Dental antibiotic use in British Columbia from 1996 through 2023: Are we backsliding?

IF 3.1 2区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of the American Dental Association Pub Date : 2024-11-18 DOI:10.1016/j.adaj.2024.10.001

Säde Stenlund, Jeremy Huynh, Clifford Pau, Erica Chuang, Hannah Lishman, David M Patrick

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引用次数: 0

Abstract

Background: Dentists in the United States and Canada have higher rates of prescribing broad-spectrum spectrum antibiotics than dentists in some other Western countries. The authors provide an overview of dental antibiotic prescribing trends from British Columbia, Canada.

Methods: The data include all prescriptions filed from pharmacies in British Columbia from 1996 through 2023. Dental antibiotic prescribing trends were explored visually and stratified according to patient-related characteristics, type of health service area, type of antibiotic, duration of therapy, and dentist's experience. Interrupted time series regression analysis was conducted to investigate the impact of the COVID-19 pandemic on dental antibiotic prescribing.

Results: Dentistry accounted for an increasing proportion of overall antibiotic consumption in British Columbia. Dental prescriptions increased to a peak rate during the COVID-19 pandemic and remained elevated into 2023. The median duration of prescription converged toward a 7-day supply during the study period.

Conclusions: The authors documented how a decreasing trend in dental antibiotic prescribing prepandemic has been interrupted by means of continuously high rates after that event.

Practical implications: Renewed efforts to ensure appropriateness of dental antibiotic prescribing are needed.

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不列颠哥伦比亚省从 1996 年到 2023 年的牙科抗生素使用情况：我们是否在倒退？

背景：与其他一些西方国家的牙医相比，美国和加拿大的牙医开具广谱抗生素处方的比例更高。作者概述了加拿大不列颠哥伦比亚省的牙科抗生素处方趋势：方法：数据包括不列颠哥伦比亚省药房从 1996 年到 2023 年提交的所有处方。根据患者相关特征、医疗服务地区类型、抗生素类型、治疗持续时间和牙医经验，对牙科抗生素处方趋势进行了直观和分层分析。我们还进行了间断时间序列回归分析，以研究 COVID-19 大流行对牙科抗生素处方的影响：结果：牙科在不列颠哥伦比亚省抗生素总用量中所占的比例越来越大。牙科处方量在 COVID-19 大流行期间达到峰值，并一直持续到 2023 年。在研究期间，处方用量的中位数趋向于 7 天用量：作者记录了牙科抗生素处方在大流行前的下降趋势是如何在大流行后被持续的高处方率所打断的：实际意义：需要继续努力确保牙科抗生素处方的适当性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of the American Dental Association 医学-牙科与口腔外科

CiteScore

5.30

自引率

10.30%

发文量

221

审稿时长

34 days

期刊介绍： There is not a single source or solution to help dentists in their quest for lifelong learning, improving dental practice, and dental well-being. JADA+, along with The Journal of the American Dental Association, is striving to do just that, bringing together practical content covering dentistry topics and procedures to help dentists—both general dentists and specialists—provide better patient care and improve oral health and well-being. This is a work in progress; as we add more content, covering more topics of interest, it will continue to expand, becoming an ever-more essential source of oral health knowledge.