A Survey on the Use of Antibiotics among the Dentists of Kolkata, West Bengal, India

Rahul Kaul, Paras Angrish, Parul Jain, Subrata Saha, Ashok V Sengupta, Shantanu Mukherjee, Rahul Kaul, Paras Angrish, Parul Jain, Subrata Saha, Ashok V Sengupta, Shantanu Mukherjee

Abstract

Introduction: Dental infections are multimicrobial in origin with their etiological factors involving a combination of Gram-positive, Gram-negative, facultative anaerobes, and obligate anaerobic bacteria. Thus, antibiotics and analgesics account for a great majority of medicines prescribed by the dental surgeons. Inappropriate prescription of antibiotics by health care professionals has become a worldwide issue nowadays.

Aim: The purpose of the present study was to:• Determine the pattern of antibiotic prescription among dentists of Kolkata.• Assess the attitude of dentists toward antibiotic resistance.

Materials and methods: An electronic version of the questionnaire of cross-sectional survey regarding antibiotic use and attitude toward growing antibiotic resistance was constructed using Qualtrics (Qualtrics Pvt. Limited Provo, Utah), an internet online survey tool that was e-mailed to dental surgeons of Kolkata registered with Indian Dental Association (IDA), West Bengal. A reminder e-mail was given after 1 month to recollect the responses from them.

Results: The survey was e-mailed to 300 dental surgeons, out of which 115 dental surgeons completed the survey, thereby achieving a response rate of 38.33%. Majority of the respondents (60%) chose amoxicillin in nonallergic patients. Average minimum duration of antibiotic therapy was 5 days. The drug of first choice for patients with an allergy to penicillin was erythromycin. The prime determinant of antibiotic use was facial swelling (68%). The prime determinant to select a particular brand of antibiotics was affordability of that brand (61%). Almost all (99%) dental surgeons were aware of antibiotic resistance being a growing concern. As per their views, there was overprescription of antibiotics.How to cite this article: Kaul R, Angrish P, Jain P, Saha S, Sengupta AV, Mukherjee S. A Survey on the Use of Antibiotics among the Dentists of Kolkata, West Bengal, India. Int J Clin Pediatr Dent 2018;11(2):122-127.

Keywords: Analgesics; Antibiotics; Overuse; Resistance..

Conflict of interest statement

Source of support: Nil Conflict of interest: None

References

    1. Johnson TM, Hawkes J. Awareness of antibiotic prescribing and resistance in primary dental care. Prim Dent J. 2014 Nov;3(4):44–47.
    1. Pallasch TJ. Global antibiotic resistance and its impact on the dental community. J Calif Dent Assoc. 2000 Mar;28(3):215–233.
    1. Yingling NM, Byrne BE, Hartwell GR. Antibiotic use by members of the American Association of Endodontists in the year 2000: report of a national survey. J Endod. 2002 May;28(5):396–404.
    1. Swift JQ, Gulden WS. Antibiotic therapy—managing odon- togenic infections. Dent Clin N Am. 2002 Oct;46(4):623–633.
    1. Lewis MA. Why we must reduce dental prescription of antibiotics: European Union Antibiotic Awareness Day. Br Dent J. 2008;205(10):537–538.
    1. Rodriguez-Núñez A, Cisneros-Cabello R, Velasco-Ortega E, Llamas-Carreras JM, Tórres-Lagares D, Segura-Egea JJ. Antibiotic use by members of the Spanish Endodontic Society. J Endod. 2009 Sep;35(9):1198–1203.
    1. Segura-Egea JJ, Velasco-Ortega E, Torres-Lagares D, Velasco-Ponferrada MC, Monsalve-Guil L. Llamas-Carreras JM Pattern of antibiotic prescription in the management of endodontic infections amongst Spanish oral surgeons. Int Endod J. 2010 Apr;43(4):342–350.
    1. Lee M, Winkler J, Hartwell G, Stewart J, Caine R. Current trends in endodontic practice: emergency treatments and technological armamentarium. J Endod. 2009 Jan;35(1):35–39.
    1. Creasy JE, Mines P, Sweet M. Surgical trends among endo-dontists: the results of a web-based survey. J Endod. 2009 Jan;35(1):30–34.
    1. American Association of Endodontists. Prescription for the Future. Responsible Use of Antibiotics in Endodon-tic Therapy. Available from:
    1. Whitten BH, Gardiner DL, Jeannsonne BG, Lemon RR. Current trends in endodontic treatment: report of a national survey. J Am Dent Assoc. 1996 Sep;127(9):1333–1341.
    1. Llor C, Cots JM, Gaspar MJ, Alay M, Rams N. Antibiotic prescribing over the last 16 years: fewer antibiotics but the spectrum is broadening. Eur J Clin Microbiol Infect Dis. 2009 Aug;28(8):893–897.
    1. Tulip DE, Palmer NO. A retrospective investigation of the clinical management of patients attending an out of hours dental clinic in Merseyside under the new NHS dental contract. Br Dent J. 2008 Dec;205(12):659–664.
    1. Malhotra KS, Lammens C, Coenen S, Van Herck K, Goossens H. Effect of azithromycin and clarithromycin therapy on pha-ryngeal carriage of macrolide-resistant streptococci in healthy volunteers: a randomised, double-blind, placebo-controlled study. Lancet. 2007 Feb;369(9560):482–490.
    1. Jaimes EC. Lincocinamides and the incidence of antibiotic- associated colitis. Clin Ther. 1991 Mar;13(2):270–280.
    1. Salako NO, Rotimi VO, Adib SM, Al-Mutawa S. Pattern of antibiotic prescription in the management of oral diseases among dentists in Kuwait. J Dent. 2004 Sep;32(7):503–509.
    1. Palmer NAO. A study of therapeutic antibiotic prescribing in national health service general dental practice in England. Br Dent J. 2000 May;188(10):554–558.
    1. Skucaite N, Peciuliene V, Maneliene R, Maciulskiene V. Antibiotic prescription for the treatment of endodontic pathology: a survey among Lithuanian dentists. Medicina. 2010;46(12):806–813.
    1. Fouad AF. Systemic antibiotics in endodontic infections. In: Baumgartner JC, Smith JR, editors; Endodontic microbiology. 1st edn. Ames, IA: Wiley-Blackwell; 2009. pp. 225–241.
    1. Newman MG, Van Winkelhoff AJ. Antibiotics in endodontic therapy. . In: Baumgartner JC, editor; Antibiotics and antimicrobial use in dental practice. 2nd edn. Hanover Park, IL: Quintessence Publishing; 2001. pp. 143–157.

Source: PubMed

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