Evidence map›Paper›PMID 31314998›Full record

ArticleJournal of dental research2019

Risk of Adverse Reactions to Oral Antibiotics Prescribed by Dentists.

M H Thornhill, M J Dayer, M J Durkin, P B Lockhart, L M Baddour

Open access · greenAbstract read
In one paragraph

Article in Journal of dental research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 2 pooled it
7.4field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

39 citing papers in PubMed, 2 syntheses or guidelines pooled it, 82 citations in OpenAlex.

  1. Pooled it
  2. Antibiotics to prevent complications following tooth extractions.The Cochrane database of systematic reviews · 2021
    Pooled it
  3. Article
  4. Review
  5. Article
  6. Article
  7. Review
  8. 2023 European Society of Cardiology guidelines for the management of infective endocarditis : Statement of endorsement by the NVVC Full version.Netherlands heart journal : monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation · 2026
    Review
  9. Article
  10. Article
  11. Costs-Outcome Description Arising From Side Effects due the Over-Prescription of Antibiotics in Oral Healthcare in Chile.Journal of oral pathology & medicine : official publication of the International Association of Oral Pathologists and the American Academy of Oral Pathology · 2025
    Article
  12. Article
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  14. Review
  15. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 4 institutions in 2 countries.

M H Thornhill1 Unit of Oral and Maxillofacial Medicine Surgery and Pathology, School of Clinical Dentistry, University of Sheffield, Sheffield, UK.ORCID 0000-0003-0681-4083
M J Dayer3 Department of Cardiology, Taunton and Somerset NHS Trust, Taunton, Somerset, UK.
M J Durkin4 Division of Infectious Diseases, Washington University in St. Louis School of Medicine, St. Louis, MO, USA.ORCID 0000-0003-4652-7089
P B Lockhart2 Department of Oral Medicine, Carolinas Medical Center, Charlotte, NC, USA.
L M Baddour5 Division of Infectious Diseases, Department of Medicine and the Department of Cardiovascular Medicine, Mayo Clinic College of Medicine, Rochester, MN, USA.
Carolinas Medical Center · USMayo Clinic · USTaunton & Somerset NHS Foundation Trust · GBWashington University in St. Louis · US

Funding

Washington University Institute of Clinical and Translational Sciences (KL2) KL2TR002346 · NCATS · WASHINGTON UNIVERSITY · PI Dominic N Reeds · 2017 to 2026
$14.0M
NCATS NIH HHS KL2 TR002346NCEZID CDC HHS U54 CK000482NIAID NIH HHS L30 AI133778
6 · The paper itself

Abstract

Dentists prescribe a large portion of all oral antibiotics, and these are associated with a risk of adverse drug reactions (ADRs). The aim of this study was to quantify the risk of ADRs associated with oral antibiotics commonly prescribed by dentists. NHS Digital Prescribing data and Yellow Card Drug Analysis data for 2010 to 2017 were abstracted to quantify dental antibiotic prescribing in England, and the rate and types of ADRs associated with them. During the period of study, the mean number of actively practicing dentists in England was 23,624. Amoxicillin accounted for 64.8% of dental antibiotic prescribing and had the lowest reported rate of fatal ADRs (0.1/million prescriptions) and overall ADRs (21.5/million prescriptions). Indeed, amoxicillin was respectively 6 and 3 times less likely to cause an ADR than the other penicillins, penicillin V and amoxicillin + clavulanic acid, and appears to be very safe in patients with no history of penicillin allergy. In contrast, clindamycin, which is often used in patients with penicillin allergy, had the highest rate of fatal (2.9/million prescriptions) and overall (337.3/million prescriptions) ADRs, with

Indexed as

Administration, OralAdverse Drug Reaction Reporting SystemsAmoxicillinAnti-Bacterial AgentsClarithromycinClindamycinDentistsEnglandHumansMetronidazolePenicillinsAmoxicillinAnti-Bacterial AgentsClarithromycinClindamycinMetronidazolePenicillinsadverse drug reactionallergydentistryinfection

Identifiers

PMID31314998
PMCPMC8256247
OpenAlexW2958595963

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.