Assessment of the Prescriptions of Systemic Antibiotics in Primary Dental Care in Germany from 2017 to 2021: A Longitudinal Drug Utilization Study
(1) Background: Due to increasing antibiotic resistance, the frequency of antibiotic use should be questioned in dentistry and attention paid to the choice of the best suited substance according to guidelines. In Germany, overprescribing of clindamycin was noteworthy in the past. Therefore, the aim...
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-11-01
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| Series: | Antibiotics |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2079-6382/11/12/1723 |
| _version_ | 1827642136700387328 |
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| author | Gabriele Gradl Marita Kieble Jens Nagaba Martin Schulz |
| author_facet | Gabriele Gradl Marita Kieble Jens Nagaba Martin Schulz |
| author_sort | Gabriele Gradl |
| collection | DOAJ |
| description | (1) Background: Due to increasing antibiotic resistance, the frequency of antibiotic use should be questioned in dentistry and attention paid to the choice of the best suited substance according to guidelines. In Germany, overprescribing of clindamycin was noteworthy in the past. Therefore, the aim of our study was to determine the trend of antibiotic prescriptions in primary dental care. (2) Methods: Prescriptions of antibiotics in German primary dental care from 2017 to 2021 were analysed using dispensing data from community pharmacies, claimed to the statutory health insurance (SHI) funds, and compared with all antibiotic prescriptions in primary care. Prescriptions were analysed based on defined daily doses per 1000 SHI-insured persons per day (DID). (3) Results: Amoxicillin was the most frequently prescribed antibiotic (0.505 DID in 2017, 0.627 in 2021, +24.2%) in primary dental care, followed by clindamycin (0.374 DID in 2017, 0.294 in 2021, −21.4%). Dental prescriptions still made up 56% of all clindamycin prescriptions in primary care in 2021. (4) Conclusions: Our study suggests that the problem of overuse of clindamycin in German dentistry has improved, but still persists. |
| first_indexed | 2024-03-09T17:24:20Z |
| format | Article |
| id | doaj.art-bbec2170ac4c49348a5ed5e4481bc411 |
| institution | Directory Open Access Journal |
| issn | 2079-6382 |
| language | English |
| last_indexed | 2024-03-09T17:24:20Z |
| publishDate | 2022-11-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Antibiotics |
| spelling | doaj.art-bbec2170ac4c49348a5ed5e4481bc4112023-11-24T12:53:16ZengMDPI AGAntibiotics2079-63822022-11-011112172310.3390/antibiotics11121723Assessment of the Prescriptions of Systemic Antibiotics in Primary Dental Care in Germany from 2017 to 2021: A Longitudinal Drug Utilization StudyGabriele Gradl0Marita Kieble1Jens Nagaba2Martin Schulz3German Institute for Drug Use Evaluation (DAPI), 10557 Berlin, GermanyGerman Institute for Drug Use Evaluation (DAPI), 10557 Berlin, GermanyGerman Dental Association (BZÄK), 10115 Berlin, GermanyGerman Institute for Drug Use Evaluation (DAPI), 10557 Berlin, Germany(1) Background: Due to increasing antibiotic resistance, the frequency of antibiotic use should be questioned in dentistry and attention paid to the choice of the best suited substance according to guidelines. In Germany, overprescribing of clindamycin was noteworthy in the past. Therefore, the aim of our study was to determine the trend of antibiotic prescriptions in primary dental care. (2) Methods: Prescriptions of antibiotics in German primary dental care from 2017 to 2021 were analysed using dispensing data from community pharmacies, claimed to the statutory health insurance (SHI) funds, and compared with all antibiotic prescriptions in primary care. Prescriptions were analysed based on defined daily doses per 1000 SHI-insured persons per day (DID). (3) Results: Amoxicillin was the most frequently prescribed antibiotic (0.505 DID in 2017, 0.627 in 2021, +24.2%) in primary dental care, followed by clindamycin (0.374 DID in 2017, 0.294 in 2021, −21.4%). Dental prescriptions still made up 56% of all clindamycin prescriptions in primary care in 2021. (4) Conclusions: Our study suggests that the problem of overuse of clindamycin in German dentistry has improved, but still persists.https://www.mdpi.com/2079-6382/11/12/1723anti-bacterial agentsclindamycindrug utilizationdental careprimary health careinsurance claims analysis |
| spellingShingle | Gabriele Gradl Marita Kieble Jens Nagaba Martin Schulz Assessment of the Prescriptions of Systemic Antibiotics in Primary Dental Care in Germany from 2017 to 2021: A Longitudinal Drug Utilization Study Antibiotics anti-bacterial agents clindamycin drug utilization dental care primary health care insurance claims analysis |
| title | Assessment of the Prescriptions of Systemic Antibiotics in Primary Dental Care in Germany from 2017 to 2021: A Longitudinal Drug Utilization Study |
| title_full | Assessment of the Prescriptions of Systemic Antibiotics in Primary Dental Care in Germany from 2017 to 2021: A Longitudinal Drug Utilization Study |
| title_fullStr | Assessment of the Prescriptions of Systemic Antibiotics in Primary Dental Care in Germany from 2017 to 2021: A Longitudinal Drug Utilization Study |
| title_full_unstemmed | Assessment of the Prescriptions of Systemic Antibiotics in Primary Dental Care in Germany from 2017 to 2021: A Longitudinal Drug Utilization Study |
| title_short | Assessment of the Prescriptions of Systemic Antibiotics in Primary Dental Care in Germany from 2017 to 2021: A Longitudinal Drug Utilization Study |
| title_sort | assessment of the prescriptions of systemic antibiotics in primary dental care in germany from 2017 to 2021 a longitudinal drug utilization study |
| topic | anti-bacterial agents clindamycin drug utilization dental care primary health care insurance claims analysis |
| url | https://www.mdpi.com/2079-6382/11/12/1723 |
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