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Medication Prescribing Practices in Croatian Dental Offices and Their Contribution to National Consumption

OBJECTIVES: The objective of this study was to analyse the pattern of medication prescribing among dental practitioners in the Republic of Croatia and to compare it with general medical practice patterns at the national level. METHODS: Data on drug prescriptions were obtained from the Croatian Healt...

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Autores principales: Šutej, Ivana, Lepur, Dragan, Božić, Darko, Pernarić, Katja
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9275198/
https://www.ncbi.nlm.nih.gov/pubmed/33648770
http://dx.doi.org/10.1016/j.identj.2021.01.004
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author Šutej, Ivana
Lepur, Dragan
Božić, Darko
Pernarić, Katja
author_facet Šutej, Ivana
Lepur, Dragan
Božić, Darko
Pernarić, Katja
author_sort Šutej, Ivana
collection PubMed
description OBJECTIVES: The objective of this study was to analyse the pattern of medication prescribing among dental practitioners in the Republic of Croatia and to compare it with general medical practice patterns at the national level. METHODS: Data on drug prescriptions were obtained from the Croatian Health Insurance Fund. The number of dentist prescriptions, the cost of medicine denominated in the national currency (Croatian Kuna [HRK]), and the number of packages and days prescribed have been included in the analysis. RESULTS: Results indicate that there was an increase in medication prescribing(+5.7%) by dentists, with antimicrobials comprising the majority, whereas national medical antimicrobial prescribing had slightly decreased. Antibiotics accounted for 80% of all dentists’ prescriptions, with penicillins being the most commonly prescribed. In particular, amoxicillin with clavulanic acid accounted for 56.4% of all antibiotics prescribed. Such broad-spectrum antibiotics were prescribed more frequently than those of narrow-spectrum. Antibiotics were followed by nonsteroidal anti-inflammatory drugs, with prescribing frequency for ibuprofen increasing by 75%. CONCLUSION: Current trends show an increase in the overall prescription rate for all medications prescribed by dentists. The largest increase was observed for the broad-spectrum amoxicillin with clavulanic acid, and ibuprofen. As the apparent widespread use of broad-spectrum antibiotics by dentists in Croatia is in contrast to national and international recommendations for antibiotic stewardship, there is a need for further prospective investigation and possible provider education and guidelines.
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spelling pubmed-92751982022-08-02 Medication Prescribing Practices in Croatian Dental Offices and Their Contribution to National Consumption Šutej, Ivana Lepur, Dragan Božić, Darko Pernarić, Katja Int Dent J Scientific Research Report OBJECTIVES: The objective of this study was to analyse the pattern of medication prescribing among dental practitioners in the Republic of Croatia and to compare it with general medical practice patterns at the national level. METHODS: Data on drug prescriptions were obtained from the Croatian Health Insurance Fund. The number of dentist prescriptions, the cost of medicine denominated in the national currency (Croatian Kuna [HRK]), and the number of packages and days prescribed have been included in the analysis. RESULTS: Results indicate that there was an increase in medication prescribing(+5.7%) by dentists, with antimicrobials comprising the majority, whereas national medical antimicrobial prescribing had slightly decreased. Antibiotics accounted for 80% of all dentists’ prescriptions, with penicillins being the most commonly prescribed. In particular, amoxicillin with clavulanic acid accounted for 56.4% of all antibiotics prescribed. Such broad-spectrum antibiotics were prescribed more frequently than those of narrow-spectrum. Antibiotics were followed by nonsteroidal anti-inflammatory drugs, with prescribing frequency for ibuprofen increasing by 75%. CONCLUSION: Current trends show an increase in the overall prescription rate for all medications prescribed by dentists. The largest increase was observed for the broad-spectrum amoxicillin with clavulanic acid, and ibuprofen. As the apparent widespread use of broad-spectrum antibiotics by dentists in Croatia is in contrast to national and international recommendations for antibiotic stewardship, there is a need for further prospective investigation and possible provider education and guidelines. Elsevier 2021-02-26 /pmc/articles/PMC9275198/ /pubmed/33648770 http://dx.doi.org/10.1016/j.identj.2021.01.004 Text en © 2021 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Scientific Research Report
Šutej, Ivana
Lepur, Dragan
Božić, Darko
Pernarić, Katja
Medication Prescribing Practices in Croatian Dental Offices and Their Contribution to National Consumption
title Medication Prescribing Practices in Croatian Dental Offices and Their Contribution to National Consumption
title_full Medication Prescribing Practices in Croatian Dental Offices and Their Contribution to National Consumption
title_fullStr Medication Prescribing Practices in Croatian Dental Offices and Their Contribution to National Consumption
title_full_unstemmed Medication Prescribing Practices in Croatian Dental Offices and Their Contribution to National Consumption
title_short Medication Prescribing Practices in Croatian Dental Offices and Their Contribution to National Consumption
title_sort medication prescribing practices in croatian dental offices and their contribution to national consumption
topic Scientific Research Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9275198/
https://www.ncbi.nlm.nih.gov/pubmed/33648770
http://dx.doi.org/10.1016/j.identj.2021.01.004
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