Pattern of antibiotic prescription in the management of endodontic infections amongst Spanish oral surgeons

Segura-Egea, Juan José; Ortega, Eugenio Velasco; Torrés-Lagares, Daniel; Velasco-Ponferrada, M. C.; Monsalve‐Guil, Loreto; Llamas-Carreras, José María

doi:10.1111/j.1365-2591.2010.01691.x

Cited by 112 publications

(183 citation statements)

References 31 publications

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“…In another similar study among dentists in Hyderabad city , 92.1% of respondents identified same condition for antibiotic therapy [8]. In a study among members of the Spanish Oral Surgery Society, 95% of respondents prescribed antibiotics in similar case of a necrotic pulp, acute apical periodontitis, swelling and other moderate/severe symptoms [11].…”

Section: Resultsmentioning

confidence: 99%

“…Only 4% of the respondents were both MD and DDS. In relation to postgraduate formation, only 47% of the respondents had completed post-graduate training in oral surgery [11]. In given study 46.1% of respondents were post-graduate and 53.9% were PG students.…”

Section: Discussionmentioning

confidence: 99%

“…The majority of chronic or even acute dental infections can be successfully treated by eliminating the source of infection, pulp extirpation, drainage of abscess or tooth extraction without the need for antibiotics [19] Antibiotic prescribing may be associated with unfavorable side effects ranging from gastrointestinal disturbances to fatal anaphylactic shock and development of resistance [20].…”

Section: Resultsmentioning

confidence: 99%

“…The most commonly used antibiotic in dental practice, for patients without any medical allergy, was found to be amoxicillin followed by metronidazole and amoxicillin with clavulanate [9][10][11][12][13]. While in patients with allergy to penicillin, choice of drug were: clindamycin [11], macrolides followed by clindamycin [12] and erythromycin [8].…”

Section: Discussionmentioning

confidence: 99%

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Knowledge and Pattern of Antibiotic and Non Narcotic Analgesic Prescription for Pulpal and Periapical Pathologies- A Survey Among Dentists

Mavuluri

Karunakar

Vishwanath

et al. 2014

JCDR

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Aim:The objective was to assess the knowledge and pattern of antibiotic and non narcotic analgesic prescription for pulpal and periapical pathologies among dentists, registered with IDA, in and around Hyderabad. Materials and Methods:Cross-sectional survey was conducted from January 2014 to February 2014 in and around Hyderabad, Andhra Pradesh, India. A questionnaire for this cross-sectional survey was designed for evaluating the knowledge and patterns of antibiotic and non narcotic analgesic prescription for pulpal and periapical pathologies. It included some demographic information, questions regarding clinical and non clinical factors, type of antibiotics and non narcotics analgesics prescribed were recorded. Data was computed and analysed using SPSS software. Descriptive statistics was performed. Results:The response rate for the study was 85%, 51.4% being males and 53.9% were pursuing post graduation. Of the respondents, 44.3% would prescribe medication with elevated body temperatures and evidence of systemic involvement, while 42.8% would prescribe medication for non clinical factors such as unsure of diagnosis. Necrotic pulp with acute apical periodontitis with swelling present and mod/severe preoperative symptoms was the most common condition identified for antibiotic therapy (56.4%). The first antibiotic of choice in patients with no medical allergies is amoxicillin, followed by amoxicillin and metronidazole. The first antibiotic of choice in case of allergic to penicillin was erythromycin. 55.1% and 37.3% would not prescribe antibiotic and analgesic after Root canal treatment respectively. The most commonly prescribed NSAID is Diclofenac (51.1%). Factors influencing the choice of analgesics among respondents is severity of pain (61.4%). 31.7% remained informed of current prophylactic practices through pharmaceutical companies followed by university training sessions and scientific societies (30.7%). Conclusion:The results of the present survey have demonstrated a lack of uniformity among the dental practitioners. All the clinicians should make themselves aware of the current guidelines available, to ensure highest degree of patient care.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Knowledge and Pattern of Antibiotic and Non Narcotic Analgesic Prescription for Pulpal and Periapical Pathologies- A Survey Among Dentists

Mavuluri

Karunakar

Vishwanath

et al. 2014

JCDR

View full text Add to dashboard Cite

show abstract

“…A combinations of penicillin and clavulanic acid can be preferred for infections caused by staphylococcus, streptococci and pneumococci. Patients allergic to penicillin are treated with clindamycin 300 mg (65%) which is the ideal drug of choice and followed by azithromycin(15%) and metronidazole-spiramycin(13%) [10] . The first generation cephalosporins like cephadroxil, cephadrine provide a broad spectrum antibiotic when gram positive organisms are suspected to be the causative factor of the infection.…”

Section: Antibiotics For Odontogenic Infectionsmentioning

confidence: 99%