Display options
Cite
Bianco A, Cautela V, Napolitano F, et al. Appropriateness of Antibiotic Prescription for Prophylactic Purposes among Italian Dental Practitioners: Results from a Cross-Sectional Study. Antibiotics (Basel). 2021;10(5)doi: 10.3390/antibiotics10050547.
Bianco, A., Cautela, V., Napolitano, F., Licata, F., & Pavia, M. (2021). Appropriateness of Antibiotic Prescription for Prophylactic Purposes among Italian Dental Practitioners: Results from a Cross-Sectional Study. Antibiotics (Basel, Switzerland), 10(5), . https://doi.org/10.3390/antibiotics10050547
Bianco, Aida, et al. "Appropriateness of Antibiotic Prescription for Prophylactic Purposes among Italian Dental Practitioners: Results from a Cross-Sectional Study." Antibiotics (Basel, Switzerland) vol. 10,5 (2021). doi: https://doi.org/10.3390/antibiotics10050547
Bianco A, Cautela V, Napolitano F, Licata F, Pavia M. Appropriateness of Antibiotic Prescription for Prophylactic Purposes among Italian Dental Practitioners: Results from a Cross-Sectional Study. Antibiotics (Basel). 2021 May 08;10(5). doi: 10.3390/antibiotics10050547. PMID: 34066881; PMCID: PMC8150285.
Copy Download .nbib Format: NLM
Share it on

Antibiotics (Basel). 2021 May 08;10(5). doi: 10.3390/antibiotics10050547.

Appropriateness of Antibiotic Prescription for Prophylactic Purposes among Italian Dental Practitioners: Results from a Cross-Sectional Study.

Antibiotics (Basel, Switzerland)

Aida Bianco, Vincenza Cautela, Francesco Napolitano, Francesca Licata, Maria Pavia

Affiliations

  1. Department of Health Sciences, School of Medicine, University of Catanzaro "Magna Græcia", Viale Europa, 88100 Catanzaro, Italy.
  2. Department of Experimental Medicine, University of Campania ''Luigi Vanvitelli", Via L. Armanni, 5, 80138 Naples, Italy.

PMID: 34066881 PMCID: PMC8150285 DOI: 10.3390/antibiotics10050547

Abstract

The primary objective of this study was to investigate the pattern of antibiotic prescription for prophylaxis purposes among Italian DPs (dental practitioners). A nationwide cross-sectional study was conducted using a multi-stage sampling design. A structured questionnaire was used to collect socio-demographic data and information about antibiotic prophylaxis (AP) prescriptions for selected dental diagnoses and surgical procedures. The presence of an indication and appropriateness of AP were defined according to international guidelines. In total, 563 DPs answered the questionnaire (response rate 52.6%). The proportions of DPs who prescribed AP in the presence of an indication ranged from 39.1% for luxation injury with soft tissue trauma to 73.1% for dental implants, whilst DPs who prescribed AP in healthy patients ranged from 41.9% in luxation injury with soft tissue trauma to 70.3% for bone grafting. The course of AP reported by DPs was not consistent with the guidelines in 70.9% of explored procedures. A high proportion of AP prescriptions before dental procedures were unnecessary. This highlights the urgent need to incorporate recommendations for best practices into national and local protocols as soon as they are established. Specific antibiotic stewardship strategies targeted to DPs should be implemented and assessed for effectiveness in improving prescribing of antibiotics.

Keywords: Italy; antibiotic prescription; antimicrobial resistance; dentistry; prophylaxis

References

  1. Aust Dent J. 2000 Sep;45(3):179-86; quiz 214 - PubMed
  2. Antibiotics (Basel). 2019 May 02;8(2): - PubMed
  3. J Clin Pediatr Dent. 2019;43(1):27-33 - PubMed
  4. J Am Dent Assoc. 2019 Sep;150(9):755-765 - PubMed
  5. Pediatr Dent. 2017 Sep 15;39(6):401-411 - PubMed
  6. J Contemp Dent Pract. 2017 Jul 1;18(7):559-566 - PubMed
  7. JAMA. 2016 May 3;315(17):1864-73 - PubMed
  8. Medicina (Kaunas). 2018 Dec 01;54(6): - PubMed
  9. J Bone Joint Surg Am. 2013 Apr 17;95(8):745-7 - PubMed
  10. J Antimicrob Chemother. 2001 Feb;47(2):233-7 - PubMed
  11. J Periodontol. 2020 Apr;91(4):508-515 - PubMed
  12. J Am Dent Assoc. 2017 Feb;148(2):57-59 - PubMed
  13. J Am Dent Assoc. 2000 Mar;131(3):366-74 - PubMed
  14. Circulation. 2007 Oct 9;116(15):1736-54 - PubMed
  15. J Mich Dent Assoc. 2017 Jan;99(1):54-62, 83 - PubMed
  16. J Am Dent Assoc. 2015 Jan;146(1):11-16.e8 - PubMed
  17. Clin Infect Dis. 2015 May 1;60(9):1308-16 - PubMed
  18. Gen Dent. 2019 Nov-Dec;67(6):55-58 - PubMed
  19. Eur J Oral Sci. 2017 Aug;125(4):280-287 - PubMed
  20. PLoS One. 2016 Nov 18;11(11):e0166179 - PubMed
  21. Infect Drug Resist. 2018 Nov 08;11:2199-2205 - PubMed
  22. Pediatr Dent. 2016 Oct;38(6):369-376 - PubMed
  23. Int Endod J. 2010 Apr;43(4):342-50 - PubMed
  24. J Can Dent Assoc. 2013;79:d28 - PubMed
  25. Community Dent Oral Epidemiol. 2016 Apr;44(2):145-53 - PubMed
  26. Circulation. 2015 Oct 13;132(15):1435-86 - PubMed
  27. J Am Dent Assoc. 2000 Nov;131(11):1600-9 - PubMed
  28. Acta Odontol Scand. 2006 Oct;64(5):274-80 - PubMed
  29. Eur Heart J. 2015 Nov 21;36(44):3075-3128 - PubMed
  30. Br Dent J. 2019 Dec;227(12):1044-1050 - PubMed
  31. Circulation. 2017 Jun 20;135(25):e1159-e1195 - PubMed
  32. Infect Control Hosp Epidemiol. 2017 Jul;38(7):823-831 - PubMed
  33. J Am Dent Assoc. 2013 Sep;144(9):1030-5 - PubMed
  34. Quintessence Int. 2015 Feb;46(2):149-61 - PubMed
  35. Medchemcomm. 2018;9:12-21 - PubMed
  36. Cochrane Database Syst Rev. 2013 Jul 31;(7):CD004152 - PubMed

Publication Types