Journal Article10.1111/J.1365-2591.2009.01642.X
Antibiotic prescribing in dental practice in Belgium.
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TL;DR: Discrepancies between observed and recommended practice support the need for educational initiatives to promote rational use of antibiotics in dentistry in Belgium.
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Abstract: Mainjot A, D’Hoore W, Vanheusden A, Van Nieuwen-huysen J-P. Antibiotic prescribing in dental practice inBelgium. International Endodontic Journal, 42, 1112–1117, 2009. Aim To assess the types and frequency of antibioticprescriptions by Belgian dentists, the indications forantibiotic prescription, and dentists’ knowledge aboutrecommended practice in antibiotic use.Methodology In this cross-sectional survey, dentalpractitioners were asked to record information about allantibiotics prescribed to their patients during a 2-weekperiod. The dental practitioners were also asked tocomplete a self-administered questionnaire regardingdemographic data, prescribing practices, and knowl-edge about antibiotic use. A random sample of 268Belgian dentists participated in the survey.Results During the 2-week period, 24 421 patientencounters were recorded; 1033 patients were pre-scribed an antibiotic (4.2%). The median number ofprescriptions per dentist for the 2 weeks was 3. Broadspectrum antibiotics were most commonly prescribed:82% of all prescriptions were for amoxycillin, amoxy-cillin-clavulanic acid and clindamycin. Antibiotics wereoften prescribed in the absence of fever (92.2%) andwithout any local treatment (54.2%). The mostfrequent diagnosis for which antibiotics were prescribedwas periapical abscess (51.9%). Antibiotics were pre-scribed to 63.3% of patients with periapical abscess and4.3% of patients with pulpitis. Patterns of prescriptionswere confirmed by the data from the self-reportedpractice.Conclusions Discrepancies between observed andrecommended practice support the need for educationalinitiatives to promote rational use of antibiotics indentistry in Belgium.Keywords: antibiotics, audit, dentistry, drug usereview, prescription.
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Citations
Antibiotic prescribing practices by dentists: a review
TL;DR: The main conclusion is that the prescribing practices of dentists are inadequate and this is manifested by over-prescribing, and recommendations to improve antibiotic prescribing practices are presented in an attempt to curb the increasing incidence of antibiotic resistance and other side effects of antibiotic abuse.
Knowledge, attitude and practice of antibiotics: a questionnaire study among 2500 Chinese students
Ying Huang,Jiarui Gu,Mingyu Zhang,Zheng Ren,Weidong Yang,Yang Chen,Yingmei Fu,Xiaobei Chen,Jochen W L Cals,Fengmin Zhang +9 more
TL;DR: This study indicates that Chinese medical curriculum significantly improves students’ knowledge on antibiotics and raises their attention on antibiotic resistance that may result from indiscriminate use of antibiotics.
Antibiotics in Endodontics: a review
Juan J. Segura-Egea,K. Gould,B. Hakan Şen,Peter Jonasson,Elisabetta Cotti,Annalisa Mazzoni,Hakkı Sunay,Leo Tjäderhane,Leo Tjäderhane,Paul M. H. Dummer +9 more
TL;DR: Recommendations are made that antibiotics should be considered in patients having systemic diseases with compromised immunity or in patients with a localized congenital or acquired altered defence capacity, such as patients with infective endocarditis, prosthetic cardiac valves or recent prosthetic joint replacement.
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Antibiotic prescribing by dentists has increased: Why?
TL;DR: Emerging themes for dental prescribing should be explored further in future studies; however, themes already identified may guide priorities in antibiotic stewardship for continuing dental education sessions.
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Antibiotic prescribing in UK general dental practice: a cross-sectional study
TL;DR: High level of inappropriate antibiotic prescribing was observed amongst the GDPs studied and features of the healthcare environment, including clinical time pressures, and patient-related characteristics, such as expectations for antibiotics and refusal of operative treatment, are associated with antibiotic prescribing in the absence of infection.
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TL;DR: Dentists are wise to use antibiotic prophylaxis in only those specific situations in which there is a valid scientific basis for it, and to follow the standard protocols recommended by the ADA, AHA or AAOS.
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