ArticleJournal of the American Dental Association (1939)2018
Assessment of inappropriate antibiotic prescribing among a large cohort of general dentists in the United States.
Article in Journal of the American Dental Association (1939), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.
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Who cites it
22 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Antibiotics for the urgent management of symptomatic irreversible pulpitis, symptomatic apical periodontitis, and localized acute apical abscess: Systematic review and meta-analysis-a report of the American Dental Association.Journal of the American Dental Association (1939) · 2019Pooled it
- Using Selective Agar Containing Ciprofloxacin and Tetracycline Reveals Resistant Oral Microbiota in Healthy and Periodontitis Patients.MicrobiologyOpen · 2026Article
- Gaining a comprehensive understanding of antimicrobial resistance in dental education: a mixed methods study protocol.Frontiers in public health · 2026Article
- Appropriateness of antibiotic prescribing among patients treated for dental diseases in Mekelle city, Northern Ethiopia: a cross sectional study.Journal of health, population, and nutrition · 2024Article
- Mapping Worldwide Antibiotic Use in Dental Practices: A Scoping Review.Antibiotics (Basel, Switzerland) · 2024Article
- Occurrence of carbapenem-resistant hypervirulent Klebsiella pneumoniae in oysters in Egypt: a significant public health issue.Annals of clinical microbiology and antimicrobials · 2024Article
- Endocarditis prevention: time for a review of NICE guidance.The Lancet regional health. Europe · 2024Review
- Facts and trends in dental antibiotic and analgesic prescriptions in Germany, 2012-2021.Clinical oral investigations · 2024Article
- How decisions are made: Antibiotic stewardship in dentistry.Infection control and hospital epidemiology · 2023Article
- Comparison of guideline concordant antibiotic prophylaxis in Veterans Affairs and non-Veterans Affairs dental settings among those with cardiac conditions or prosthetic joints.BMC infectious diseases · 2023Article
- Magnitude and determinants of inappropriate prescribing of antibiotics in dentistry: a nation-wide study.Antimicrobial resistance and infection control · 2023Article
- First Report of Potentially PathogenicFoods (Basel, Switzerland) · 2022Article
- Factors that affect dentists' use of antibiotic prophylaxis: Findings from The National Dental Practice-Based Research Network questionnaire.Journal of the American Dental Association (1939) · 2022Article
- Severe infections after teeth removal - are we doing enough in preventing them?Journal of clinical and experimental dentistry · 2022Article
- Antibiotic Use and Misuse in Dentistry in India-A Systematic Review.Antibiotics (Basel, Switzerland) · 2021Review
- Prophylactic antibiotic prescribing in dental practice: Findings from a National Dental Practice-Based Research Network questionnaire.Journal of the American Dental Association (1939) · 2020Article
- Dispensing patterns of medicines prescribed by Australian dentists from 2006 to 2018 - a pharmacoepidemiological study.International dental journal · 2020Article
- Methodology for the development of a national Dental Practice-Based Research Network survey on dentist's beliefs and behaviors concerning antibiotic prophylaxis.Oral surgery, oral medicine, oral pathology and oral radiology · 2020Article
- Antibiotic stewardship in dentistry: Adopted by the General Assembly: September 2019, San Francisco, United States of America.International dental journal · 2020Article
- Longitudinal antibiotic prescribing trends among US dental specialists within a pharmacy benefits manager, 2013 through 2015.Journal of the American Dental Association (1939) · 2019Article
Corrections and comments
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Authors and funding
10 authors.
Funding
Abstract
backgroundThe purpose of this study was to assess dental antibiotic prescribing trends over time, to quantify the number and types of antibiotics dentists prescribe inappropriately, and to estimate the excess health care costs of inappropriate antibiotic prescribing with the use of a large cohort of general dentists in the United States.
methodsWe used a quasi-Poisson regression model to analyze antibiotic prescriptions trends by general dentists between January 1, 2013, and December 31, 2015, with the use of data from Express Scripts Holding Company, a large pharmacy benefits manager. We evaluated antibiotic duration and appropriateness for general dentists. Appropriateness was evaluated by reviewing the antibiotic prescribed and the duration of the prescription.
resultsOverall, the number and rate of antibiotic prescriptions prescribed by general dentists remained stable in our cohort. During the 3-year study period, approximately 14% of antibiotic prescriptions were deemed inappropriate, based on the antibiotic prescribed, antibiotic treatment duration, or both indicators. The quasi-Poisson regression model, which adjusted for number of beneficiaries covered, revealed a small but statistically significant decrease in the monthly rate of inappropriate antibiotic prescriptions by 0.32% (95% confidence interval, 0.14% to 0.50%; P = .001).
conclusionsOverall antibiotic prescribing practices among general dentists in this cohort remained stable over time. The rate of inappropriate antibiotic prescriptions by general dentists decreased slightly over time. PRACTICAL IMPLICATIONS: From these authors' definition of appropriate antibiotic prescription choice and duration, inappropriate antibiotic prescriptions are common (14% of all antibiotic prescriptions) among general dentists. Further analyses with the use of chart review, administrative data sets, or other approaches are needed to better evaluate antibiotic prescribing practices among dentists.
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