Antibiotic prescription trends among dentists for oral infections with respect to their clinical experience and designation
DOI:
https://doi.org/10.61529/idjp.v33i4.379Abstract
Background: Antibiotics are frequently used by dentists to manage oral infections. This has led to the development of antibiotic resistance. It is important to address this issue by raising awareness in dentists for a judicious use of antibiotics. The aim of this study is to assess the antibiotic prescription trends among dentists for oral infections with respect to their clinical experience and designation.
Material and Methods: A Cross sectional descriptive study was conducted on 100 dentists working in College of Dentistry, Sharif Medical and Dental College, Lahore from January 2023 to January 2024. Dentists working in clinical sciences or those working in clinical settings irrespective of their age and gender were included in the study. Non-practicing dentists, those working in the basic dental sciences and those with a clinical experience of less than 6 months were excluded from the study. Data was collected by means of a pre-validated questionnaire. Statistical package for social sciences 23 was used for statistical analysis.
Results: A statistically significant association between antibiotics prescription trends among dentists in fever due to oral infections (p=0.01), localized oral swelling (p=0.02), diffuse oral swelling (p=0.05), acute pulpitis (p=0.03), pericoronitis (p< 0.001), periodontal abscess (p< 0.001) and cellulitis (p< 0.001) and their designation was seen. The association between antibiotic prescription trends for pericoronitis (p=0.05) was significant with clinical experience of dentists with prevalence being higher in dentists with a clinical experience of 6-12 months.
Conclusion: Majority of the house officers and dentists with lesser clinical experience were seen to prescribe more antibiotics in various oral infections This can be attributed to limited clinical experience which leads them to resort to antibiotics for resolution of oral infection more often than general dentists.
Keywords: Antibiotic prescription, Dental practitioners, Clinical experience, Oral infections
References
Abdullah FM, Hatim QY, Oraibi AI, Alsafar TH, Alsandook TA, Lutfi W, et al. Antimicrobial management of dental infections: Updated Rev. 2024; 103(27): e38630. DOI: https://doi.org/10.1097/MD.0000000000038630
Anton A, Predescu IA, Cristina N, Păcurar M, Dinu Ș. The use of antibiotics in the dental field-the phenomenon of antibiotic resistance. Romanian J Oral Rehab. 2024;16(4): 571-80. DOI: http://dx.doi.org/10.62610/RJOR.2024.4.16.55
Šutej I, Bašić K, Šegović S, Peroš KJA. Antibiotic prescribing trends in dentistry during Ten Years’ Period—Croatian National Study. Antibiotics. 2024; 13(9): 873. DOI: https://doi.org/10.3390/antibiotics13090873
Estany-Gestal A, Salgado-Barreira A, Vazquez-Lago JM. Antibiotic use and antimicrobial resistance: A global public health crisis. Antibiotics. 2024; 13(9): 900. DOI: https://doi.org/10.3390/antibiotics13090900
Soleymani F, Pérez-Albacete Martínez C, Makiabadi M, Maté Sánchez de Val JE. Mapping worldwide antibiotic use in dental practices: A scoping review. 2024; 13(9): 859. DOI: https://doi.org/10.3390/antibiotics13090859
Deniz‐Sungur DE, Aksel H, Karaismailoglu E, Sayin TC. The prescribing of antibiotics for endodontic infections by dentists in Turkey: a comprehensive survey. International endodontic journal. 2020; 53(12): 1715-27. DOI: https://doi.org/10.1111/iej.13390
Amato A. Oral microbiota, bacterial infections, antibiotic prescriptions, and antimicrobial resistance in children. Microorganisms. 2023; 11 (8): 1927. DOI: https://doi.org/10.3390/microorganisms11081927
Shukla A, Sharma S, Gangwar M, Sharma G, Rao BA. Association and contribution of dentistry in creating and sharing the burden of antibiotic-resistant microbial world. In book: Emerging Paradigms for Antibiotic-Resistant Infections: Beyond the Pill. 2024 (pp.295-311). DOI: http://dx.doi.org/10.1007/978-981-97-5272-0_14
Skucaite N, Stundžia L, Veberiene R, Brukiene V, Maciulskiene V. Antibiotic prescription for treatment and prevention of odontogenic infections: A cross-sectional survey of Lithuanian dentists. 2024; 60(11): 1745. DOI: https://doi.org/10.3390/medicina60111745
Badrov M, Marovic D, Tadin A. Antibiotics knowledge and prescription patterns among dental practitioners in Croatia, Bosnia and Herzegovina, and Serbia: A comparative E-survey with a focus on medically healthy and compromised patients. 2024; 13(11): 1061. DOI: https://doi.org/10.3390/antibiotics13111061
Murphy AM, Patel UC, Wilson GM, Suda KJ. Prevalence of unnecessary antibiotic prescriptions among dental visits, 2019. Infect Control Hosp Epidemiol. 2024; 45(7): 890-9. DOI: https://doi.org/10.1017/ice.2024.13
Hicks LA, Bartoces MG, Roberts RM, Suda KJ, Hunkler RJ, Taylor Jr TH, et al. US outpatient antibiotic prescribing variation according to geography, patient population, and provider specialty in 2011. 2015; 60(9): 1308-16. DOI: https://doi.org/10.1093/cid/civ076
Ramanathan S, Yan CH, Hubbard C, Calip GS, Sharp LK, Evans CT, et al. Changes in antibiotic prescribing by dentists in the United States, 2012–2019. Infect Control Hosp Epidemiol. 2023; 44(11): 1725-30. DOI: https://doi.org/10.1017/ice.2023.151
Palmer NO, Martin MV, Pealing R, Ireland RS. An analysis of antibiotic prescriptions from general dental practitioners in England. J Antimicrob Chemother. 2000; 46(6):1033-5. DOI: https://doi.org/10.1093/jac/46.6.1033
Nasir N, Mehmood BK, Awan S, Sattar S, Tajuddin S. Evaluation of hospital antibiotic prescription patterns using WHO AWaRe Classification in Karachi, Pakistan. 2024; 39 (Supplement): 29. DOI: https://doi.org/10.1016/j.jgar.2024.10.091
Murti A, Morse Z. Dental antibiotic prescription in Fijian adults. Int Dent J. 2007; 57(2): 65-70.
DOI: https://doi.org/10.1111/j.1875-595x.2007.tb00440.x
Daniel WW, Cross CL. Biostatistics: A Foundation for Analysis in the Health Sciences: 10th ed. USA: Wiley; 2018. Available from: https://faculty.ksu.edu.sa/sites/default/fil es/145_stat_-_textbook.pdf
Marra F, George D, Chong M, Sutherland S, Patrick DM. Antibiotic prescribing by dentists has increased: Why? J Am Dent Assoc. 2016; 147(5): 320-7. DOI: https://doi.org/10.1016/j.adaj.2015.12.014
Sharma K, Jain P, Sharma A. Knowledge, attitude and perception of medical and dental undergraduates about antimicrobial stewardship. Indian J Pharmacol. 2015; 47(6): 676-9. DOI: https://doi.org/10.4103/0253-7613.169572
Săndulescu O, Preoțescu LL, Streinu-Cercel A, Şahin GÖ, Săndulescu M. Antibiotic Prescribing in Dental Medicine-Best Practices for Successful Implementation. Trop Med Infect Dis. 2024; 9(2): 31. DOI: https://doi.org/10.3390/tropicalmed9020031
Hirayama K, Kanda N, Hashimoto H, Yoshimoto H, Goda K, Mitsutake N, Hatakeyama S. Antibiotic Prescription Trends in Dentistry: A Descriptive Study Using Japan's National Database. J Public Health Dent. 2025. DOI: https://doi.org/10.1111/jphd.12663
Khijmatgar S, Bellucci G, Creminelli L, Tartaglia GM, Jr., Tumedei M. Systemic antibiotic use in acute irreversible pulpitis: Evaluating clinical practices and molecular insights. Int J Mol Sci. 2024; 25(2).
D'Ambrosio F, Di Spirito F, Amato A, Caggiano M, Lo Giudice R, Martina S. Attitudes towards Antibiotic Prescription and Antimicrobial Resistance Awareness among Italian Dentists: What Are the Milestones? Healthcare (Basel). 2022 Aug 21;10(8):1585.
DOI: https://doi.org/10.3390/healthcare10081585
Karobari MI, Khijmatgar S, Bhandary R, Nayak KU, Del Fabbro M, Horn R, et al. A multicultural demographic study to analyze antibiotic prescription practices and the need for continuing education in dentistry. 2021; 2021(1): 5599724. DOI: https://doi.org/10.1155/2021/5599724
Salako N, Rotimi V, Adib S, Al-Mutawa S. Pattern of antibiotic prescription in the management of oral diseases among dentists in Kuwait. J Dent. 2004; 32(7): 503-9. DOI: https://doi.org/10.1016/j.jdent.2004.04.001
Alkhabuli J, Kowash M, Shah A. Knowledge and attitude of Northern Emirates dental practitioners towards antibiotic prescription and its resistance. Int J Dent Oral Health. 2015; 2 (2). DOI: http://dx.doi.org/10.16966/2378-7090.177
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