Antibiotic prescriptions in pediatric dentistry: A review

Goel, Dhirja; Goel, Gaurav; Chaudhary, Seema; Jain, Deshraj

doi:10.4103/jfmpc.jfmpc_1097_19

Cited by 23 publications

(32 citation statements)

References 38 publications

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“…Antibiotics have been widely used in children and adults since Alexander Fleming discovered penicillin in 1928 and Howard Walter Florey began using it clinically in 1941. Dentists routinely prescribe antibiotics for therapeutic or prophylactic reasons for the management of oral and dental infections [ 1 , 2 ].…”

Section: Introductionmentioning

confidence: 99%

The prescription pattern and awareness about antibiotic prophylaxis and resistance among a group of Egyptian pediatric and general dentists: a cross sectional study

Aly

Elchaghaby

2021

BMC Oral Health

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Background The use of antibiotics in dentistry as prophylaxis and treatment is frequent. Their misuse has led to a major public health problem globally known as antibiotic resistance. This study aimed to assess the pattern of antibiotic prescription and its prophylactic use for systemic conditions. Besides, this study evaluated the awareness and adherence to antibiotic prescription guidelines and antibiotic prophylaxis guidelines along with awareness of antibiotic resistance across pediatric and general dentists. Methods An overall of 378 pediatric and general dentists meeting the required eligibility criteria, fulfilled a pre-designed validated questionnaire. Data were collected, tabulated, and statistically analyzed. Results A significant statistical difference was found among the pediatric and general dentists regarding antibiotics prescription for most of the oral conditions where Amoxicillin with clavulanic acid was the most frequently prescribed antibiotic among the two groups (53% pediatric dentist and 52% general dentist). The majority of pediatric and general dentists, on the other hand, were aware of antibiotic resistance and prescribing recommendations. Conclusions The present study showed a tendency to overprescribe and overuse antibiotics in certain dental conditions among the participants. The vast majority of dentists, especially general dentists do not have adherence to professional guidelines for antibiotics prescription in children despite their awareness of antibiotic resistance and prescription guidelines.

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Section: Introductionmentioning

confidence: 99%

The prescription pattern and awareness about antibiotic prophylaxis and resistance among a group of Egyptian pediatric and general dentists: a cross sectional study

Aly

Elchaghaby

2021

BMC Oral Health

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“…51 Therefore, the rationale use of these antibiotics becomes crucial, as well as the consideration of shorter prescription cycles of 3-5 days according to the clinical situation and the antibiotic, as it has been discussed by different authors. 19,26,[52][53][54][55] Errors detected at high percentages included the use of antibiotics in simple extraction procedures (33.3 percent) and implant placement (41.6 percent), which were probably associated with ignorance and up-to-date information. Recent studies show that antibiotic prescription is not necessary in healthy patients as long as strict aseptic and antiseptic management is performed.…”

Section: Discussionmentioning

confidence: 99%

Prescribing antibiotics by dentists in Colombia: Toward a conscientious prescription

Angarita-Díaz

Cepeda

Rodriguez‐Paz

et al. 2020

J Public Health Dent

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Objectives: Inappropriate prescription of antibiotics contributes to antibiotic resistance. Therefore, the objective of this study was to determine the awareness, attitudes, and intention to practice of dentists prescribing antibiotics in Colombia in order to design a virtual learning environment on this subject. Methods: In a descriptive study across seven cities, 700 dentists from different Colombian cities were requested to complete a validated questionnaire containing five sections: general information, awareness on antibiotic effectiveness and antibiotic resistance, attitudes regarding prescription decision, intention to practice concerning clinical cases, and complementary information. The level of awareness, attitudes, and intention to practice was determined and Chi-square test was used to determine the existence of significant differences among cities. Results: The majority of dentists showed a medium level regarding the number of correct answers on awareness (62.4 percent) and attitudes (88.7 percent) and a high level on intention to practice (91.7 percent). Common errors within the awareness section included the meaning of the term "antibiotic resistance" (35 percent) and most dentists were not convinced that such resistance could be derived from prescription of antibiotics (51.2 percent). In the attitudes section, only 45 percent declared that they prescribe antibiotics based mainly on symptoms, and the intention to practice section showed a significant percentage of unnecessary prescription (51 percent for pacemaker users) or absence of prescription (53.9 percent for ventricular septal defect) in antibiotic prophylaxis for infectious endocarditis (IE). Conclusion:The dentists interviewed should be trained and made aware of antibiotic resistance, microbiological and clinical foundations, and current antibiotic prophylaxis guidelines.

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“…Multiple factors have to be taken into consideration when prescribing antibiotics, such as: the host's (patient's) immune defence mechanisms, the severity and the localisation of the infection, as well as the incriminated type of pathogen [3,4].…”

Section: Background Antimicrobial Substancesmentioning

confidence: 99%

“…Due to the fact that the dental pulp has a terminal type of blood circulation, in case of an infection the inflammation and the immunity are compromised, thus making the root canal a unique bacterial environment [3,4,6].…”

Section: Background Antimicrobial Substancesmentioning

confidence: 99%

Untitled

2021

Ro J Stomatol.

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The oral pathologies in paediatric patients frequently require the recommendation of adjuvant medication. A lack of knowledge regarding well-defined prescription protocols has been observed in every day practice. The aim of this study was to revise and update the prescription of antibiotics according to the latest guidelines. We performed electronic research of selected databases: PubMed, Google Scholar, AAPD, from 2010-2020 in order to identify the most frequent antibiotics used in paediatric dentistry. The antibiotic resistance of bacteria, as well as the side effects that follow the prescription of antibiotics are reported to be in a continuous growth as a result of inadequate use. Prescription of medication, especially antibiotics in paediatric dentistry, must analyze both short and long-term side-effects.

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Antibiotic prescriptions in pediatric dentistry: A review

Cited by 23 publications

References 38 publications

The prescription pattern and awareness about antibiotic prophylaxis and resistance among a group of Egyptian pediatric and general dentists: a cross sectional study

The prescription pattern and awareness about antibiotic prophylaxis and resistance among a group of Egyptian pediatric and general dentists: a cross sectional study

Prescribing antibiotics by dentists in Colombia: Toward a conscientious prescription

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