Commenced in January 2007
Paper Count: 30455
The Appropriateness of Antibiotic Prescribing within Dundee Dental Hospital
Abstract:Background: The societal impact of antibiotic resistance is a major public health concern. The increase in incidence of resistant bacteria can ultimately be fatal. Objective: To analyse the appropriateness of antibiotic prescribing in Dundee Dental Hospital, ultimately improving the safety and quality of patient care. Methods: Two examiners independently crosschecked approximately fifty consecutive prescriptions, and corresponding patient case notes, for three data collection cycles between August 2014 – September 2015. The Scottish Dental Clinical Effectiveness Program (SDCEP) Drug Prescribing for Dentistry guidelines was the standard utilised. The criteria: clinical justification, regime justification and review arrangements was measured, and compared to the standard. Results: Cycle one revealed 42% of antibiotic prescriptions were appropriate. Interventions included: multiple staff meetings, introduction of a checklist attached to the prescription pack, and production of patient leaflets explaining indications for antibiotics. Cycle two and three revealed 44%, and 30% compliance, respectively. Conclusion: The results of the audit have yet to meet target standards set out in prescribing guidelines. However, steps are being taken and change has occurred on a cultural level.
Digital Object Identifier (DOI): doi.org/10.5281/zenodo.1111775Procedia APA BibTeX Chicago EndNote Harvard JSON MLA RIS XML ISO 690 PDF Downloads 1486
 Chief Medical Officers and Chief Veterinary Officers in Northern Ireland, Scotland and Wales, UK Five Year Antimicrobial Resistance Strategy 2013 to 2018. UK Department of Health, September 2013
 Public Health England, Antimicrobial prescribing and stewardship competencies. September 2013
 Johnson T, Hawkes J. Awareness of Antibiotic Prescribing and Resistance in Primary Dental Care. Prim Dent J. 2014 Nov; 3(4): 44-7
 Crighton D. Antibiotic stewardship. BDJ. 2011;211(10):443-443.
 Fouad A, Rivera E, Walton R. Penicillin as a supplement in resolving the localized acute apical abscess. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology. 1996;81(5):590-595.
 Curran J, Kennett S, Young A. An assessment of the use of prophylactic antibiotics in third molar surgery. International Journal of Oral Surgery. 1974;3(1):1-6.
 Lund B, Hultin M, Tranaeus S, Naimi-Akbar A, Klinge B. Complex systematic review - Perioperative antibiotics in conjunction with dental implant placement. Clinical Oral Implants Research. 2015; 26:1-14.
 Palmer N. An analysis of antibiotic prescriptions from general dental practitioners in England. Journal of Antimicrobial Chemotherapy. 2000;46(6):1033-1035.
 Lewis M, Carmichael F, MacFarlane T, Milligan S. A randomised trial of co-amoxiclav (Augmentin) versus penicillin V in the treatment of acute dentoalveolar abscess. British Dental Journal. 1993;175(5):169-174.
 23 Antimicrobial prescribing and stewardship competencies, 2016. Print.
 'California is the only state with formal state-wide legislation that supports antimicrobial stewardship.' BDJ. 2015;219(7):329-329.
 Van Boeckel TP, Gandra S, Ashok A, et al. Global antibiotic consumption 2000 to 2010: an analysis of national pharmaceutical sales data. The Lancet infect Dis 2014; 14: 742–50.
 Hollis A, Ahmed Z. Preserving Antibiotics, Rationally. New England Journal of Medicine. 2013;369(26):2474-2476.
 Davies J, Davies D. Origins and Evolution of Antibiotic Resistance. Microbiology and Molecular Biology Reviews. 2010;74(3):417-433.
 Lewis M, Parkhurst C, Douglas C, Martin M, Absi E, Bishop P et al. Prevalence of penicillin resistant bacteria in acute suppurative oral infection. J Antimicrob Chemother. 1995;35(6):785-791.
 Pankhurst C, Rautemaa-Richardson R, Seoudi N, Smith A, Wilson M. Antimicrobial resistance: Antibiotics and consultant oral microbiologist posts. BDJ. 2016;220(1):2-3.
 NICE antimicrobial resistance guideline. The Pharmaceutical Journal. 2015.
 Neu H. The Crisis in Antibiotic Resistance. Science. 1992;257(5073):1064-1073.
 Le Corvoisier P, Renard V, Roudot-Thoraval F, Cazalens T, Veerabudun K, Canoui-Poitrine F et al. Long-term effects of an educational seminar on antibiotic prescribing by GPs: a randomised controlled trial. br j gen pract. 2013;63(612):455-464.
 Arroll B. Delayed prescriptions. BMJ. 2003;327(7428):1361-1362.
 Ashworth M, White P, Jongsma H, Schofield P, Armstrong D. Antibiotic prescribing and patient satisfaction in primary care in England: cross-sectional analysis of national patient survey data and prescribing data. British Journal of General Practice. 2015;66(642): e40-e46.
 Tjernberg A. Influence of oral hygiene measures on the development of alveolitis sicca dolorosa after surgical removal of mandibular third molars. International Journal of Oral Surgery. 1979;8(6):430-434.
 Cabello F. Heavy use of prophylactic antibiotics in aquaculture: a growing problem for human and animal health and for the environment. Environ Microbiol. 2006;8(7):1137-1144.
 Ghafur A, Mathai D, Muruganathan A, et al. The Chennai declaration: a roadmap to tackle the challenge of antimicrobial resistance. Indian J Cancer 2013; 50: 71–73.
 Ling L, Schneider T, Peoples A, Spoering A, Engels I, Conlon B et al. A new antibiotic kills pathogens without detectable resistance. Nature. 2015;517(7535):455-459.