Endodontic treatment‐related antibiotic prescribing patterns of South African oral health professionals

Lalloo, Ratilal; Solanki, Geetesh; Ramphoma, K.J.; Myburgh, Niel G.

doi:10.1111/iej.12731

Cited by 8 publications

(8 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In this study, 75% of practitioners prescribed amoxicillin combined with clavulanic acid, while in Spain 5 it was the antibiotic most prescribed by dentists (61%). In South Africa 7 , amoxicillin is also the antibiotic of choice for endodontic infections.…”

Section: Discussionmentioning

confidence: 99%

“…1. Have a doctorate in dental surgery and be regularly enrolled in either A self-administered questionnaire based on models from previous studies [6][7][8][9][10] was used. It is presented in the form of a questionnaire and meets a number of criteria, such as the use of closed questions as much as possible, the use of a clear universal vocabulary, and the use of short, simple questions, without negation and developing only one idea.…”

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

Prescription of antibiotics during endodontic treatments: Survey of senegalese dentists

Diop,

Diene,

Sankoung

et al. 2024

IJCE

View full text Add to dashboard Cite

: Irrational antibiotic prescribing is a phenomenon common to several countries, including Senegal.The aim of this study was to assess the level of antibiotic prescribing among Senegalese dental surgeons during the management of pulpal and periapical pathologies. This descriptive, analytical, cross-sectional study involved 132 dentists regularly registered with the Senegalese Dental Surgeons' Association.Data were collected and analyzed using SPSS version 17.0 software (SPSS, Inc., Chicago, IL, USA).The results of X2 tests showed a statistically significant difference between the private and public sectors for the management of root resorption (P≤0.005).: In patients with penicillin allergy, clindamycin was the first-line treatment (31.1%), followed by metronidazole combined with spiramycin (25%) and azithromycin 500mg (22.7%).: As with previous studies carried out in other countries, this study shows that very few practitioners make appropriate use of antibiotics for pulpal and periapical pathologies.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Prescription of antibiotics during endodontic treatments: Survey of senegalese dentists

Diop,

Diene,

Sankoung

et al. 2024

IJCE

View full text Add to dashboard Cite

show abstract

“…The American Association of Endodontists (AAE) has recommended using amoxicillin with or without metronidazole for patients who do not have hypersensitivity to penicillin, and they recommend clindamycin for patients with hypersensitivity to penicillin ( 6 ). Most practitioners prescribe narrow-spectrum antibiotics to manage endodontic infections ( 5 , 7 , 8 ). However, in some countries, many dental practitioners have preferred broad-spectrum antibiotics instead of prescribing a narrow-spectrum antibiotic ( 9 , 10 ).…”

Section: Introductionmentioning

confidence: 99%

“…It has been reported that antibiotics have been prescribed for 10% of endodontic cases ( 7 ). Numerous investigations have focused on antibiotic prescription patterns in different regions of the world.…”

Section: Introductionmentioning

confidence: 99%

The Outcome of Prescribing Antibiotics for Management of Patients with Endodontic Infections

Parirokh¹

2023

Eur Endod J

View full text Add to dashboard Cite

Objective This study aimed to evaluate the efficacy and duration of antibiotic therapy with different regimens of antibiotics for patients presenting with primary and secondary endodontic infections. Methods In a case series outcome study, all patients needing antibiotics due to endodontic infection were included. In patients with no history of hypersensitivity to penicillin, amoxicillin was used as the first-line antibiotic, followed by adding metronidazole if the symptoms did not show signs of recovery during the first 24 hours after prescribing the medication. If a patient did not respond to the combination of amoxicillin and metronidazole, amoxicillin was substituted with a parental penicillin G procaine. Patients who had sensitivity to penicillin received clindamycin. In cases where drainage was possible, the effect of the procedure on the success rate of antibiotic therapy was evaluated. All patients were asked to continue taking the antibiotic for up to two days following the relief of symptoms. Data were analysed by Chi-square, Fisher exact test, Independent t-test, and One-way ANOVA. Results Over a period of 6 years, 97 patients were eligible to be included in this study. In patients with no history of sensitivity to penicillin (95.9% of the patients), 52.7% of patients on amoxicillin and 43% of patients on amoxicillin plus metronidazole overcame the endodontic infections. In addition, drainage significantly increased the success rate of antibiotic therapy when amoxicillin was prescribed (p=0.046). There were no significant differences between the gender, age, type of tooth, need for primary or secondary endodontic treatment, previous history of infection, need for drainage or duration of antibiotic consumption (p>0.05), and the success of antibiotic prescription. However, patients who received a single antibiotic (either amoxicillin or clindamycin) had significantly shorter average times for the recovery of symptoms (p<0.05). Conclusion Amoxicillin helped patients recover from endodontic infection symptoms in more than half of the cases. However, it is necessary to monitor the patients to understand if they should be needed further treatment, such as another antibiotic or drainage.

show abstract

“…This observation is not unique. While it might appear that dental practitioners are prescribing antibiotics judiciously in South Africa, according to Lalloo et al, there was no consensus amongst these practitioners on when and why to prescribe antibiotics for dental use (Lalloo et al 2017a ). The implications of these findings are that there could be inconsistencies in antibiotic prescription trends for dental use (Ncube et al 2017 ).…”

Section: Introductionmentioning

confidence: 99%

Public healthcare practitioners’ knowledge, attitudes and practices related to oral antibiotic prescriptions for dental use in Pietermaritzburg, KwaZulu-Natal

Ramnarain

Singh

2022

Health SA Gesondheid

View full text Add to dashboard Cite

Background: There is limited published evidence on health workers’ perspectives on trends in oral antibiotic prescription for dental conditions in the public health sector.Aim: This study set to determine healthcare practitioners’ knowledge, attitudes and practices related to oral antibiotic prescriptions for dental use.Setting: This included two public hospitals in Pietermaritzburg.Methods: This was a cross-sectional study using quantitative data. Purposive sampling was used to select medical and dental practitioners from Institution A and B (n = 122). A self-administered questionnaire was developed using open and close-ended questions. Data were collected and analysed using the Statistical Package for Social Sciences (IBM SPSS version 25R).Results: The response rate for the study was 72.1%. The majority of study participants (n = 72, 81.8%) indicated awareness of an antibiotic stewardship programme in their respective institutions. However, a significant number (n = 42; 47.7%) of participants were unsure of whether this programme was active. Most participants (n = 80, 90.9%) indicated the need for improving oral antibiotic prescription for dental conditions. Participants indicated prescription of antibiotics for orofacial swellings (n = 52; 59.0%) and dental pain related to irreversible pulpitis (n = 29; 32.9%), reversible pulpitis (n = 33; 37.5%) and dental fillings (n = 15; 17.0%). Antibiotics were also prescribed for pericoronitis (n = 58; 65.9%), periodontitis (n = 57; 64.7%) and impacted teeth (n = 21; 23.8%). All dental practitioners (n = 14) supported the need for antibiotic cover for pericoronitis and periodontitis.Conclusion: The results indicated inconsistencies in healthcare practitioners’ reported knowledge, attitudes and practices related to antibiotic prescription patterns.Contribution: This study highlights the need for clear evidence-based guidelines for antibiotic prescription for dental conditions.

show abstract

Endodontic treatment‐related antibiotic prescribing patterns of South African oral health professionals

Cited by 8 publications

References 13 publications

Prescription of antibiotics during endodontic treatments: Survey of senegalese dentists

Prescription of antibiotics during endodontic treatments: Survey of senegalese dentists

The Outcome of Prescribing Antibiotics for Management of Patients with Endodontic Infections

Public healthcare practitioners’ knowledge, attitudes and practices related to oral antibiotic prescriptions for dental use in Pietermaritzburg, KwaZulu-Natal

Contact Info

Product

Resources

About