significantly, influenced the prescription of antibiotics: female dentists prescribed antibiotics more frequently (in 50.8% of visits) than male dentists (46.8%). By contrast, Germack et al 3 found no difference in prescribing between male and female dentists.…”

Section: Number Of Visitsmentioning

confidence: 98%

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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: Discussionmentioning

confidence: 89%

Section: Number Of Visitsmentioning

confidence: 98%

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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“…Similarly, other works conducted in Kosovo found that male patients received more antibiotics than female patients (52% and 48%, respectively), but this difference in prescribing antibiotics was not significant. 20 In contrast, no gender differences in prescribing dental antibiotics were found among Croatian and British Columbian patients. 8,21 Indeed, it might be a challenge to explain why gender differences in both dentists and patients influence antibiotic prescriptions in the present study.…”

Section: Discussionmentioning

confidence: 96%

<p>Inappropriate Dental Antibiotic Prescriptions: Potential Driver of the Antimicrobial Resistance in Albaha Region, Saudi Arabia</p>

Robinson¹,

Alzahrani²,

Aldannish³

et al. 2020

RMHP

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“…Globally, antibiotic prescription in dental care has continuously increased over the last 17 years, and a lot of evidence has been published on wide antibiotic misuse or overuse, in industrialized, low-and middle-income countries [62][63][64][65][66][67][68][69][70]. Dental prescriptions make up 5-11% of all antibiotic prescription among patients in some European countries, Canada, and the USA [19,20,65,71,72]. The rate of prescription increased the most among dental patients of 60 years or above.…”

Section: The Broad Antibiotic Misuse or Overuse In Dentistrymentioning

confidence: 99%

Infection Control in Dentistry and Drug-Resistant Infectious Agents: A Burning Issue. Part 1

Barenghi¹,

Barenghi²,

Blasio³

2020

Surgical Infections - Some Facts

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Using molecular biological methods and retrospective investigations, some outbreaks in dental settings have been proven to be caused by mainly blood-borne viruses and water-borne bacteria. Nowadays, drug-resistant bacteria seem further hazards taking into account the worldwide overuse of antibiotics in dentistry, the limited awareness on infection prevention guidelines, and the lapses and errors during infection prevention (reported in more detail in Part 2). We chose MRSA and VRE as markers since they are considered prioritized bacteria according antibiotic resistance threats. Antibiotic-resistant bacterial infections inside of dental setting are relevant, and we argue about some hazards in dentistry, including dedicated surgeries. MRSA has a key role for its colonization in patients and dental workers, presence on gloves, resistance (days-months on dry inanimate surfaces), the contamination of different clinical contact surfaces in dental settings, the ability of some strains to produce biofilm, and finally its estimated low infective dose. For better dental patient and healthcare personnel safety, we need evidence-based guidelines to improve education and training initiatives in surgery.

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Antibiotic prescription patterns in primary dental health care in Kosovo

Cited by 9 publications

References 18 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

<p>Inappropriate Dental Antibiotic Prescriptions: Potential Driver of the Antimicrobial Resistance in Albaha Region, Saudi Arabia</p>

Infection Control in Dentistry and Drug-Resistant Infectious Agents: A Burning Issue. Part 1

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