Analysis of clinical records of dental patients attending Jordan University Hospital: Documentation of drug prescriptions and local anesthetic injections

Najla Dar-Odeh, Soukaina Ryalat, Mohammad Shayyab, Osama Abu-Hammad, Najla Dar-Odeh, Soukaina Ryalat, Mohammad Shayyab, Osama Abu-Hammad

Abstract

Objectives: THE AIM OF THIS STUDY WAS TO ANALYZE CLINICAL RECORDS OF DENTAL PATIENTS ATTENDING THE DENTAL DEPARTMENT AT THE UNIVERSITY OF JORDAN HOSPITAL: a teaching hospital in Jordan. Analysis aimed at determining whether dental specialists properly documented the drug prescriptions and local anesthetic injections given to their patients.

Methods: Dental records of the Dental Department at the Jordan University Hospital were reviewed during the period from April 3rd until April 26th 2007 along with the issued prescriptions during that period.

Results: A total of 1000 records were reviewed with a total of 53 prescriptions issued during that period. Thirty records documented the prescription by stating the category of the prescribed drug. Only 13 records stated the generic or the trade names of the prescribed drugs. Of these, 5 records contained the full elements of a prescription. As for local anesthetic injections, the term "LA used" was found in 22 records while the names and quantities of the local anesthetics used were documented in only 13 records. Only 5 records documented the full elements of a local anesthetic injection.

Conclusion: The essential data of drug prescriptions and local anesthetic injections were poorly documented by the investigated group of dental specialists. It is recommended that the administration of the hospital and the dental department implement clear and firm guidelines for dental practitioners in particular to do the required documentation procedure.

Keywords: dental records; documentation; local anesthesia; prescriptions.

References

    1. [ADA] American Dental Association Council on Scientific Affairs Combating antibiotic resistance. J Am Dent Assoc. 2004;135:484–7.
    1. Al-Haroni M. Bacterial resistance and the dental professionals’ role to halt the problem. J Dent. 2008;36:95–103.
    1. Al-Haroni M, Skaug N. Knowledge of prescribing antimicrobials among Yemeni general dentists. Acta Odontol Scand. 2006;64:274–80.
    1. Al-Haroni M, Skaug N. Incidence of antibiotic prescribing in dental practice in Norway and its contribution to national consumption. J Antimicrob Chemother. 2007;59:1161–6.
    1. Al-Mubarak S, Al-Nowaiser A, Rass MA, et al. Antibiotic prescription and dental practice within Saudi Arabia; the need to reinforce guidelines and implement specialty needs. J Int Acad Periodontol. 2004;6:47–55.
    1. Aronson JK. Rational prescribing, appropriate prescribing. Br J Clin Pharmacol. 2004;57:229–30.
    1. Blanton PL, Jeske AH, ADA Council on Scientific Affairs, ADA Division of Science Avoiding complications in local anesthesia induction: anatomical considerations. J Am Dent Assoc. 2003;134:888–93.
    1. [BDA] British Dental Association, British Medical Association, Royal Pharmaceutical Society of Great Britain . London, UK: British Medical Association and the Royal Pharmaceutical Society of Great Britain; 2006. Dental Practitioner’s Formulary.
    1. Chate RA, White S, Hale LR, et al. The impact of clinical audit on antibiotic prescribing in general dental practice. Br Dent J. 2006;201:635–41.
    1. Corbett IP, Ramacciato JC, Groppo FC, et al. A survey of local anaesthetic use among general dental practitioners in the UK attending postgraduate courses on pain control. Br Dent J. 2005;199:784–7.
    1. Dar-Odeh NS, Abu-Hammad OA, Khraisat AS, et al. An analysis of therapeutic, adult antibiotic prescriptions issued by dental practitioners in Jordan. Chemotherapy. 2008;54:17–22.
    1. Demirbas F, Gjermo PE, Preus HR. Antibiotic prescribing practices among Norwegian dentists. Acta Odontol Scand. 2006;64:355–9.
    1. Dogan EA, Dora B. Transient partial ophthalmoplegia and Horner’s syndrome after intraoral local anesthesia. J Clin Neurosci. 2005;12:696–7.
    1. Epstein JB, Chong S, Le ND. A survey of antibiotic use in dentistry. J Am Dent Assoc. 2000;131:1600–9.
    1. Faulkner CM, Cox HL, Williamson JC. Unique aspects of antimicrobial use in older adults. Clin Infect Dis. 2005;40:997–1004.
    1. Goossens H. European status of resistance in nosocomial infections. Chemotherapy. 2005;51:177–81.
    1. Haas DA, Epstein JB, Eggert FM. Antimicrobial resistance: dentistry’s role. J Can Dent Assoc. 1998;64:496–502.
    1. Haas DA. Adverse drug interactions in dental practice: interactions associated with analgesics, Part III in a series. J Am Dent Assoc. 1999;130:397–407.
    1. Haas DA. An update on local anesthetics in dentistry. J Can Dent Assoc. 2002;68:546–51.
    1. Handal T, Olsen I. Antimicrobial resistance with focus on oral beta-lactamases. Eur J Oral Sci. 2000;108:163–74.
    1. Hanlon JT, Schmader KE, Samsa GP, et al. A method for assessing drug therapy appropriateness. J Clin Epidemiol. 1992;45:1045–51.
    1. Le Couteur DG, Hilmer SN, Glasgow N, et al. Prescribing in older people. Aust Fam Physician. 2004;33:871.
    1. Malamed SF. Handbook of local anesthesia. 4th ed. St. Louis: Mosby; 1997.
    1. Moore PA. Adverse drug interactions in dental practice: interactions associated with local anesthetics, sedatives and anxiolytics. Part IV of a series. J Am Dent Assoc. 1999;130:541–54.
    1. Moore PA, Gage TW, Hersh EV, et al. Adverse drug interactions in dental practice: Professional and educational implications. J Am Dent Assoc. 1999;130:47–54.
    1. Murti A, Morse Z. Dental antibiotic prescription in Fijian adults. Int Dent J. 2007;57:65–70.
    1. Orr DL, 2nd, Curtis WJ. Obtaining written informed consent for the administration of local anesthetic in dentistry. J Am Dent Assoc. 2005;136:1568–71.
    1. Palmer NA, Dailey YM, Martin MV. Can audit improve antibiotic prescribing in general dental practice? Br Dent J. 2001;191:253–5.
    1. Peñarrocha-Diago M, Sanchis-Bielsa JM. Ophthalmologic complications after intraoral local anesthesia with articaine. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2000;90:21–4.
    1. Salako NO, Rotimi VO, Adib SM, et al. Pattern of antibiotic prescription in the management of oral diseases among dentists in Kuwait. J Dent. 2004;32:503–9.
    1. Samsa GP, Hanlon JT, Schmader KE, et al. A summated score for the medication appropriateness index: development and assessment of clinimetric properties including content validity. J Clin Epidemiol. 1994;47:891–6.
    1. Sweeney LC, Dave J, Chambers PA, et al. Antibiotic resistance in general dental practice – a cause for concern? J Antimicrob Chem. 2004;53:567–76.

Source: PubMed

3
購読する