The Pattern of Antibiotic Prescribing by Dental Practitioners in Zagreb, Croatia

Perić, Marina; Perković, Ivana; Romić, Martina; Simeon, Paris; Matijević, Jurica; Mehičić, Goranka Prpić; Krmek, Silvana Jukić

doi:10.21101/cejph.a3981

Cited by 47 publications

(24 citation statements)

References 28 publications

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“…If there had not been any improvement in the following two days, additional metronidazole would have been administered. Our results are comparable to those of Perić et al ( 19 ) on the use of antibiotics in Zagreb in 2015, according to which the use of penicillin antibiotics was observed in the treatment of dental diseases in 72.5% of cases, in 57.6% of which penicillins were combined with clavulanic acid.…”

Section: Discussionsupporting

confidence: 89%

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Antibiotic Administration Along with Endodontic Therapy in the Republic of Croatia: a Pilot Study

Sović

Šegović

Tomašić

et al. 2020

Acta Stomatol Croat

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Objective To evaluate the type and the frequency of antibiotic prescribing along with endodontic therapy in Croatia. The aim is, also, to assess the attitudes of Croatian doctors towards endodontic treatment of patients at risk of developing bacterial endocarditis. Material and methods Data were collected by a survey questionnaire. Results 8.4% of the examined practitioners stated that they prescribe antibiotics often, and 91.6% of them stated that they prescribed them never/ very rarely/rarely. Most of them (41%) prescribe antibiotics once or twice a month, 32.5% once or twice in several months and 20.5% once or twice a week. The most commonly used antibiotic was penicillin with clavulanic acid. Also, 26.2% of examined practitioners prescribed antibiotics for gangrene pulp, 51.2% of them for localized acute apical periodontitis without swelling, 85% of them for cellulitis, 75% of them for fever and enlarged lymph nodes, 16.9% of them for tooth with fistula and 94.1% of them for prophylaxis of infectious endocarditis. According to the results of study, 54.4% of dental practitioners did not prescribe antibiotics without intervention on susceptible tooth; 76% of participants often/almost always/ always accepted endodontic treatment of patients requiring antibiotic prophylaxis to prevent infectious endocarditis, and 96.7% of participants indicated they were familiar with recent instructions for antibiotic prophylaxis. Conclusion These findings point to inappropriate use of antibiotics in the practice of 83 dental practitioners questioned regarding the frequency of administration and indications. The most commonly used antibiotic was penicillin with clavulanic acid. A high percentage of surveyed practitioners stated that they were familiar with recent instructions for antibiotic prophylaxis. They also stated that they performed endodontic procedures on patients who were at risk of bacterial endocarditis. There is a noticeable need for targeted continuing education of dental practitioners in the Republic of Croatia.

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Section: Discussionsupporting

confidence: 89%

“…In other studies ( 25 , 26 , 29 , 30 , 32 ) amoxicillin was the first antibiotic of choice in the treatment of endodontic infections, while clindamycin was the first drug of choice for patients with allergy ( 19 , 25 , 26 , 32 ). Besides, erythromycin was ( 29 ) used.…”

Section: Discussionmentioning

confidence: 99%

Antibiotic Administration Along with Endodontic Therapy in the Republic of Croatia: a Pilot Study

Sović

Šegović

Tomašić

et al. 2020

Acta Stomatol Croat

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“…However, different surveys have shown that Spanish ( 9 , 10 ), European ( 11 - 13 ) and also worldwide ( 14 ), dentists follow inadequate prescribing patterns of systemic antibiotics in the treatment of endodontic infections. In the recently published study by Martín-Jiménez et al ( 15 ) analysing dental students’ knowledge regarding the indications for antibiotics in the management of endodontic infections, has shown that nearly 50% of the students of the last year of the degree of dentistry would apply inappropriate antibiotic guidelines in the treatment of endodontic infections.…”

Section: Introductionmentioning

confidence: 99%

Use of antibiotics by spanish dentists receiving postgraduate training in endodontics

et al. 2018

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BackgroundThe incidence of endodontic infections is high. The contribution of Endodontics to the global problem of antibiotic resistance could be significant. The ESE, together with the World Health Organization, are promoting the World Antibiotic Awareness Week (13-19 November 2017) to promote the appropriate use of systemic antibiotics in Endodontics. The objective of this study was to determine the prescription pattern of antibiotics in the treatment of endodontic infections of Spanish dentists attending specialization programs in Endodontics.Material and MethodsDentists from five Spanish endodontic postgraduate programs were requested to answer a one-page questionnaire surveying about antibiotics indications. Seventy-three dentists were required to participate in this investigation, and 67 (91.2%) fulfilled satisfactorily the survey and were included in the study. Data were analyzed using descriptive statistics and chi square test.ResultsThe average duration of antibiotic therapy was 6.8±1.2 days. All respondents chose amoxicillin as first choice antibiotic in patients with no medical allergies, alone (40%) or associated to clavulanic acid (60%). The first drug of choice for penicillin allergic patients was clindamycin (72%). For cases of irreversible pulpitis, 22% of respondents prescribed antibiotics. For the scenario of a necrotic pulp, symptomatic apical periodontitis and no swelling, 37% prescribed antibiotics. A quarter of dentists prescribed antibiotics for necrotic pulps with asymptomatic apical periodontitis and a sinus tract.ConclusionsThe results of this study show that postgraduate training in Endodontics provides greater awareness of the correct indications of antibiotics. Dentists who have received specialized training in Endodontics have a prescription pattern of antibiotics more adjusted to the guidelines recommended by international organizations and by scientific societies. Key words:Antibiotics, apical periodontitis, dental curriculum, endodontic infections, postgraduate endodontic training.

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“…Amoxicillin/clavulanate was the most frequently prescribed antibiotic in our study, which is similar to a study of antibiotic prescribing in dental practice in Belgium 6 and a study conducted in Croatia that showed 60.0% of doctors prescribed amoxicillin/clavulanic acid. 7 Furthermore, a study of therapeutic antibiotic prescribing in National Health Service general dental practice in England revealed that the most frequently prescribed antibiotic was amoxicillin. 8 In Scotland, it was recorded that 17 types of antibiotics were prescribed by general dental practitioners, in which amoxicillin accounted for 1743 prescriptions and amoxycillin, metronidazole, and penicillin V accounting for almost 90% of the prescriptions.…”

Section: Discussionmentioning

confidence: 99%

Drug Prescribing Practices in Dental Care Patients at a Dental and Maxillofacial Surgery Clinic in Oman

2020

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Objectives: We sought to assess medications prescribed to patients attending the Dental and Maxillofacial Surgery (DMS) clinic at Sultan Qaboos University Hospital (SQUH), Oman. Methods: This was a retrospective cross-sectional study covering a six-month period from January to June 2018 including a sample of patients attending the DMS clinic. Drug utilization data like drug name, type, administration route, dosage frequency, and anatomical and therapeutic class were assessed. Results: The study included 400 patients, of which 190 (47.5%) were males and 210 (52.5%) were females. A total of 88 different drugs were prescribed. Only 140 (35.0%) patients were prescribed drugs for their dental conditions or other comorbidities per visit, and the rest 260 (65.0%) were not prescribed any drugs. The dentists prescribed drugs only in 116 (29.0%) patients. The most common diagnosis was dental caries (n = 177, 44.3%) followed by chronic gingivitis (n = 15, 3.8%). The most common comorbidities in patients were anemia (n = 45, 11.3%) and diabetes (n = 21, 5.3%). The most common drugs prescribed were chlorhexidine mouthwash (n = 43, 37.1%) and paracetamol (n = 36, 31.0%) followed by ibuprofen (n = 10, 8.6%) and amoxicillin/clavulanate (n = 5, 4.3%). Conclusions: Drugs prescribing pattern was within the international norms. Sixty-five percent of the patients were not prescribed any drug by the dentist. Oral antiseptics, analgesics, and antibiotics were the most common drugs prescribed by dentists.

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The Pattern of Antibiotic Prescribing by Dental Practitioners in Zagreb, Croatia

Cited by 47 publications

References 28 publications

Antibiotic Administration Along with Endodontic Therapy in the Republic of Croatia: a Pilot Study

Antibiotic Administration Along with Endodontic Therapy in the Republic of Croatia: a Pilot Study

Use of antibiotics by spanish dentists receiving postgraduate training in endodontics

Drug Prescribing Practices in Dental Care Patients at a Dental and Maxillofacial Surgery Clinic in Oman

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