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Antibiotic prescription for acute dental conditions in the primary care setting
Author(s): Thomas DW, Satterthwaite J, Absi EG, Lewis MAO, Shepherd JP
Source: BRITISH DENTAL JOURNAL    Volume: 181    Issue: 11-12    Pages: 401-404    Published: DEC 7 1996  
Times Cited: 27     References: 15     
Abstract: To determine the pattern of antibiotic prescribing (source and type) for acute dental conditions in the emergency setting, a prospective cross-sectional study was undertaken of 500 consecutive new patients attending the examination and emergency clinic of the Cardiff Dental Hospital in May 1994. The source and type of antibiotics prescribed, the nature of complaint and type of antibiotic prescribed in the primary care and dental hospital setting were recorded. Antibiotic prescription was a feature of the treatment of 30% (149/500) of patients. The 60 patients who had received emergency treatment prior to attending the hospital emergency clinic had been prescribed a total of 14 different types of antibiotics; 41% of these patients had sought treatment from general medical practitioners. Antibiotics were frequently prescribed without generally accepted criteria and there was wide variation in prescribing. Overall, only seven different types of antibiotics were prescribed in the dental hospital setting. The use of second generation antibiotics was more common in general practice than in the dental hospital. The results suggest that many patients with dental pain may seek treatment from medical practitioners, prior to, or in place of, definitive dental treatment. In summary, rationalisation of antibiotic prescription and the provision of emergency dental treatment is needed.
Document Type: Article
Language: English
Reprint Address: Thomas, DW (reprint author), UNIV WALES COLL CARDIFF, COLL MED, SCH DENT, DEPT ORAL SURG MED & PATHOL, CARDIFF CF4 4XY, S GLAM WALES
Publisher: PROF SCI PUBL, TAVISTOCK HOUSE EAST, TAVISTOCK SQUARE, LONDON, ENGLAND WC1H 9JR
Subject Category: Dentistry, Oral Surgery & Medicine
IDS Number: VX962
ISSN: 0007-0610
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