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This compares to: Family physicians: 24% Pediatricians: 12% Internists: 12% The authors state that not much is known about the specifics of antibiotic prescribing practices in dentistry.
The authors conducted a study to characterize prescribing by dentists according to antibiotic agent and category, patient demographic characteristics, and geographic region in the United States.
doi: 10.1093/ofid/ofz067.
Epub 2015 Mar 5.Dana R, Azarpazhooh A, Laghapour N, Suda KJ, Okunseri C.Dent Clin North Am. ScienceDaily.
The majority of antibiotic prescriptions written by dentists were for amoxicillin, which is expected considering current guidelines for both prophylaxis prior to dental procedures 16,17 and treatment of many oral infections. 2019 Mar 1;7(1):22. doi: 10.3390/dj7010022.Roberts RM, Hersh AL, Shapiro DJ, Fleming-Dutra KE, Hicks LA.Ann Emerg Med. doi: 10.1016/j.adaj.2016.11.020.
2019 Jul;74(1):45-49. doi: 10.1016/j.annemergmed.2018.09.019.
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"The study was limited to patients with commercial dental insurance and the analysis used a broad definition of high-risk cardiac patients, suggesting the findings may underestimate the unnecessary prescribing of antibiotics.Five other researchers from Illinois-Chicago and one from Northwestern University also collaborated on the study, which was funded by the Agency for Healthcare Research and Quality.Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly.
ScienceDaily shares links with scholarly publications in the Content on this website is for information only. The antibiotic prophylaxis prescribing practices among dentists in Singapore are unknown.
A new study conducted by researchers at the University of Illinois at Chicago, and published in JAMA Network Open, found that 81% of antibiotics prescribed by dentists – who are among the top prescribers in the U.S., accounting for about 10% of all antibiotic prescriptions to prevent infections prior to dental visits- are unnecessary.
Clipboard, Search History, and several other advanced features are temporarily unavailable. "Antibiotics that dentists prescribe are unnecessary 81% of the time."
2016 Nov-Dec;56(6):621-626.e1. Rates (per 1,000 persons) of antibiotics prescribed by dentists by state, 2013. 2018 Apr;62(2):279-294. doi: 10.1016/j.cden.2017.11.007.Dent Update. Antibiotics prescribed by dentists as a preemptive strike against infection are unnecessary 81% of the time, according to a study published today in The findings are important because dentists are responsible for 10% of all antibiotic prescriptions written in the United States.Antibiotics prescribed when not warranted expose patients to the risk of side effects unnecessarily and also contribute to the problem of antibiotic resistance -- bacteria evolving to make the drugs ineffective.Antibiotics are recommended as a prophylactic prior to some dental procedures for patients with certain types of heart conditions.Researchers including Jessina McGregor of Oregon State University used a national health care claims database to examine nearly 170,000 dentist-written antibiotic prescriptions from 2011 to 2015.The prescriptions involved more than 90,000 patients, 57 percent female, with a median age of 63.Greater than 90 percent of the patients underwent a procedure that possibly warranted taking an antibiotic ahead of time.
doi: 10.1016/j.japh.2016.08.015. Elsevier Science eCollection 2019 Mar.Dent J (Basel). "Preventive antibiotics in these patients gave them risks that outweighed the benefits," said McGregor, an associate professor in the OSU College of Pharmacy.Led by corresponding author Katie Suda of the University of Illinois-Chicago, the researchers also looked at the prescriptions regionally and found unnecessary prescriptions to be most prevalent, on a percentage basis, in the West; 11,601 of the 13,735 prescriptions written, or 85%, were out of sync with the guidelines.The other regional percentages were 78% for the Northeast, 83% for the Midwest, and 80% for the South.Eighty-two percent of the unnecessary prescriptions were written in urban population centers, 79% in rural areas.Among patients who filled prescriptions for unnecessary antibiotics, clindamycin was the most common drug, and joint implants were the most typical reason they were prescribed.
"I think dental providers should view this study, which is the first to look at preventive antibiotic prescribing for dental procedures, as a powerful call to action, not a rebuke. 2000 Nov;131(11):1600-9. doi: 10.14219/jada.archive.2000.0090.Cherry WR, Lee JY, Shugars DA, White RP Jr, Vann WF Jr.J Am Dent Assoc. 2020 Feb;41(2):135-142. doi: 10.1017/ice.2019.315.Thompson W, Tonkin-Crine S, Pavitt SH, McEachan RRC, Douglas GVA, Aggarwal VR, Sandoe JAT.J Antimicrob Chemother.
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