Dentists’ Prescription Patterns of Non-Steroidal Anti-inflammatory Drugs and Antibiotics: A Systematic Review

Introduction: Non-Steroidal Anti-inflammatory Drugs (NSAIDs) and antibiotics are the most commonly prescribed drugs by the dentists; however, the prescription patterns, as well as the inappropriate use vary among dentists in different countries. Aim: This systematic review was done to evaluate the d...

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Main Authors: Gholamreza Sepehri, Sasan Sepehri, Molook Torabi Parizi, Mahmoud Reza Dehghani
Format: Article
Language:English
Published: JCDR Research and Publications Private Limited 2018-03-01
Series:Journal of Clinical and Diagnostic Research
Subjects:
Online Access:https://jcdr.net/articles/PDF/11253/31516_CE(RA1)_F(T)_PF1(BHV_AnG)_PFA(BHV_AnG)_PB(BHV_AP)_PN(AP).pdf
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author Gholamreza Sepehri
Sasan Sepehri
Molook Torabi Parizi
Mahmoud Reza Dehghani
author_facet Gholamreza Sepehri
Sasan Sepehri
Molook Torabi Parizi
Mahmoud Reza Dehghani
author_sort Gholamreza Sepehri
collection DOAJ
description Introduction: Non-Steroidal Anti-inflammatory Drugs (NSAIDs) and antibiotics are the most commonly prescribed drugs by the dentists; however, the prescription patterns, as well as the inappropriate use vary among dentists in different countries. Aim: This systematic review was done to evaluate the dentists’ prescription patterns for antibiotics and NSAIDs, using electronic databases. Materials and Methods: Dentists’ prescription pattern of NSAIDs and antibiotics were searched by two sets of independent reviewers from January 2000 to December 2016, using PubMED, MEDLINE and Scopus databases sources of published original/ review articles in English language published from January 2000 to December 2016, using NSAIDs, nonopioid analgesics, opioid analgesics, antimicrobials, antibiotics, dentists and prescription patterns as the key word search terms. The main outcomes included the type of antibiotic drug category, most frequently prescribed antibiotics and the prescription pattern of NSAIDs by dentists. Results: A total number of 145 studies were identified by our databases search, and finally 28 articles met our inclusion criteria. Our results showed that 24 out of 28 published studies which had the inclusion criteria for this study reported the antibiotic prescription pattern by dentists and the b-lactam antibiotics were the most frequently prescribed antibacterial drug category followed by metronidazole and macrolides. Amoxicillin (23 out of 24 studies) and amoxicillin/clavulanic acid (15 out of 24 studies) were the most frequently prescribed antibacterial in most countries. Our results showed that ibuprofen was the most frequent NSAID drug (6 out of 7 studies) and oxycodone, hydrocodone were the most frequently opioid drugs (2 out of 3 studies) prescribed by dentists. Conclusion: Our results showed different prescription pattern of NSAIDs and antibacterial drugs by dentists in different countries; however, amoxicillin and amoxicillin/clavulanic acid, metronidazole and macrolides were the most common prescribed antibacterial drugs and ibuprofen as the most frequently NSAIDs used by dentists. The empirical use of amoxicillin/ clavulanic acid in some countries could be an evidence for inappropriate use of antibiotics by dentists.
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spelling doaj.art-feb947bf41364b68b27455592af2ec582022-12-22T03:47:53ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2018-03-01123FE04FE0910.7860/JCDR/2018/31516.11253Dentists’ Prescription Patterns of Non-Steroidal Anti-inflammatory Drugs and Antibiotics: A Systematic ReviewGholamreza Sepehri0Sasan Sepehri1Molook Torabi Parizi2Mahmoud Reza Dehghani3Professor, Kerman Neuroscience Research Center, Institute of Neuropharmacology, Kerman University of Medical Sciences, Kerman, Iran.Undergraduate Student, Faculty of Dentistry, Kerman University of Medical Sciences, Kerman, Iran.Associate Professor, Department of Oral Pathology, Faculty of Dentistry, Kerman University of Medical Sciences, Kerman, Iran. Instructor, Education Development Center, Kerman University of Medical Sciences, Kerman, Iran.Introduction: Non-Steroidal Anti-inflammatory Drugs (NSAIDs) and antibiotics are the most commonly prescribed drugs by the dentists; however, the prescription patterns, as well as the inappropriate use vary among dentists in different countries. Aim: This systematic review was done to evaluate the dentists’ prescription patterns for antibiotics and NSAIDs, using electronic databases. Materials and Methods: Dentists’ prescription pattern of NSAIDs and antibiotics were searched by two sets of independent reviewers from January 2000 to December 2016, using PubMED, MEDLINE and Scopus databases sources of published original/ review articles in English language published from January 2000 to December 2016, using NSAIDs, nonopioid analgesics, opioid analgesics, antimicrobials, antibiotics, dentists and prescription patterns as the key word search terms. The main outcomes included the type of antibiotic drug category, most frequently prescribed antibiotics and the prescription pattern of NSAIDs by dentists. Results: A total number of 145 studies were identified by our databases search, and finally 28 articles met our inclusion criteria. Our results showed that 24 out of 28 published studies which had the inclusion criteria for this study reported the antibiotic prescription pattern by dentists and the b-lactam antibiotics were the most frequently prescribed antibacterial drug category followed by metronidazole and macrolides. Amoxicillin (23 out of 24 studies) and amoxicillin/clavulanic acid (15 out of 24 studies) were the most frequently prescribed antibacterial in most countries. Our results showed that ibuprofen was the most frequent NSAID drug (6 out of 7 studies) and oxycodone, hydrocodone were the most frequently opioid drugs (2 out of 3 studies) prescribed by dentists. Conclusion: Our results showed different prescription pattern of NSAIDs and antibacterial drugs by dentists in different countries; however, amoxicillin and amoxicillin/clavulanic acid, metronidazole and macrolides were the most common prescribed antibacterial drugs and ibuprofen as the most frequently NSAIDs used by dentists. The empirical use of amoxicillin/ clavulanic acid in some countries could be an evidence for inappropriate use of antibiotics by dentists.https://jcdr.net/articles/PDF/11253/31516_CE(RA1)_F(T)_PF1(BHV_AnG)_PFA(BHV_AnG)_PB(BHV_AP)_PN(AP).pdfβ-lactamsdental complicationdrug categoryelectronic databasesnon-opioid analgesicsprophylaxistreatment
spellingShingle Gholamreza Sepehri
Sasan Sepehri
Molook Torabi Parizi
Mahmoud Reza Dehghani
Dentists’ Prescription Patterns of Non-Steroidal Anti-inflammatory Drugs and Antibiotics: A Systematic Review
Journal of Clinical and Diagnostic Research
β-lactams
dental complication
drug category
electronic databases
non-opioid analgesics
prophylaxis
treatment
title Dentists’ Prescription Patterns of Non-Steroidal Anti-inflammatory Drugs and Antibiotics: A Systematic Review
title_full Dentists’ Prescription Patterns of Non-Steroidal Anti-inflammatory Drugs and Antibiotics: A Systematic Review
title_fullStr Dentists’ Prescription Patterns of Non-Steroidal Anti-inflammatory Drugs and Antibiotics: A Systematic Review
title_full_unstemmed Dentists’ Prescription Patterns of Non-Steroidal Anti-inflammatory Drugs and Antibiotics: A Systematic Review
title_short Dentists’ Prescription Patterns of Non-Steroidal Anti-inflammatory Drugs and Antibiotics: A Systematic Review
title_sort dentists prescription patterns of non steroidal anti inflammatory drugs and antibiotics a systematic review
topic β-lactams
dental complication
drug category
electronic databases
non-opioid analgesics
prophylaxis
treatment
url https://jcdr.net/articles/PDF/11253/31516_CE(RA1)_F(T)_PF1(BHV_AnG)_PFA(BHV_AnG)_PB(BHV_AP)_PN(AP).pdf
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AT molooktorabiparizi dentistsprescriptionpatternsofnonsteroidalantiinflammatorydrugsandantibioticsasystematicreview
AT mahmoudrezadehghani dentistsprescriptionpatternsofnonsteroidalantiinflammatorydrugsandantibioticsasystematicreview