hrvatski

Prescription of antibiotics in Croatia during a period of three years

Aim: To investigate prescribing of antibiotics in primary dental care in Croatia. Materials and methods: The data were collected from the Central Information Health System of Croatia and presented through descriptive statistics. To explore the frequency of prescription, the number of prescribed antibiotics was compared to the number of people in each county. The frequency of antibiotics prescription was then compared using the ztest for proportions with Bonferroni post-hoc adjustment (α=0.05). Results: From 1st 2015 January until December 31st 2017, in primary public dental health care in Croatia 1.080.808 antibiotics were prescribed. Average prevalence of antibiotic prescription in one year, expressed as ratio of number of antibiotics prescribed to overall population was 8.4%. The yearly average value of antibiotic prescriptions per capita in individual counties was between 6.3%-11.2%, with the lowest percentage in Primorsko- Goranska County (6.3%), and the highest percentage in Bjelovarsko-Bilogorska County (11.2%). The most frequently prescribed antibiotic, in 54.6% of cases, was amoxicillin with clavulanic acid, followed by amoxicillin (13.8%), clindamycin (12.6%), and metronidazole (10.1%). Most frequent diagnosis for antibiotic prescription was periapical periodontitis. Antibiotics were prescribed in cases in which there was no indication for antibiotic use, i.e. caries (3.2%), pulpitis (5.5%). Regarding the age, the highest percentage of antibiotics was prescribed for the age group between 20 and 29 years (11.3%) with a continuous decline in frequency towards the older age groups. Conclusion: The results showed inconsistencies of antibiotic prescriptions within different counties, along with unnecessary prescribing of antibiotics in cases with no indications.

antibiotics ; primary dental care

nije evidentirano

engleski

Prescription of antibiotics in Croatia during a period of three years

Aim: To investigate prescribing of antibiotics in primary dental care in Croatia. Materials and methods: The data were collected from the Central Information Health System of Croatia and presented through descriptive statistics. To explore the frequency of prescription, the number of prescribed antibiotics was compared to the number of people in each county. The frequency of antibiotics prescription was then compared using the ztest for proportions with Bonferroni post-hoc adjustment (α=0.05). Results: From 1st 2015 January until December 31st 2017, in primary public dental health care in Croatia 1.080.808 antibiotics were prescribed. Average prevalence of antibiotic prescription in one year, expressed as ratio of number of antibiotics prescribed to overall population was 8.4%. The yearly average value of antibiotic prescriptions per capita in individual counties was between 6.3%-11.2%, with the lowest percentage in Primorsko- Goranska County (6.3%), and the highest percentage in Bjelovarsko-Bilogorska County (11.2%). The most frequently prescribed antibiotic, in 54.6% of cases, was amoxicillin with clavulanic acid, followed by amoxicillin (13.8%), clindamycin (12.6%), and metronidazole (10.1%). Most frequent diagnosis for antibiotic prescription was periapical periodontitis. Antibiotics were prescribed in cases in which there was no indication for antibiotic use, i.e. caries (3.2%), pulpitis (5.5%). Regarding the age, the highest percentage of antibiotics was prescribed for the age group between 20 and 29 years (11.3%) with a continuous decline in frequency towards the older age groups. Conclusion: The results showed inconsistencies of antibiotic prescriptions within different counties, along with unnecessary prescribing of antibiotics in cases with no indications.

antibiotics ; primary dental care

nije evidentirano