Antibiotic prophylaxis in oral healthcare – the agreement between Swedish recommendations and evidence

Antibiotic prophylaxis prescribing practices of dentists in Singapore

“…While dentists exhibited high levels of confidence in their decisions, this was not correlated with the accuracy of their prescribing practices. This observation is comparable with that of other reported studies 15,[18][19][20] . In addition, our study did not find that dental specialists had a higher level of accuracy of prescriptions compared with generalists.…”

“…The applicability of the revised recommendations for antibiotic prophylaxis has previously been evaluated and reported in Canada, Europe, the USA and the UK. Surveys on antibiotic prophylaxis administrations in the UK prior to the NICE 2008 guidelines demonstrated that there were wide variations in administration strategies of antibiotic prophylaxis among general dental practitioners, even when recommendations were clearly defined. Several studies carried out on the AHA guidelines also revealed that dentists had inadequate knowledge and compliance with previous versions of AHA guidelines; many practitioners often relied on prescribing practices of their fellow practitioners rather than prescribing based on their own understanding of the guidelines.…”

Antibiotics prescribing practices in oral implantology among jordanian dentists. A cross sectional, observational study

“…The clinician decision to prescribe an antibiotic or not for a certain procedure is usually based on several factors, some factors are procedure related; the type, site, complications, sterility and duration of the procedure [21,22], patient related; dental and medical history, drug allergies and cost [21,22] and clinician related; the clinician knowledge, experience, education and working environment [22,23]. Regulating bodies had worked on guidelines of antibiotics prescribing for several surgical and medical interventions [24-30], the guidelines aid practitioners to prescribe antibiotics only when indicated and in choosing the most effective antibiotic type and dose, thus help reducing the chances of infection and the harm of antibiotics over prescribing [31,32]. …”

Awareness among the Dental students and Dental Interns of Kantipur Dental College and Hospital regarding Antibiotics Prophylaxis for Infective Endocarditis

“…16 Ellervall et all in Sweden did the systematic review of the literature and concluded that there is lack of evidence to support that antibiotics prophylaxis is required in patients requiring dental treatment with cardiac conditions to prevent further complications. 17 AHA is recognized worldwide as major Authority and their recommendations are followed internationally and Nepal cannot be exceptional. Huei Jinn et al conducted a research in Singapore to find out the antibiotic prophylaxis prescription practice among Dental Practitioners of Singapore where there was no prior data available regarding the number of practitioners who prescribed prophylaxis, Among 458 dentists who took part in the study they found out that majority of them (39.8%) followed AHA guidelines and 30.2% followed cardiologist advice.…”

“…32 The structured questions were designed after thoroughly going through literatures and different articles. 1,2,17,18,20,24 In the first section we tried to assess the knowledge of the participants regarding the cardiac conditions that requires antibiotic prophylaxis, the second section was to assess the knowledge of participants regarding the dental procedures that require antibiotics prophylaxis. 33 Working in clinical practice and defending the scientific evidence is different, Clinicians who are into clinical practice find difficult at many instances to defend the scientific evidences, patients awareness and attitude does matter in many circumstances especially for Clinician practicing at developing Nations.…”