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dehghani N, azarsina M, mahmoudi X. A comparative study of the antibiotic prescription pattern used in the control of odontogenic infections between general dentists in Tehran and the pattern suggested by maxillofacial surgeons of Tehran University of Medical Sciences. J Dent Med-tums 2025; 38 : 10
URL: http://jdm.tums.ac.ir/article-1-6315-en.html
URL: http://jdm.tums.ac.ir/article-1-6315-en.html
1- Assistant Professor, Department of Community Oral and Maxillofacial Surgery, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran
2- Esthetic and Restorative Dentist, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran
3- Post-Graduate Student, Department of Community Oral and Maxillofacial Surgery, School of Dentistry, Tabriz University of Medical Sciences, Tabriz, Iran
2- Esthetic and Restorative Dentist, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran
3- Post-Graduate Student, Department of Community Oral and Maxillofacial Surgery, School of Dentistry, Tabriz University of Medical Sciences, Tabriz, Iran
Abstract: (967 Views)
Background and Aims: Incorrect prescription of antibiotics for odontogenic infections can endanger patients' lives. This study aimed to determine the pattern of antibiotic prescription by general dentists in Tehran and to compare it with the guidelines recommended by maxillofacial surgeons at Tehran University of Medical Sciences in 2019.
Materials and Methods: A cross-sectional study was conducted on 141 randomly selected dentists in Tehran. The dentists reported their antibiotic prescriptions for various odontogenic infections by completing a questionnaire. The frequency of prescribed antibiotics was calculated considering the severity of the infection, penicillin sensitivity, pregnancy and lactation status of women, and children. These were compared with the guidelines suggested by 15 maxillofacial surgery specialists at Tehran University of Medical Sciences in 2019. Descriptive analysis and binary logistic regression were used. Data analysis was performed using SPSS software version 25.
Results: Among patients sensitive to penicillin with severe infection, 61% of the dentists prescribed the correct medication. The correct prescription rate was 0% in patients with severe infection, 24.82% in pregnant and lactating women with mild infection, 65.24% in children with mild infection, 62.41% in patients with mild infection and penicillin sensitivity, 36.69% in children with severe infection, and 33.82% in pregnant and lactating women with severe infection. The results showed that older dentists were significantly more likely prescribe antibiotics correctly for odontogenic infections (P=0.036, B=0.28).
Conclusion: General dentists in Tehran did not optimally prescribe antibiotics for odontogenic infections. Therefore, training courses to improve their clinical performance are essential.
Materials and Methods: A cross-sectional study was conducted on 141 randomly selected dentists in Tehran. The dentists reported their antibiotic prescriptions for various odontogenic infections by completing a questionnaire. The frequency of prescribed antibiotics was calculated considering the severity of the infection, penicillin sensitivity, pregnancy and lactation status of women, and children. These were compared with the guidelines suggested by 15 maxillofacial surgery specialists at Tehran University of Medical Sciences in 2019. Descriptive analysis and binary logistic regression were used. Data analysis was performed using SPSS software version 25.
Results: Among patients sensitive to penicillin with severe infection, 61% of the dentists prescribed the correct medication. The correct prescription rate was 0% in patients with severe infection, 24.82% in pregnant and lactating women with mild infection, 65.24% in children with mild infection, 62.41% in patients with mild infection and penicillin sensitivity, 36.69% in children with severe infection, and 33.82% in pregnant and lactating women with severe infection. The results showed that older dentists were significantly more likely prescribe antibiotics correctly for odontogenic infections (P=0.036, B=0.28).
Conclusion: General dentists in Tehran did not optimally prescribe antibiotics for odontogenic infections. Therefore, training courses to improve their clinical performance are essential.
Article number: 10
Type of Study: Research |
Subject:
Oral and Maxillofacial Surgery
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