Inappropriate Dental Antibiotic Prescriptions: Potential Driver of the Antimicrobial Resistance in Albaha Region, Saudi Arabia

Abdullah Ali H Alzahrani,1 Mohammed Sarhan A Alzahrani,2 Bander H Aldannish,3 Hani Saleh Alghamdi,3 Mohammad A Albanghali,4 Shaia Saleh R Almalki5 1Dental Health Department, Albaha University, Albaha, Saudi Arabia; 2Endodontics Department, Albaha University, Albaha, Saudi Arabia; 3Albaha Dental Cent...

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Main Authors: Alzahrani AAH, Alzahrani MSA, Aldannish BH, Alghamdi HS, Albanghali MA, Almalki SSR
Format: Article
Language:English
Published: Dove Medical Press 2020-03-01
Series:Risk Management and Healthcare Policy
Subjects:
Online Access:https://www.dovepress.com/inappropriate-dental-antibiotic-prescriptions-potential-driver-of-the--peer-reviewed-article-RMHP
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author Alzahrani AAH
Alzahrani MSA
Aldannish BH
Alghamdi HS
Albanghali MA
Almalki SSR
author_facet Alzahrani AAH
Alzahrani MSA
Aldannish BH
Alghamdi HS
Albanghali MA
Almalki SSR
author_sort Alzahrani AAH
collection DOAJ
description Abdullah Ali H Alzahrani,1 Mohammed Sarhan A Alzahrani,2 Bander H Aldannish,3 Hani Saleh Alghamdi,3 Mohammad A Albanghali,4 Shaia Saleh R Almalki5 1Dental Health Department, Albaha University, Albaha, Saudi Arabia; 2Endodontics Department, Albaha University, Albaha, Saudi Arabia; 3Albaha Dental Center, The Saudi Ministry of Health, Albaha, Saudi Arabia; 4Public Health Department, Albaha University, Albaha, Saudi Arabia; 5Laboratory Medicine Department, Albaha University, Albaha, Saudi ArabiaCorrespondence: Abdullah Ali H AlzahraniDental Health Department, Faculty of Applied Medical Sciences, Albaha University, Albaha, Saudi ArabiaTel +966177274111Fax +966177247272Email aahalzahrani@bu.edu.saPurpose: The aim of this study was to analyze and evaluate dental antibiotic prescriptions in Albaha Region, Saudi Arabia.Patients and Methods: A two-year retrospective cohort study was conducted between September 1, 2017 and September 1, 2019 in children and adults. Data collected from the patients’ medical records were analyzed using SPSS. The Z-test with Bonferroni correction and descriptive proportions were utilized to compare several levels of categorical variables.Results: Of the 43,255 dental visits, antibiotics were provided during 12,573 (29.1%). The commonly prescribed antibiotics were amoxicillin and amoxicillin combined with metronidazole (56.3% and 16.9%, respectively). Alarmingly, antibiotics were provided in several conditions for which they are medically neither recommended nor indicated; together, they represented 27.8% of those consultations in which antibiotics were prescribed. Female dentists prescribed more antibiotics than male dentists (30%, P = < 0.000), with male patients receiving more antibiotics than female patients (36%, P = < 0.0001). Conclusion: Unnecessary prescription of antibiotics was observed in the present study. Improving knowledge and awareness of Saudi dentists on dental antibiotic prescription is warranted.Keywords: risk management, health policy, early diagnosis, oral disease, dental service
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spelling doaj.art-3308007fbfb94456a6068b6fe95054772022-12-22T00:02:10ZengDove Medical PressRisk Management and Healthcare Policy1179-15942020-03-01Volume 1317518252253Inappropriate Dental Antibiotic Prescriptions: Potential Driver of the Antimicrobial Resistance in Albaha Region, Saudi ArabiaAlzahrani AAHAlzahrani MSAAldannish BHAlghamdi HSAlbanghali MAAlmalki SSRAbdullah Ali H Alzahrani,1 Mohammed Sarhan A Alzahrani,2 Bander H Aldannish,3 Hani Saleh Alghamdi,3 Mohammad A Albanghali,4 Shaia Saleh R Almalki5 1Dental Health Department, Albaha University, Albaha, Saudi Arabia; 2Endodontics Department, Albaha University, Albaha, Saudi Arabia; 3Albaha Dental Center, The Saudi Ministry of Health, Albaha, Saudi Arabia; 4Public Health Department, Albaha University, Albaha, Saudi Arabia; 5Laboratory Medicine Department, Albaha University, Albaha, Saudi ArabiaCorrespondence: Abdullah Ali H AlzahraniDental Health Department, Faculty of Applied Medical Sciences, Albaha University, Albaha, Saudi ArabiaTel +966177274111Fax +966177247272Email aahalzahrani@bu.edu.saPurpose: The aim of this study was to analyze and evaluate dental antibiotic prescriptions in Albaha Region, Saudi Arabia.Patients and Methods: A two-year retrospective cohort study was conducted between September 1, 2017 and September 1, 2019 in children and adults. Data collected from the patients’ medical records were analyzed using SPSS. The Z-test with Bonferroni correction and descriptive proportions were utilized to compare several levels of categorical variables.Results: Of the 43,255 dental visits, antibiotics were provided during 12,573 (29.1%). The commonly prescribed antibiotics were amoxicillin and amoxicillin combined with metronidazole (56.3% and 16.9%, respectively). Alarmingly, antibiotics were provided in several conditions for which they are medically neither recommended nor indicated; together, they represented 27.8% of those consultations in which antibiotics were prescribed. Female dentists prescribed more antibiotics than male dentists (30%, P = < 0.000), with male patients receiving more antibiotics than female patients (36%, P = < 0.0001). Conclusion: Unnecessary prescription of antibiotics was observed in the present study. Improving knowledge and awareness of Saudi dentists on dental antibiotic prescription is warranted.Keywords: risk management, health policy, early diagnosis, oral disease, dental servicehttps://www.dovepress.com/inappropriate-dental-antibiotic-prescriptions-potential-driver-of-the--peer-reviewed-article-RMHPrisk managementhealth policyearly diagnosisoral diseasedental service.
spellingShingle Alzahrani AAH
Alzahrani MSA
Aldannish BH
Alghamdi HS
Albanghali MA
Almalki SSR
Inappropriate Dental Antibiotic Prescriptions: Potential Driver of the Antimicrobial Resistance in Albaha Region, Saudi Arabia
Risk Management and Healthcare Policy
risk management
health policy
early diagnosis
oral disease
dental service.
title Inappropriate Dental Antibiotic Prescriptions: Potential Driver of the Antimicrobial Resistance in Albaha Region, Saudi Arabia
title_full Inappropriate Dental Antibiotic Prescriptions: Potential Driver of the Antimicrobial Resistance in Albaha Region, Saudi Arabia
title_fullStr Inappropriate Dental Antibiotic Prescriptions: Potential Driver of the Antimicrobial Resistance in Albaha Region, Saudi Arabia
title_full_unstemmed Inappropriate Dental Antibiotic Prescriptions: Potential Driver of the Antimicrobial Resistance in Albaha Region, Saudi Arabia
title_short Inappropriate Dental Antibiotic Prescriptions: Potential Driver of the Antimicrobial Resistance in Albaha Region, Saudi Arabia
title_sort inappropriate dental antibiotic prescriptions potential driver of the antimicrobial resistance in albaha region saudi arabia
topic risk management
health policy
early diagnosis
oral disease
dental service.
url https://www.dovepress.com/inappropriate-dental-antibiotic-prescriptions-potential-driver-of-the--peer-reviewed-article-RMHP
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