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Assessment of the Appropriateness of Antibiotic Prescriptions for Infection Prophylaxis Before Dental Procedures, 2011 to 2015
Author(s) -
Katie J. Suda,
Gregory S. Calip,
Jifang Zhou,
Susan Rowan,
Alan E. Gross,
Ronald C. Hershow,
Rose Perez,
Jessina C. McGregor,
Charlesnika T. Evans
Publication year - 2019
Publication title -
jama network open
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.278
H-Index - 39
ISSN - 2574-3805
DOI - 10.1001/jamanetworkopen.2019.3909
Subject(s) - medicine , medical prescription , antibiotic prophylaxis , interquartile range , logistic regression , retrospective cohort study , antibiotics , cohort , dental procedure , dentistry , emergency medicine , pediatrics , dental care , microbiology and biotechnology , pharmacology , biology
Key Points Question Are antibiotics appropriately prescribed for infection prophylaxis before dental procedures? Findings In this cohort study of 91 438 patients who received antibiotic prophylaxis for 168 420 dental visits from 2011 to 2015, a total of 90.7% of dental visits had manipulation of the gingiva or tooth periapex, but only 20.9% of patients had a cardiac condition at the highest risk of adverse outcome from infective endocarditis. Therefore, 80.9% of antibiotic prophylaxis prescriptions were discordant with guidelines. Meaning Most antibiotics prescribed for infection prophylaxis before dental procedures are unnecessary.

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