Pattern of antibiotic prescription in the management of endodontic infections amongst Spanish oral surgeons

Introduction. The purpose of this study was to identify antibiotic prescription practices in the treatment of endodontic infections among Spanish dentists with preferential dedication to Oral Surgery. Methods. Members of the Spanish Oral Surgery Society (SECIB) were surveyed on antibiotic prescripti...

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Autores: Segura Egea, Juan José, Velasco-Ortega, Eugenio, Torres-Lagares, Daniel, Velasco Ponferrada, María del Carmen, Monsalve Guil, Loreto, Llamas Carreras, José María
Tipo de recurso: artículo
Estado:Versión enviada para evaluación y publicación
Fecha de publicación:2010
País:España
Institución:Universidad de Sevilla (US)
Repositorio:idUS. Depósito de Investigación de la Universidad de Sevilla
OAI Identifier:oai:idus.us.es:11441/105750
Acceso en línea:https://hdl.handle.net/11441/105750
https://doi.org/10.1111/j.1365-2591.2010.01691.x
Access Level:acceso abierto
Palabra clave:Endodontic infections
Apical periodontitis
Irreversible pulpitis
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spelling Pattern of antibiotic prescription in the management of endodontic infections amongst Spanish oral surgeonsSegura Egea, Juan JoséVelasco-Ortega, EugenioTorres-Lagares, DanielVelasco Ponferrada, María del CarmenMonsalve Guil, LoretoLlamas Carreras, José MaríaEndodontic infectionsApical periodontitisIrreversible pulpitisIntroduction. The purpose of this study was to identify antibiotic prescription practices in the treatment of endodontic infections among Spanish dentists with preferential dedication to Oral Surgery. Methods. Members of the Spanish Oral Surgery Society (SECIB) were surveyed on antibiotic prescription on six different pulpal and periapical diagnoses. A total of 200 questionnaires were delivered to the assistants but only 127 were returned properly answered (63.5%). Results. The average duration of antibiotic therapy was 7.0  1.0 days. Ninety five percent of respondents selected amoxicillin as first-choice antibiotic in patients with no medical allergies, alone (33.9%) or associated to clavulanate (60.6%). The first drug of choice for patients with an allergy to penicillins was clindamycin 300 mg (65.4%), followed by azithromicyn (15.0%) and metronidazole-spiramycin (13.4%). For cases of irreversible pulpitis, 85.8 % of respondents prescribed antibiotics. For the scenario of a necrotic pulp, acute apical periodontitis, and no swelling, 70.9% prescribed antibiotics. Almost 60% of respondents prescribed antibiotics for necrotic pulps with chronic apical periodontitis and a sinus tract; in this clinical situation DDS prescribed more frequently antibiotics compared to MD (p = 0.0080; odds ratio = 8.0; C. I. 95% = 1.7 – 37.1). Conclusions. The majority of the members of the SECIB were selecting the appropriate antibiotic for use in endodontic infections, but there are still many who are prescribing antibiotics inappropriately. The use of antibiotics for minor infections, or in some cases in patients without infections, could be a major contributor to the world problem of antimicrobial resistance.Willey-BlackwellEstomatología2010info:eu-repo/semantics/articleinfo:eu-repo/semantics/submittedVersionapplication/pdfapplication/pdfhttps://hdl.handle.net/11441/105750https://doi.org/10.1111/j.1365-2591.2010.01691.xreponame:idUS. Depósito de Investigación de la Universidad de Sevillainstname:Universidad de Sevilla (US)InglésInternational Endodontic Journal, 43 (4), 342-350.info:eu-repo/semantics/openAccessoai:idus.us.es:11441/1057502026-06-17T12:51:07Z
dc.title.none.fl_str_mv Pattern of antibiotic prescription in the management of endodontic infections amongst Spanish oral surgeons
title Pattern of antibiotic prescription in the management of endodontic infections amongst Spanish oral surgeons
spellingShingle Pattern of antibiotic prescription in the management of endodontic infections amongst Spanish oral surgeons
Segura Egea, Juan José
Endodontic infections
Apical periodontitis
Irreversible pulpitis
title_short Pattern of antibiotic prescription in the management of endodontic infections amongst Spanish oral surgeons
title_full Pattern of antibiotic prescription in the management of endodontic infections amongst Spanish oral surgeons
title_fullStr Pattern of antibiotic prescription in the management of endodontic infections amongst Spanish oral surgeons
title_full_unstemmed Pattern of antibiotic prescription in the management of endodontic infections amongst Spanish oral surgeons
title_sort Pattern of antibiotic prescription in the management of endodontic infections amongst Spanish oral surgeons
dc.creator.none.fl_str_mv Segura Egea, Juan José
Velasco-Ortega, Eugenio
Torres-Lagares, Daniel
Velasco Ponferrada, María del Carmen
Monsalve Guil, Loreto
Llamas Carreras, José María
author Segura Egea, Juan José
author_facet Segura Egea, Juan José
Velasco-Ortega, Eugenio
Torres-Lagares, Daniel
Velasco Ponferrada, María del Carmen
Monsalve Guil, Loreto
Llamas Carreras, José María
author_role author
author2 Velasco-Ortega, Eugenio
Torres-Lagares, Daniel
Velasco Ponferrada, María del Carmen
Monsalve Guil, Loreto
Llamas Carreras, José María
author2_role author
author
author
author
author
dc.contributor.none.fl_str_mv Estomatología
dc.subject.none.fl_str_mv Endodontic infections
Apical periodontitis
Irreversible pulpitis
topic Endodontic infections
Apical periodontitis
Irreversible pulpitis
description Introduction. The purpose of this study was to identify antibiotic prescription practices in the treatment of endodontic infections among Spanish dentists with preferential dedication to Oral Surgery. Methods. Members of the Spanish Oral Surgery Society (SECIB) were surveyed on antibiotic prescription on six different pulpal and periapical diagnoses. A total of 200 questionnaires were delivered to the assistants but only 127 were returned properly answered (63.5%). Results. The average duration of antibiotic therapy was 7.0  1.0 days. Ninety five percent of respondents selected amoxicillin as first-choice antibiotic in patients with no medical allergies, alone (33.9%) or associated to clavulanate (60.6%). The first drug of choice for patients with an allergy to penicillins was clindamycin 300 mg (65.4%), followed by azithromicyn (15.0%) and metronidazole-spiramycin (13.4%). For cases of irreversible pulpitis, 85.8 % of respondents prescribed antibiotics. For the scenario of a necrotic pulp, acute apical periodontitis, and no swelling, 70.9% prescribed antibiotics. Almost 60% of respondents prescribed antibiotics for necrotic pulps with chronic apical periodontitis and a sinus tract; in this clinical situation DDS prescribed more frequently antibiotics compared to MD (p = 0.0080; odds ratio = 8.0; C. I. 95% = 1.7 – 37.1). Conclusions. The majority of the members of the SECIB were selecting the appropriate antibiotic for use in endodontic infections, but there are still many who are prescribing antibiotics inappropriately. The use of antibiotics for minor infections, or in some cases in patients without infections, could be a major contributor to the world problem of antimicrobial resistance.
publishDate 2010
dc.date.none.fl_str_mv 2010
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/submittedVersion
format article
status_str submittedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/11441/105750
https://doi.org/10.1111/j.1365-2591.2010.01691.x
url https://hdl.handle.net/11441/105750
https://doi.org/10.1111/j.1365-2591.2010.01691.x
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv International Endodontic Journal, 43 (4), 342-350.
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Willey-Blackwell
publisher.none.fl_str_mv Willey-Blackwell
dc.source.none.fl_str_mv reponame:idUS. Depósito de Investigación de la Universidad de Sevilla
instname:Universidad de Sevilla (US)
instname_str Universidad de Sevilla (US)
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collection idUS. Depósito de Investigación de la Universidad de Sevilla
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