Antibiotic prophylaxis for dental procedures

Daly, Christopher

doi:10.18773/austprescr.2017.054

Cited by 41 publications

(29 citation statements)

References 40 publications

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“…It has also been shown that more than 80% of dental prophylactic antibiotic prescriptions in the United States were unnecessary (Suda et al 2019). In addition, prophylaxis for joint prosthesis is not recommended in Australia, Canada, UK and New Zealand (Daly 2017). Guidelines emphasize the individual basis of prophylaxis after consultation with the patients and/or their medical doctors.…”

Section: Discussionmentioning

confidence: 99%

The prescribing of antibiotics for endodontic infections by dentists in Turkey: a comprehensive survey

et al. 2020

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Aim To investigate the antibiotic prescribing patterns for endodontic infections based on the reports of Turkish dentists. Methodology A survey consisting of 20 questions on general information and 13 questions on antibiotic prescribing patterns for endodontic cases was delivered to the e‐mail addresses of general dentists and specialists via the database of the Turkish Dental Association. Collected data were analysed using Mc‐Nemar‐Bowker Test and multivariate ordinal logistic regression tests at the significance level of 0.05. Results A total of 1007 responses were obtained from 17 827 dentists. The majority of the participants were general dental practitioners (GDP, 80%) whilst 8% were Endodontists. Gender, clinical experience, affiliations and speciality were significant risk factors for antibiotic prescription (P < 0.05). GDPs prescribed antibiotics twice as much as all specialists and members of public hospitals prescribed antibiotics three times more than specialists and clinical academics (P < 0.05). Amoxicillin with clavulanic acid was the most prescribed antibiotic (90%), followed by Ornidazole (25%). Clindamycin was the drug of choice for the patients with penicillin allergy (59%). Infection and fever control (76%), prophylaxis (44%) and avoiding swelling and trismus during endodontic treatment (26%) were the most common reasons for antibiotic prescriptions. Completing a course of prescribed antibiotics was recommended by most (75%). Infective endocarditis, immunosuppression, artificial heart valve and mitral valve prolapse were the main causes of prophylaxis in descending order. Uncontrolled and extensive use of antibiotics by patients (62%) was mentioned as the most effective reason for antibiotic resistance. Up to 10% of participants prescribed antibiotics for symptomatic irreversible pulpitis, asymptomatic apical periodontitis with or without endodontic treatment (8, 12 and 11%, respectively). Up to 20% of dentists prescribed antibiotics for symptomatic apical periodontitis when the pulp was vital or necrotic (13 and 23%, respectively). Almost one third of the participants prescribed antibiotics for symptomatic apical periodontitis of previously treated teeth with or without radiographic lesions whilst 34% prescribed antibiotics for acute apical abscess with localized swelling without systemic involvement. Conclusions The majority of dentists reported they prescribed antibiotics inappropriately. It is necessary to improve the knowledge of dentists about antibiotics and their indications in endodontics.

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Section: Discussionmentioning

confidence: 99%

The prescribing of antibiotics for endodontic infections by dentists in Turkey: a comprehensive survey

et al. 2020

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“…However, there are exceptions, including intracameral use for ophthalmic procedures, 3,19 oral antibiotics for transurethral resections of the prostate 3 and surgical terminations of pregnancy, 3,20 and oral amoxicillin before certain dental procedures for endocarditis prophylaxis. 3,12,21 Within the acute setting, the 2016 Surgical National Antimicrobial Prescribing Survey identified intravenous administration as the most common route for procedural (94.2%) and post-procedural antimicrobials (64.5%). Oral administration accounted for 20.4% of post-procedural antimicrobials, however only 18.4% of oral administrations were deemed appropriate.…”

Section: Right Route Of Administrationmentioning

confidence: 99%

Surgical antimicrobial prophylaxis

Ierano¹,

Nankervis²,

James³

et al. 2017

Aust Prescr

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“…The majority of the GD (59.3%) and OMFS (76.5%) groups opted to prescribe antibiotics for these patients. Late infections of joint replacements are primarily associated with skin commensal staphylococci and β-hemolytic streptococci; these microorganisms are rarely isolated from dentally related bacteremia, as they do not form part of the normal oral flora [ 20 , 40 ]. The relatively high numbers of GDs and OMFSs wanting to prescribe here may reflect ignorance of the current guidelines (which advise against prescribing in this situation) or advice from overly cautious orthopedic surgeons.…”

Section: Discussionmentioning

confidence: 99%

Discrepancy in Therapeutic and Prophylactic Antibiotic Prescribing in General Dentists and Maxillofacial Specialists in Australia

2020

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There are concerns that general dentists (GDs) and dental specialists may be prescribing antibiotics inappropriately. This study explored the prescribing habits and decision-making processes of GDs versus oral and maxillofacial surgeons (OMFSs). A case-based online questionnaire was used to examine the prescribing of therapeutic and prophylactic antibiotics in two clinical scenarios. Stratified and systematic sampling strategies were implemented to provide a representative sample. The final valid sample was 60 GDs and 18 OMFSs. The majority of OMFSs (61.1%) routinely prescribed antibiotics for the surgical removal of third molars, which was significantly greater than for GDs (23.5%). For implant placement procedures, 72.2% of OMFSs and 62.1% of GDs prescribed antibiotics. Amoxicillin was the most selected agent for both scenarios. All OMFSs would prescribe antibiotic prophylaxis for patients with uncontrolled diabetes mellitus in both cases, but only 56.0–63.0% of GDs would do this. GDs based prescribing decisions primarily on information from prescribing guides, while OMFSs relied more on information gained from specialist training. Surgical prophylaxis protocols differed considerably between groups. Both groups used surgical prophylaxis for some situations that are outside current recommendations. Education with regards to discrepancies between clinical practice and current guidelines for antimicrobial therapy is needed to progress antimicrobial stewardship.

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Antibiotic prophylaxis for dental procedures

Cited by 41 publications

References 40 publications

The prescribing of antibiotics for endodontic infections by dentists in Turkey: a comprehensive survey

The prescribing of antibiotics for endodontic infections by dentists in Turkey: a comprehensive survey

Surgical antimicrobial prophylaxis

Discrepancy in Therapeutic and Prophylactic Antibiotic Prescribing in General Dentists and Maxillofacial Specialists in Australia

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