Antibiotics Prescription Patterns among Dentists in Lahore, Pakistan
Saood Khan Lodhi, Saroosh Ehsan, Malik Ali Hassan Sajid, Adeela Rafique, Mehak Fatima Khan
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ABSTRACT
Background: Odontogenic
infections are one of the main causes of patients visit to a dental office.
Antibiotics are magical drugs that have revolutionized the 20th
Century in their ability to treat infectious diseases, increasing the life
expectancy of individuals. Antibiotics
prescription is a common practice among dental professionals and according to
an estimate by Centre for Disease Control (CDC) and American Dental Association
(ADA), over prescription of antibiotics is seen in 30-50% of the cases.
Aim: To assess and
compare (no comparison) the antibiotic prescription pattern among general
dentists and specialty dentists in Lahore, Pakistan.
Methodology: A cross
sectional survey was conducted amongst dentists working in the teaching
institutions and in the private clinics of Lahore. A pre-piloted questionnaire
survey adopted from Jagan et al with slight modifications was used. In this descriptive study 300 practicing dentists were
selected using consecutive sampling with a 5% level of significance and margin
of error
Results: Total 300
filled questionnaires were collected. Almost 84% of the dentists were less than
30 years old while 13% were between 31-40 years old. Of the participants 65.3%
were females and 34.7 percent were males. Dental infections associated with
gross swelling or associated with closure of the eye were the most common
reasons for prescription of antibiotics. Almost 62% of the dentists would give
antibiotic if any delay in treatment is anticipated. Almost 50% of the dentists would prescribe antibiotics for periapical
abscess and cellulitis.
Conclusion: There is a
trend towards over prescription of antibiotics by dentists without following
the standard guidelines. Emphasis on the correct prescription strategies of
antibiotics at the undergraduate level and more awareness should be created as
continuing dental education programs for practicing dentists.
Keywords: Antibiotics,
Dentists, Prescription Pattern.