How often are medication prescribed in the emergency appointment at Egas Moniz Dental University Clinic? – a pilot study

AbstractIntroduction In the oral cavity, there are usually several pathogenic microorganisms capable of forming oral/dental infections and subsequent systemic infections [1]. The main reason for the patients to seek medical-dental care is usually condition where pain is always present [2]. Medicatio...

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Main Authors: Inês Mocho, Ana Filipa Rosário, Luís Santos, Eduardo Guerreiro, Ana Delgado, José João Mendes
Format: Article
Language:English
Published: Taylor & Francis Group 2021-04-01
Series:Annals of Medicine
Online Access:https://www.tandfonline.com/doi/10.1080/07853890.2021.1897347
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author Inês Mocho
Ana Filipa Rosário
Luís Santos
Eduardo Guerreiro
Ana Delgado
José João Mendes
author_facet Inês Mocho
Ana Filipa Rosário
Luís Santos
Eduardo Guerreiro
Ana Delgado
José João Mendes
author_sort Inês Mocho
collection DOAJ
description AbstractIntroduction In the oral cavity, there are usually several pathogenic microorganisms capable of forming oral/dental infections and subsequent systemic infections [1]. The main reason for the patients to seek medical-dental care is usually condition where pain is always present [2]. Medication like pain killers and antibiotics are frequently used [1]. Prescription is a personalised act, where it is necessary to define a diagnosis, specify the therapeutic objective, consider the different options and finally choose an effective and safe treatment. Currently, the most common prescribed medication in dentistry are antibiotics and non-steroidal anti-inflammatory drugs (NSAIDs) [3,4].This study aimed to answer the following questions: How often are medication prescribed in the emergency appointment at Egas Moniz Dental University Clinic and what kind of medication are prescribed? This study follows the principles of the Declaration of Helsinki.Materials and Methods Pilot Study Observational and Retrospective. Of the 388 emergency appointments, carried out between 1 March 2019 and 31 March 2019 at Egas Moniz Dental University Clinic 249 cases were randomly selected and analysed. Inclusion criteria were all patients who were prescribed medication. Frequency tables were performed according to gender, age and the type of drug prescribed (antibiotic, analgesic and/or NSAIDs).Results In 249 emergency appointments, only 50 were prescribed medication. The most common prescribed were antibiotics (n = 33), followed by NSAIDs (n = 30), analgesics (n = 10) and others (n = 2). The most common antibiotic prescribed was amoxicillin + clavulanic acid − 875 mg + 125 mg (n = 17), followed by amoxicillin − 1 g (n = 11).Discussion and conclusions Medication by itself is not as successful as the dentist local intervention treatment procedure [3]. Studies show that the most prescribed medication in dentistry are antibiotics and NSAIDs [3,4]. Our results confirm that idea. According to our data, the prevalence of prescription in emergency appointments is approximately 20%. Furthermore, it is important to have a rational prescription in order to reduce the disease duration, systemic repercussions and also the appearance of resistance and high costs [5,6]. Future research should include a bigger sample and a longer period.
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spelling doaj.art-5c8f5fa254a94b10a172e48c161289c02023-10-17T21:44:45ZengTaylor & Francis GroupAnnals of Medicine0785-38901365-20602021-04-0153sup1S61S6110.1080/07853890.2021.1897347How often are medication prescribed in the emergency appointment at Egas Moniz Dental University Clinic? – a pilot studyInês Mocho0Ana Filipa Rosário1Luís Santos2Eduardo Guerreiro3Ana Delgado4José João Mendes5Instituto Universitário Egas Moniz (IUEM), Egas Moniz Cooperativa de Ensino Superior, Caparica, PortugalInstituto Universitário Egas Moniz (IUEM), Egas Moniz Cooperativa de Ensino Superior, Caparica, PortugalInstituto Universitário Egas Moniz (IUEM), Egas Moniz Cooperativa de Ensino Superior, Caparica, PortugalEgas Moniz Dental Clinic (EMDC), Egas Moniz Cooperativa de Ensino Superior, Caparica, PortugalClinical Research Unit (CRU), Egas Moniz Cooperativa de Ensino Superior, Caparica, PortugalClinical Research Unit (CRU), Egas Moniz Cooperativa de Ensino Superior, Caparica, PortugalAbstractIntroduction In the oral cavity, there are usually several pathogenic microorganisms capable of forming oral/dental infections and subsequent systemic infections [1]. The main reason for the patients to seek medical-dental care is usually condition where pain is always present [2]. Medication like pain killers and antibiotics are frequently used [1]. Prescription is a personalised act, where it is necessary to define a diagnosis, specify the therapeutic objective, consider the different options and finally choose an effective and safe treatment. Currently, the most common prescribed medication in dentistry are antibiotics and non-steroidal anti-inflammatory drugs (NSAIDs) [3,4].This study aimed to answer the following questions: How often are medication prescribed in the emergency appointment at Egas Moniz Dental University Clinic and what kind of medication are prescribed? This study follows the principles of the Declaration of Helsinki.Materials and Methods Pilot Study Observational and Retrospective. Of the 388 emergency appointments, carried out between 1 March 2019 and 31 March 2019 at Egas Moniz Dental University Clinic 249 cases were randomly selected and analysed. Inclusion criteria were all patients who were prescribed medication. Frequency tables were performed according to gender, age and the type of drug prescribed (antibiotic, analgesic and/or NSAIDs).Results In 249 emergency appointments, only 50 were prescribed medication. The most common prescribed were antibiotics (n = 33), followed by NSAIDs (n = 30), analgesics (n = 10) and others (n = 2). The most common antibiotic prescribed was amoxicillin + clavulanic acid − 875 mg + 125 mg (n = 17), followed by amoxicillin − 1 g (n = 11).Discussion and conclusions Medication by itself is not as successful as the dentist local intervention treatment procedure [3]. Studies show that the most prescribed medication in dentistry are antibiotics and NSAIDs [3,4]. Our results confirm that idea. According to our data, the prevalence of prescription in emergency appointments is approximately 20%. Furthermore, it is important to have a rational prescription in order to reduce the disease duration, systemic repercussions and also the appearance of resistance and high costs [5,6]. Future research should include a bigger sample and a longer period.https://www.tandfonline.com/doi/10.1080/07853890.2021.1897347
spellingShingle Inês Mocho
Ana Filipa Rosário
Luís Santos
Eduardo Guerreiro
Ana Delgado
José João Mendes
How often are medication prescribed in the emergency appointment at Egas Moniz Dental University Clinic? – a pilot study
Annals of Medicine
title How often are medication prescribed in the emergency appointment at Egas Moniz Dental University Clinic? – a pilot study
title_full How often are medication prescribed in the emergency appointment at Egas Moniz Dental University Clinic? – a pilot study
title_fullStr How often are medication prescribed in the emergency appointment at Egas Moniz Dental University Clinic? – a pilot study
title_full_unstemmed How often are medication prescribed in the emergency appointment at Egas Moniz Dental University Clinic? – a pilot study
title_short How often are medication prescribed in the emergency appointment at Egas Moniz Dental University Clinic? – a pilot study
title_sort how often are medication prescribed in the emergency appointment at egas moniz dental university clinic a pilot study
url https://www.tandfonline.com/doi/10.1080/07853890.2021.1897347
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