Evaluation of unsuitable antibiotic usage of patients referring to Trakya University, faculty of dentistry with dental pain complaint

Abstract

Aim: Evaluation of the use of antibiotics before referral, the health center of the drug is prescribed and the necessity of the drug according to the indication set in our institution. Method: In 2019, 500 patients who reffered to Trakya University, Faculty of Dentistry with dental pain complaints were evaluated; the use of antibiotics before application, how the antibiotic was supplied, where the prescribed antibiotic was prescribed, the indication of the prescribing physician, the indication in our institution. Results: While the number of patients using antibiotics before application was found as 370 (74%), the number of patients not using was 130 (36%). Antibiotic procurement methods for patients using antibiotics before admission are as follows; use of medications prescribed in another dental clinic (188 patients -51%), prescribed in family health centers (168 patients -45%) and previously taken (14 patients -4%). Of the 158 patients who were prescribed antibiotics from the family health center, 98 (58%) were deemed necessary by the family physician, 51 (31%) were prescribed the drug prescribed by a dentist working in a private institution, and 9 (11%) were patient demand. It was found that antibiotics were prescribed as a result of his insistence. In our clinic, pre-treatment antibiotic prescription rate is 9% in patients who used antibiotics before application, and 8% in patients who did not use antibiotics before application. Conclusion:Antibiotic indication is very limited in patients with dental pain. In our country, antibiotics are frequently prescribed for dental pain due to unnecessary prescriptions, social indications. According to the results of our study, >90% of patients have used antibiotics unnecessarily. In order to protect both the individual and society from the negative effects of unnecessary and wrong antibiotic use, both dentists and medical doctors should be more careful about prescribing antibiotics.