An evaluation of dental antibiotic prescribing practices in the United States
An evaluation of dental antibiotic prescribing practices in the United States
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DOI：
10.1016/j.adaj.2017.07.019
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发表时间：
2017-12-01
影响因子：
3.9
通讯作者：
Fraser, Victoria J.
中科院分区：
文献类型：
--
作者：
Durkin, Michael J.;Hsueh, Kevin;Fraser, Victoria J.
背景。美国普通牙医和牙科专家对抗生素处方的做法仍然知之甚少。本研究的目的是比较不同牙科专业的处方实践，评估牙医开具抗生素的持续时间，并确定牙医之间抗生素选择的差异。方法。作者对牙科保健提供者的专业进行了回顾性横断面分析，该分析与 2015 日历年期间一家大型药房福利管理公司的未识别抗生素索赔数据相关。结果。作为一个群体，普通牙医和牙科专家开出了超过 290 万张抗生素处方，高于其他几个医疗和专职医疗保健提供者专业的水平。抗生素治疗持续时间通常会延长，并且通常包括广谱药物，例如阿莫西林克拉维酸和克林霉素。尽管阿莫西林是所有牙科专业中最常用的抗生素，但每个专业选择的其他抗生素之间存在很大差异。最常见的抗生素治疗持续时间为 7 天和 10 天。结论。这项研究的结果表明，牙医经常长期开抗生素处方，并且经常使用广谱抗生素。需要进一步的研究来评估这些抗生素处方模式的适当性。
Background. Antibiotic prescribing practices among general dentists and dental specialists in the United States remains poorly understood. The purpose of this study was to compare prescribing practices across dental specialties, evaluate the duration of antibiotics dentists prescribed, and determine variation in antibiotic selection among dentists.Methods. The authors performed a retrospective cross-sectional analysis of dental care provider specialties linked to deidentified antibiotic claims data from a large pharmacy benefits manager during the 2015 calendar year.Results. As a group, general dentists and dental specialists were responsible for more than 2.9 million antibiotic prescriptions, higher than levels for several other medical and allied health care provider specialties. Antibiotic treatment duration generally was prolonged and commonly included broad-spectrum agents, such as amoxicillin clavulanate and clindamycin. Although amoxicillin was the most commonly prescribed antibiotic among all dental specialties, there was substantial variation among other antibiotics each specialty selected. The most common antibiotic treatment durations were 7 and 10 days.Conclusions. This study's results demonstrate that dentists frequently prescribe antibiotics for prolonged periods and often use broad-spectrum antibiotics. Further studies are necessary to evaluate the appropriateness of these antibiotic prescribing patterns.