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Antibiotic prophylaxis in oral health care: administration strategies of general dental practitioners

Ellervall, Eva; Björklund, Fredrik LU ; Rohlin, Madeleine; Vinge, Ellen LU and Knutsson, Kerstin LU (2005) In Acta Odontologica Scandinavica 63(6). p.321-329
Abstract
Objective. To examine the strategies that general dental practitioners (GDPs) use to administer antibiotic prophylaxis and to study the agreement between the administration strategies of GDPs and local recommendations. Methods. Postal questionnaires in combination with telephone interviews were used. Two hundred GDPs in two Swedish counties, Skane and Orebro, were asked to participate. The response rate was 51% (n=101). The GDPs were presented with eight simulated cases of patients with different medical conditions for which antibiotic prophylaxis might be considered necessary when performing dental procedures (scaling, tooth removal, root canal treatment). The administration strategies of the GDPs were compared with local recommendations.... (More)
Objective. To examine the strategies that general dental practitioners (GDPs) use to administer antibiotic prophylaxis and to study the agreement between the administration strategies of GDPs and local recommendations. Methods. Postal questionnaires in combination with telephone interviews were used. Two hundred GDPs in two Swedish counties, Skane and Orebro, were asked to participate. The response rate was 51% (n=101). The GDPs were presented with eight simulated cases of patients with different medical conditions for which antibiotic prophylaxis might be considered necessary when performing dental procedures (scaling, tooth removal, root canal treatment). The administration strategies of the GDPs were compared with local recommendations. Results. In general, the variation in the administration strategies of the GDPs was large. For two medical conditions, type 1 diabetes that was not well controlled and hip prosthesis, significantly more GDPs in Skane than in Orebro administered antibiotic prophylaxis for tooth removal. Agreement between the administration strategies of the GDPs and local recommendations was low. Differences between the two counties were non-significant. Furthermore, within Orebro, GDPs who did not have formal access to local recommendations did not differ in their administration strategies from those who did. The choice of substance was seldom in agreement with the substance recommended, while the majority followed the recommended duration of treatment. Conclusion. Although recommendations existed, their impact appeared to be limited. This is significant, since the implementation of recommendations is crucial in making clinical practice more effective and in promoting the health of patients. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
of drugs, health planning guidelines, premedication, physiological effects, drug prescriptions
in
Acta Odontologica Scandinavica
volume
63
issue
6
pages
321 - 329
publisher
Taylor & Francis
external identifiers
  • wos:000233536600002
  • pmid:16512104
  • scopus:32644432779
ISSN
1502-3850
DOI
10.1080/00016350500206660
language
English
LU publication?
yes
id
b198f5a0-f2af-40c0-80f2-cc36549f97c3 (old id 212426)
date added to LUP
2007-08-02 16:55:52
date last changed
2017-01-01 07:09:06
@article{b198f5a0-f2af-40c0-80f2-cc36549f97c3,
  abstract     = {Objective. To examine the strategies that general dental practitioners (GDPs) use to administer antibiotic prophylaxis and to study the agreement between the administration strategies of GDPs and local recommendations. Methods. Postal questionnaires in combination with telephone interviews were used. Two hundred GDPs in two Swedish counties, Skane and Orebro, were asked to participate. The response rate was 51% (n=101). The GDPs were presented with eight simulated cases of patients with different medical conditions for which antibiotic prophylaxis might be considered necessary when performing dental procedures (scaling, tooth removal, root canal treatment). The administration strategies of the GDPs were compared with local recommendations. Results. In general, the variation in the administration strategies of the GDPs was large. For two medical conditions, type 1 diabetes that was not well controlled and hip prosthesis, significantly more GDPs in Skane than in Orebro administered antibiotic prophylaxis for tooth removal. Agreement between the administration strategies of the GDPs and local recommendations was low. Differences between the two counties were non-significant. Furthermore, within Orebro, GDPs who did not have formal access to local recommendations did not differ in their administration strategies from those who did. The choice of substance was seldom in agreement with the substance recommended, while the majority followed the recommended duration of treatment. Conclusion. Although recommendations existed, their impact appeared to be limited. This is significant, since the implementation of recommendations is crucial in making clinical practice more effective and in promoting the health of patients.},
  author       = {Ellervall, Eva and Björklund, Fredrik and Rohlin, Madeleine and Vinge, Ellen and Knutsson, Kerstin},
  issn         = {1502-3850},
  keyword      = {of drugs,health planning guidelines,premedication,physiological effects,drug prescriptions},
  language     = {eng},
  number       = {6},
  pages        = {321--329},
  publisher    = {Taylor & Francis},
  series       = {Acta Odontologica Scandinavica},
  title        = {Antibiotic prophylaxis in oral health care: administration strategies of general dental practitioners},
  url          = {http://dx.doi.org/10.1080/00016350500206660},
  volume       = {63},
  year         = {2005},
}