Current prescribing Practices for Antibiotic Prophylaxis: A Survey of Dental Practitioners

Spittle, Leah S; Muzzin, Kathleen B.; Campbell, Phillip M.; DeWald, Janice P.; Rivera‐Hidalgo, Francisco

doi:10.5005/jp-journals-10024-2084

Cited by 17 publications

(6 citation statements)

References 25 publications

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“…The wide range of regimens prescribed by dentists confirmed that the standard current prophylactic antibiotic regimen has not been widely accepted. Such diversity has been also found in other studies ( 18 , 19 , 21 , 24 , 25 ). During this research, we encountered many inconsistencies in our country.…”

Section: Discussionsupporting

confidence: 87%

Dentists’ practice and compliance with current guidelines of infective endocarditis prophylaxis- National survey study

Šutej¹,

Par²,

Lepur³

et al. 2021

J Clin Exp Dent

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Background The objective of this study was to assess the attitude, practice, and knowledge of Croatian dentists regarding infective endocarditis (IE) prophylaxis. Material and Methods A cross-sectional, self-reporting questionnaire survey was conducted with the participation of 348 Croatian dentists. The questionnaire was designed to collect information on participants’ work experience, place of work, their attitudes related to the treatment of IE-risk patients, knowledge and adherence to IE antibiotic prophylaxis guidelines. Results Knowledge and adherence to the current guidelines decreased with the higher years of experience. Compliance with the current guidelines varied, mostly because of respondents’ insecurity regarding which guidelines to follow. AHA guidelines have been most frequently the first choice (25% participants). Surprisingly, 23% of dentists didn’t follow any of the official guidelines. The majority of participants (68%) have declared a lack of preparedness or willingness to treat the patients at risk of IE. Dentists with specialty or working at university/hospital have shown a higher level of knowledge and preparedness to treat IE-risk patients. Conclusions The lack of knowledge of guidelines and consequent inconsistencies in IE antibiotic prophylaxis in Croatian dental practice indicates the need for urgent improvement. Key words: Antibiotic prophylaxis, dentistry, infective endocarditis.

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Section: Discussionsupporting

confidence: 87%

Dentists’ practice and compliance with current guidelines of infective endocarditis prophylaxis- National survey study

Šutej¹,

Par²,

Lepur³

et al. 2021

J Clin Exp Dent

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show abstract

“…Similar results were found in studies conducted in France (2018) 15 and the United States (2017) 18 regarding the percentage of antibiotic prescription for the prevention of IE before oral/dental procedures in moderate-risk heart disease patients (87.5% and 50.0%, respectively). This was observed, even though in the clinical guidelines of these countries, prophylaxis for patients at moderate risk for the disease has not been recommended since 2009 and 2007, respectively.…”

Section: Discussionsupporting

confidence: 87%

“…13,14 International studies have identified a partial implementation of the new guidelines on IE among prescribers, in addition to heterogeneous knowledge about risk factors, adverse drug events, appropriate antibiotic regimens, and the impact of daily routine habits on the occurrence of the disease. [15][16][17][18][19][20] Brazilian professionals are advised by national guidelines, but they are also based on international documents in their clinical practice. Therefore, this study aims to evaluate the prescription pattern of cardiologists and dentists regarding antibiotic prophylaxis for IE before risky dental procedures, besides describing the characteristics of the professionals interviewed and exploring potential factors associated with the prescription pattern found.…”

mentioning

confidence: 99%

Evaluation of Antibiotic Prophylaxis Prescriptions for Infectious Endocarditis Before Oral Procedures Between Cardiologists and Dentists

Brandão,

Latado,

Oliveira

et al. 2023

International Journal of Cardiovascular Sciences

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Infective endocarditis (IE), despite its low incidence, is a serious disease, with hospital mortality of 15-20%, reaching up to 40% per year. 1 For almost 70 years, several international guidelines have recommended antibiotic use to prevent IE in patients considered at risk, before procedures capable of generating bacteremia. [2][3][4][5] At the beginning of the 20th century, oral cavity was recognized as an important and frequent entry point for bacteremia. 1,2,6 Subsequently, antibiotic usage was shown to reduce the incidence of bacteremia after dental extraction, which supported the recommendation for the use of antibiotic prophylaxis before risky oral/dental procedures to prevent IE in patients with risky cardiac conditions. 6 Recently, however, many specialty societies began to question the effectiveness of this approach, due to

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“…However, this was not our goal since we wanted only to assess DPs’ evidence-based practices related to prescription of AP. Third, it is well known that a desirable response rate must be higher than 60%; we believe that our response rate (52.6%) is satisfactory considering that DPs are a group with very low survey response rates [ 38 , 39 , 40 , 41 ] and that our response rate was similar to or higher than the 27.2–32% reported in analogous surveys [ 18 , 42 , 43 , 44 ].…”

Section: Discussionmentioning

confidence: 50%

Appropriateness of Antibiotic Prescription for Prophylactic Purposes among Italian Dental Practitioners: Results from a Cross-Sectional Study

et al. 2021

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The primary objective of this study was to investigate the pattern of antibiotic prescription for prophylaxis purposes among Italian DPs (dental practitioners). A nationwide cross-sectional study was conducted using a multi-stage sampling design. A structured questionnaire was used to collect socio-demographic data and information about antibiotic prophylaxis (AP) prescriptions for selected dental diagnoses and surgical procedures. The presence of an indication and appropriateness of AP were defined according to international guidelines. In total, 563 DPs answered the questionnaire (response rate 52.6%). The proportions of DPs who prescribed AP in the presence of an indication ranged from 39.1% for luxation injury with soft tissue trauma to 73.1% for dental implants, whilst DPs who prescribed AP in healthy patients ranged from 41.9% in luxation injury with soft tissue trauma to 70.3% for bone grafting. The course of AP reported by DPs was not consistent with the guidelines in 70.9% of explored procedures. A high proportion of AP prescriptions before dental procedures were unnecessary. This highlights the urgent need to incorporate recommendations for best practices into national and local protocols as soon as they are established. Specific antibiotic stewardship strategies targeted to DPs should be implemented and assessed for effectiveness in improving prescribing of antibiotics.

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Current prescribing Practices for Antibiotic Prophylaxis: A Survey of Dental Practitioners

Cited by 17 publications

References 25 publications

Dentists’ practice and compliance with current guidelines of infective endocarditis prophylaxis- National survey study

Dentists’ practice and compliance with current guidelines of infective endocarditis prophylaxis- National survey study

Evaluation of Antibiotic Prophylaxis Prescriptions for Infectious Endocarditis Before Oral Procedures Between Cardiologists and Dentists

Appropriateness of Antibiotic Prescription for Prophylactic Purposes among Italian Dental Practitioners: Results from a Cross-Sectional Study

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