Trends of prescribing antibiotics in various dental diseases at different private clinical setups of Sialkot, Pakistan.

Abstract

Objectives: Antibiotics widely used now a day in dental practice for treatment of acute odontogenic, non-odontogenic infections and as a prophylactic purpose for focal infections in patients at possibility for infective endocarditis development as well as prevention of surgical infection of wound and controlling of orofacial infections. Studies of prescribing trends provide information about the quality & pattern of use causes of drug use, and their outcomes. The main objective of this study was to assist trends and the rational utilization of antibiotics in dental practice. Study Design: Descriptive study. Settings: The current study was conducted among the different private dental clinical settings of Sialkot. Period: Eight months study (Jan-Aug 2018). Material and Methods: Sample size was 700 prescriptions which were gathered during. A purposive sampling was used for collection of prescription. A proforma was used for recording all required demographic & prescribing data was designed to collect all information associated to antibiotic prescribing trend. The data was collected, compiled, & analysed on MS Excel and descriptive statistics was used for analysing the result of the study. Results: A total of 700 prescriptions were collected from various Dental clinics. Among the study, 58.7% patients were male and 41.3 % females and more frequent age group was 51-68 (37%). Mostly patients have pervious medication history (38.8%) and most common diagnosis was periodontal abscess (16.6%) observed during our study followed by pulpitis (15.9%). The trend observed was that majority 35.3% would prescribe antibiotics for patients who presented with elevated body temperature. Commonly 5 drugs per prescription prescribed (26.7%) least numbers of drugs prescribed per prescription is 2(5.9%). Total 3445 drugs were prescribed in 700 prescriptions. Analgesics are frequently prescribed drug category (22.3%) followed by antibiotics (21.8%) Amoxicillin and clavulanic acid was mostly used (31.9%) in these dental centres. Conclusion: This study show that most prevalent dental disease for which doctors prescribed antibacterial was periapical or periodontal abscess and Amoxicillin and clavulanic acid used as a 1st choice for oral infections.

Study to Assess the Drug Consumption and Rationality in the Prescription of Outpatients Undergoing Periodontal Treatment

“…Ravichandran et al 17 , Kaul et al 18 and Suhaib et al 19 Agossa et al 20 26 documented that the most commonly prescribed antibiotic was Amoxicillin. However, according to Aly et al 27 Deniz-Sungur et al 28 Javed et al 29 and Shrestha et al 30 , the most often prescribed antibiotic was amoxicillin & clavulanic acid combination. Smith et al 31 found that amoxicillin was among the top antibiotics administered by dentists in England and Scotland.…”

Prescriptions Audit for Antibiotics among Outpatients in the Department of Periodontics

“…But the overuse and misuse lead to antibiotic resistance, which makes it more difficult for the public health care system to treat people. [10] About 10% of antibiotics are prescribed by dentists [9]. Antibiotic overuse by dentists has been extensively documented in the number of nations [9].…”