The rational use of antibiotics by dentists for odontogenic infection treatment in kupang, East Nusa Tenggara

Scientific Dental Journal Pub Date : 2019-09-01 DOI:10.4103/SDJ.SDJ_26_19

Manginar Sidabutar, Friska D. Simamora, Faber Sidabutar, Yuliana Wain, M. Malelak

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引用次数: 0

Abstract

Background: Many odontogenic infection cases do not need antibiotic prescriptions. The excessive use of antibiotics can lead to microbial resistance. Objective: This study aims to acknowledge the rationale and varieties of antibiotic prescriptions in odontogenic infection treatment by dentists. Methods: Data were collected from 513 patients' medical records from the provincial public hospital and district public health center (PHC), Kupang City, from January to June 2016. The variables of this study were odontogenic infections treated with antibiotic therapy and the span of that antibiotic therapy. Results: Antibiotic use was not required in odontogenic infection cases: periapical abscess (27%), nonsurgery tooth extraction (20.7%), apical periodontitis (17.3%), and pulpitis (15%). Amoxicillin (76%) and clindamycin (12%) are widely used in odontogenic infection treatment. Based on the duration of therapy, it was found that the use of amoxicillin was 44% and clindamycin was 34%. Conclusion: Excessive antibiotic use is done by general dental practitioners in the treatment of odontogenic infection. Strict rules for antibiotic prescription are needed to prevent antibiotic resistance.

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东努沙登加拉库邦牙医合理使用抗生素治疗牙源性感染

背景：许多牙源性感染病例不需要抗生素处方。过度使用抗生素会导致微生物耐药性。目的：本研究旨在了解牙医治疗牙源性感染的抗生素处方的原理和种类。方法：收集2016年1-6月库邦市省级公立医院和区公共卫生中心513例患者的病历资料。这项研究的变量是用抗生素治疗的牙源性感染和抗生素治疗的时间跨度。结果：牙源性感染病例不需要使用抗生素：根尖周脓肿（27%）、非手术拔牙（20.7%）、根尖周炎（17.3%）和牙髓炎（15%）。阿莫西林（76%）和克林霉素（12%）广泛用于牙源性感染的治疗。根据治疗的持续时间，发现阿莫西林的使用率为44%，克林霉素为34%。结论：全科牙科医生在治疗牙源性感染时过度使用抗生素。需要严格的抗生素处方规则来防止抗生素耐药性。

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Scientific Dental Journal

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审稿时长

7 weeks