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Antibiotics prescription habits of Spanish endodontists: Impact of the ESE awareness campaign and position statement

BACKGROUND: The inadequate use of antibiotics by dentists can contribute to antibiotic resistance. The European Society of Endodontology (ESE) has published a scientific evidence-based position on antibiotic use in endodontic infec-tions. The aim of this study was to analyze the antibiotics prescrip...

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Autores principales: López-Marrufo-Medina, Alfonso, Domínguez-Domínguez, Laura, Cabanillas-Balsera, Daniel, Areal-Quecuty, Victoria, Crespo-Gallardo, Isabel, Jiménez-Sánchez, Mª Carmen, López-López, José, Segura-Egea, Juan J., Martin-Gonzalez, Jenifer
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medicina Oral S.L. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8760970/
https://www.ncbi.nlm.nih.gov/pubmed/35070124
http://dx.doi.org/10.4317/jced.59053
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author López-Marrufo-Medina, Alfonso
Domínguez-Domínguez, Laura
Cabanillas-Balsera, Daniel
Areal-Quecuty, Victoria
Crespo-Gallardo, Isabel
Jiménez-Sánchez, Mª Carmen
López-López, José
Segura-Egea, Juan J.
Martin-Gonzalez, Jenifer
author_facet López-Marrufo-Medina, Alfonso
Domínguez-Domínguez, Laura
Cabanillas-Balsera, Daniel
Areal-Quecuty, Victoria
Crespo-Gallardo, Isabel
Jiménez-Sánchez, Mª Carmen
López-López, José
Segura-Egea, Juan J.
Martin-Gonzalez, Jenifer
author_sort López-Marrufo-Medina, Alfonso
collection PubMed
description BACKGROUND: The inadequate use of antibiotics by dentists can contribute to antibiotic resistance. The European Society of Endodontology (ESE) has published a scientific evidence-based position on antibiotic use in endodontic infec-tions. The aim of this study was to analyze the antibiotics prescription habits of Spanish endodontists in the management of endodontic infections, comparing them with those they had 10 years ago, to assess the impact of the ESE awareness campaign and position statement on antibiotics in endodontics. MATERIAL AND METHODS: One hundred Spanish endodontists were requested to answer to a one-page survey, similar to that used previously ten years ago in another study, on indications for systemic antibiotics in the management of endodontic infections. Data were analyzed using descriptive statistics and chi-square test. Seventy-seven endodontists (77%) completed satisfactorily the survey and were included in the study. RESULTS: The average duration of antibiotic therapy was 5.64 ± 1.75 days. In patients with no medical allergies, 97.1% selected amoxicillin as the first-choice antibiotic. The first drug of choice for patients with an allergy to penicillin, was clindamycin 300 mg (74.03%). For cases of pulp necrosis with asymptomatic apical periodontitis, fistulous tract and mild/symptomatic symptoms, 100% of endodontists would prescribe antibiotics. For the scenario of a pulp necrosis with symptomatic periodontitis apical and no swelling, 20% endodontists would prescribe antibiotics. CONCLUSIONS: Antibiotics prescription habits of Spanish endodontists has improved after the ESE awareness campaign and position statement on antibiotics in endodontics. Even so, there are a percentage of professionals that still prescribe antibiotics erro-neously. Key words:Antibiotic, antibiotics resistance, dentistry, endodontists, endodontics, prescription habits, primary care
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spelling pubmed-87609702022-01-20 Antibiotics prescription habits of Spanish endodontists: Impact of the ESE awareness campaign and position statement López-Marrufo-Medina, Alfonso Domínguez-Domínguez, Laura Cabanillas-Balsera, Daniel Areal-Quecuty, Victoria Crespo-Gallardo, Isabel Jiménez-Sánchez, Mª Carmen López-López, José Segura-Egea, Juan J. Martin-Gonzalez, Jenifer J Clin Exp Dent Research BACKGROUND: The inadequate use of antibiotics by dentists can contribute to antibiotic resistance. The European Society of Endodontology (ESE) has published a scientific evidence-based position on antibiotic use in endodontic infec-tions. The aim of this study was to analyze the antibiotics prescription habits of Spanish endodontists in the management of endodontic infections, comparing them with those they had 10 years ago, to assess the impact of the ESE awareness campaign and position statement on antibiotics in endodontics. MATERIAL AND METHODS: One hundred Spanish endodontists were requested to answer to a one-page survey, similar to that used previously ten years ago in another study, on indications for systemic antibiotics in the management of endodontic infections. Data were analyzed using descriptive statistics and chi-square test. Seventy-seven endodontists (77%) completed satisfactorily the survey and were included in the study. RESULTS: The average duration of antibiotic therapy was 5.64 ± 1.75 days. In patients with no medical allergies, 97.1% selected amoxicillin as the first-choice antibiotic. The first drug of choice for patients with an allergy to penicillin, was clindamycin 300 mg (74.03%). For cases of pulp necrosis with asymptomatic apical periodontitis, fistulous tract and mild/symptomatic symptoms, 100% of endodontists would prescribe antibiotics. For the scenario of a pulp necrosis with symptomatic periodontitis apical and no swelling, 20% endodontists would prescribe antibiotics. CONCLUSIONS: Antibiotics prescription habits of Spanish endodontists has improved after the ESE awareness campaign and position statement on antibiotics in endodontics. Even so, there are a percentage of professionals that still prescribe antibiotics erro-neously. Key words:Antibiotic, antibiotics resistance, dentistry, endodontists, endodontics, prescription habits, primary care Medicina Oral S.L. 2022-01-01 /pmc/articles/PMC8760970/ /pubmed/35070124 http://dx.doi.org/10.4317/jced.59053 Text en Copyright: © 2022 Medicina Oral S.L. https://creativecommons.org/licenses/by/2.5/This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research
López-Marrufo-Medina, Alfonso
Domínguez-Domínguez, Laura
Cabanillas-Balsera, Daniel
Areal-Quecuty, Victoria
Crespo-Gallardo, Isabel
Jiménez-Sánchez, Mª Carmen
López-López, José
Segura-Egea, Juan J.
Martin-Gonzalez, Jenifer
Antibiotics prescription habits of Spanish endodontists: Impact of the ESE awareness campaign and position statement
title Antibiotics prescription habits of Spanish endodontists: Impact of the ESE awareness campaign and position statement
title_full Antibiotics prescription habits of Spanish endodontists: Impact of the ESE awareness campaign and position statement
title_fullStr Antibiotics prescription habits of Spanish endodontists: Impact of the ESE awareness campaign and position statement
title_full_unstemmed Antibiotics prescription habits of Spanish endodontists: Impact of the ESE awareness campaign and position statement
title_short Antibiotics prescription habits of Spanish endodontists: Impact of the ESE awareness campaign and position statement
title_sort antibiotics prescription habits of spanish endodontists: impact of the ese awareness campaign and position statement
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8760970/
https://www.ncbi.nlm.nih.gov/pubmed/35070124
http://dx.doi.org/10.4317/jced.59053
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