Appropriateness of Antibiotic Prescription for Prophylactic Purposes among Italian Dental Practitioners: Results from a Cross-Sectional Study
Abstract
:1. Introduction
2. Materials and Methods
2.1. Study Design
2.2. Sample Size
2.3. Survey Sampling Methods
2.4. Instruments and Methods for Data Collection
2.5. Statistical Analysis
3. Results
4. Discussion
Strengths and Limitations
5. Conclusions
Supplementary Materials
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Dental Procedures | Appropriate AP Prescription 1 (563) | AP Over-Prescription 2 (563) | Total Prescription (1126) Guidelines Concordant AP | |||
---|---|---|---|---|---|---|
N | % | N | % | N | % | |
Invasive procedures | ||||||
Dental implant | 423 | 73.1 | 365 | 64.8 | 621 | 55.2 |
Third molar extraction | 330 | 58.6 | 389 | 69.1 | 504 | 44.8 |
Bone grafting | 344 | 61.1 | 396 | 70.3 | 511 | 45.4 |
Replantation of avulsed permanent teeth | 350 | 62.2 | 364 | 64.7 | 549 | 48.8 |
Luxation injuries with soft tissue trauma | 220 | 39.1 | 382 | 41.9 | 401 | 35.6 |
Non-invasive procedures 3 | ||||||
Luxation injuries of the permanent dentition | n/a | 98 | 17.4 | 465 4 | 82.6 |
Dental Implant | Third Molar Extraction | Bone Grafting | Replantation of Avulsed Permanent Teeth | Luxation Injury with Soft Tissue Trauma | ||||||
---|---|---|---|---|---|---|---|---|---|---|
N | % | N | % | N | % | N | % | N | % | |
Drug choice | ||||||||||
Appropriate (amoxicillin 2 g, single dose) | 150 | 35.5 | 119 | 36.1 | 114 | 33.1 | 121 | 34.6 | 85 | 38.6 |
Inappropriate (unsuitable choice for AP) | ||||||||||
Amoxicillin and Clavulanate | 251 | 59.1 | 194 | 58.8 | 211 | 61.3 | 209 | 59.7 | 114 | 51.8 |
Other 1 | 22 | 5.4 | 17 | 5.1 | 19 | 5.6 | 20 | 5.7 | 21 | 9.6 |
Alternative Drug Choice 2 | ||||||||||
Appropriate (clindamycin 600 mg) | 240 | 77.9 | 191 | 75.2 | 188 | 76.7 | 208 | 80 | 119 | 75.3 |
Inappropriate | 68 | 22.1 | 63 | 24.8 | 57 | 23.3 | 52 | 20 | 39 | 24.7 |
Timing | ||||||||||
Appropriate (30–60 min prior to the procedure) | 323 | 76.4 | 288 | 77.4 | 273 | 78.7 | 266 | 76 | 173 | 75.9 |
Inappropriate (24–48 h prior to the procedure) | 100 | 23.6 | 84 | 22.6 | 74 | 21.3 | 84 | 24 | 55 | 24.1 |
Duration | ||||||||||
Appropriate (within 24 h from the procedure) | 73 | 16.5 | 71 | 18.2 | 62 | 17 | 52 | 14.3 | 43 | 18.2 |
Inappropriate (over 24 h from the procedure) | ||||||||||
1–3 days | 177 | 40 | 135 | 34.6 | 127 | 34.9 | 164 | 45.2 | 97 | 41.1 |
4–6 days | 187 | 42.1 | 179 | 45.9 | 170 | 46.7 | 141 | 38.8 | 93 | 39.4 |
>6 days | 6 | 1.4 | 5 | 1.3 | 5 | 1.4 | 6 | 1.7 | 3 | 1.3 |
Appropriate drug choice, timing, and duration | 54 | 9.6 | 44 | 7.8 | 45 | 8 | 41 | 7.3 | 29 | 5.2 |
Variable | OR | 95% CI | p |
---|---|---|---|
Outcome: Correct prescription practice Log likelihood = −2962.65; χ² = 591.71 (5 df); p ≤ 0.0001, No. of observations = 5060 | |||
Age (years), continuous | 0.99 | 0.97–1.01 | 0.313 |
Gender | |||
Male 1 | 1.00 | ||
Female | 0.89 | 0.68–1.18 | 0.416 |
Number of years in practice, continuous | 1.01 | 0.98–1.03 | 0.864 |
Post-degree specialization | |||
No 1 | 1.00 | ||
Yes | 1.09 | 0.82–1.43 | 0.552 |
Residence | |||
South 1 | 1.00 | ||
Islands | 0.77 | 0.41–1.46 | 0.427 |
Center | 1.55 | 1.04–2.32 | 0.033 |
North-East | 1.16 | 0.77–1.75 | 0.485 |
North-West | 0.92 | 0.67–1.25 | 0.586 |
Invasive dental procedures | |||
Third molar extraction 1 | 1.00 | ||
Luxation injuries with soft tissue trauma | 1.19 | 0.88–1.60 | 0.255 |
Dental implant | 1.45 | 1.08–1.95 | 0.014 |
Replantation of avulsed permanent teeth | 1.50 | 1.12–2.01 | 0.007 |
Bone grafting | 0.89 | 0.65–1.20 | 0.438 |
Indication for AP | 5.1 | 3.79–6.86 | <0.001 |
Invasive dental procedures with indication | |||
Third molar extraction with indication 1 | 1.00 | ||
Luxation injuries with soft tissue trauma with indication | 0.29 | 0.19–0.44 | <0.001 |
Dental implant with indication | 1.92 | 1.25–2.95 | 0.003 |
Replantation of avulsed permanent teeth with indication | 0.81 | 0.54–1.22 | 0.315 |
Bone grafting with indication | 1.27 | 0.84–1.93 | 0.265 |
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Bianco, A.; Cautela, V.; Napolitano, F.; Licata, F.; Pavia, M. Appropriateness of Antibiotic Prescription for Prophylactic Purposes among Italian Dental Practitioners: Results from a Cross-Sectional Study. Antibiotics 2021, 10, 547. https://doi.org/10.3390/antibiotics10050547
Bianco A, Cautela V, Napolitano F, Licata F, Pavia M. Appropriateness of Antibiotic Prescription for Prophylactic Purposes among Italian Dental Practitioners: Results from a Cross-Sectional Study. Antibiotics. 2021; 10(5):547. https://doi.org/10.3390/antibiotics10050547
Chicago/Turabian StyleBianco, Aida, Vincenza Cautela, Francesco Napolitano, Francesca Licata, and Maria Pavia. 2021. "Appropriateness of Antibiotic Prescription for Prophylactic Purposes among Italian Dental Practitioners: Results from a Cross-Sectional Study" Antibiotics 10, no. 5: 547. https://doi.org/10.3390/antibiotics10050547
APA StyleBianco, A., Cautela, V., Napolitano, F., Licata, F., & Pavia, M. (2021). Appropriateness of Antibiotic Prescription for Prophylactic Purposes among Italian Dental Practitioners: Results from a Cross-Sectional Study. Antibiotics, 10(5), 547. https://doi.org/10.3390/antibiotics10050547