Antibiotic prescription for acute dental conditions in the primary care setting.

Abstract:

:To determine the pattern of antibiotic prescribing (source and type) for acute dental conditions in the emergency setting, a prospective cross-sectional study was undertaken of 500 consecutive new patients attending the examination and emergency clinic of the Cardiff Dental Hospital in May 1994. The source and type of antibiotics prescribed, the nature of complaint and type of antibiotic prescribed in the primary care and dental hospital setting were recorded. Antibiotic prescription was a feature of the treatment of 30% (149/500) of patients. The 60 patients who had received emergency treatment prior to attending the hospital emergency clinic had been prescribed a total of 14 different types of antibiotics; 41% of these patients had sought treatment from general medical practitioners. Antibiotics were frequently prescribed without generally accepted criteria and there was wide variation in prescribing. Overall, only seven different types of antibiotics were prescribed in the dental hospital setting. The use of second generation antibiotics was more common in general practice than in the dental hospital. The results suggest that many patients with dental pain may seek treatment from medical practitioners, prior to, or in place of, definitive dental treatment. In summary, rationalisation of antibiotic prescription and the provision of emergency dental treatment is needed.

journal_name

Br Dent J

journal_title

British dental journal

authors

Thomas DW,Satterthwaite J,Absi EG,Lewis MA,Shepherd JP

doi

10.1038/sj.bdj.4809276

subject

Has Abstract

pub_date

1996-12-07 00:00:00

pages

401-4

issue

11-12

eissn

0007-0610

issn

1476-5373

journal_volume

181

pub_type

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