Naslov
Antibiotic prescription in emergency dental service in Zagreb, Croatia - a retrospective cohort study

Autori
Bjelovučić, Ruža ; Par, Matej ; Rubčić, Diana ; Marović, Danijela ; Prskalo, Katica ; Tarle, Zrinka

Izvornik
International dental journal (0020-6539) 69 (2019), 4; 273-280

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, znanstveni

Ključne riječi
antibiotics ; acute odontogenic infections ; antibiotic resistance ; dentistry ; emergency dental service

Sažetak
OBJECTIVES: To analyse prescription of antibodies in emergency dental service according to antibiotic type, working diagnosis, patient visit time and patient demographic characteristics. Additionally, prescription practices among individual dentists were analysed. METHODS: The data in this retrospective cohort study were collected from electronic medical records and analyzed using descriptive statistics. Statistical analyses were conducted using the chi-square test and the Z-test with post-hoc Bonferroni adjustment (α =0.05). RESULTS: The study covered 20, 879 patient visits during a 1.5-year period (from 1 June 2015 to 1 December 2016). Antibiotics were prescribed in 10, 188 (48.8%) visits. In 6, 202 (29.7%) visits, no dental treatment was performed and only an antibiotic was prescribed. The antibiotics most frequently prescribed were from the penicillin group and also contained clavulanic acid (70.5%) ; the second most frequently prescribed antibiotic was clindamycin (15.0%). The most common diagnoses for which an antibiotic was prescribed were acute apical abscess, pericoronitis and retained root ; for these diagnoses, an antibiotic was prescribed in 79.8%, 64.3% and 63.3% of visits, respectively. Prescription of an antibiotic was significantly more frequent during Sundays and holidays (55.6% of visits) than during working days (33.2% of visits). Prescription of an antibiotic increased from the age of 1 towards the age of 75 and decreased thereafter. Female dentists prescribed antibiotics slightly but significantly (P < 0.001) more frequently than male dentists (50.8% and 46.8% of visits, respectively). High heterogeneity was observed among dentists regarding their criteria for prescribing antibiotics ; individual dentists prescribed antibiotics in 15.0%-72.1% of the total number of visits. CONCLUSION: Multiple possible issues in the prescription of antibiotics were observed, ranging from administration for inappropriate indications to noncritical and excessive prescription.

Izvorni jezik
Engleski

Znanstvena područja
Dentalna medicina

POVEZANOST RADA