Exploration of antibiotic usage pattern in dental professionals
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Abstract
To explore the antibiotic treatment pattern among dental professionals, who working in Dental hospital, Faculty of Dentistry, Mahidol University. A self-administered questionnaire was used in this study. The questionnaire was sent to dental professionals at Dental hospital, Faculty of Dentistry, Mahidol University. The questionnaire was included demographic data and pattern of antibiotic treatment and usage. Information was collected on the number and names of antibiotic and prescription data. All result was analyzed with descriptive statistics using Statistical Package for Social Science (IBM SPSS version 22, USA). 100% of dental professionals did not prescribe antibiotics to manage oral diseases in cases of halitosis and orthodontic treatment. More than 80% of dental professionals specifically prescribed antibiotics in cases of endodontic treatment, orofacial infections and surgical removal of impacted tooth, and more than 50% of dental professionals prescribed antibiotics in dental
abscess (pericoronal abscess, dento-alveolar abscess and periapical abscess), extraction by open method, swelling condition, flap surgery and implant placement. But did not use antibiotics in simple tooth fracture, dental caries, apical periodontitis and dry socket. Regarding to the situation questions, it was found that 96.15% of dental professionals chose to prescribe Penicillin as the first-choice of localized infection and 100% of dental professionals prescribed Clindamycin in case of Penicillin allergy. Some of dental professionals potentially had a misconception in indications of antibiotics prophylaxis usage in congenital heart disease and prosthetic cardiac valve. There was still an irrational use of antibiotic within dental practitioners, which may lead to the issue of antibiotic resistance. Thus, the need for rational prescribing should be considerably for further developing of
antibiotic usage program in Dental hospital.
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