Antibiotics Prescription Patterns among Dentists in Lahore, Pakistan

2021 ◽  
Vol 15 (10) ◽  
pp. 2656-2659
Author(s):  
Saood Khan Lodhi ◽  
Saroosh Ehsan ◽  
Malik Ali Hassan Sajid ◽  
Adeela Rafique ◽  
Mehak Fatima Khan

Background: Odontogenic infections are one of the main causes of patients visit to a dental office. Antibiotics are magical drugs that have revolutionized the 20th Century in their ability to treat infectious diseases, increasing the life expectancy of individuals. Antibiotics prescription is a common practice among dental professionals and according to an estimate by Centre for Disease Control (CDC) and American Dental Association (ADA), over prescription of antibiotics is seen in 30-50% of the cases. Aim: To assess and compare (no comparison) the antibiotic prescription pattern among general dentists and specialty dentists in Lahore, Pakistan. Methodology: A cross sectional survey was conducted amongst dentists working in the teaching institutions and in the private clinics of Lahore. A pre-piloted questionnaire survey adopted from Jagan et al with slight modifications was used. In this descriptive study 300 practicing dentists were selected using consecutive sampling with a 5% level of significance and margin of error Results: Total 300 filled questionnaires were collected. Almost 84% of the dentists were less than 30 years old while 13% were between 31-40 years old. Of the participants 65.3% were females and 34.7 percent were males. Dental infections associated with gross swelling or associated with closure of the eye were the most common reasons for prescription of antibiotics. Almost 62% of the dentists would give antibiotic if any delay in treatment is anticipated. Almost 50% of the dentists would prescribe antibiotics for periapical abscess and cellulitis. Conclusion: There is a trend towards over prescription of antibiotics by dentists without following the standard guidelines. Emphasis on the correct prescription strategies of antibiotics at the undergraduate level and more awareness should be created as continuing dental education programs for practicing dentists. Keywords: Antibiotics, Dentists, Prescription Pattern.

2020 ◽  
Vol 29 (04) ◽  
pp. 239-245
Author(s):  
Saood Khan Lodhi ◽  
◽  
Saroosh Ehsan ◽  
Adeela Rafique ◽  
Muhammad Nasir Muhammad Nasir Saleem

OBJECTIVES: To determine the trends in endodontic protocols amongst practicing dentists in teaching institutions and private clinics in Lahore. METHODOLOGY: A cross sectional survey was conducted amongst dentists working in the teaching institutions and in the private clinics of Lahore. A pre-piloted questionnaire survey adopted from Kohli et al with slight modifications was used. In this descriptive study 270 practicing dentists were selected using consecutive sampling with a 5% level of significance and margin of error. RESULTS: The 270 respondents had a mean age of 28.16 ± 6.18 participated in this study among which 111 (41.1%) were males and 159(58.9%) were females with the mean age of 30.28 ± 7.416 and 26.68 ± 4.62 respectively (12.2%) were consultants, 175(64.8%) were general dentists whereas 62(23%) were postgraduate residents. In our study population, 76(28.1%) dentists were using magnification among which 67(88.2%) were using loupes and 9(11.8%) were using microscope. The prevalence of the rubber dam usage for isolation among our respondents was 110(40.7%) only, 201(74.4%) dentists reported for routine removal of smear layer. Manual canal preparation technique was the most commonly used method practiced by 149(55.2%) dentists. 136(50.4%) dentists were using beveled needles for irrigation, whereas only 71(26.3%) were using side venting irrigation needles. Majority of the dentists (45.2%) were not using any method to increase the efficacy of the irrigants. CONCLUSION: There are deficiencies in the endodontic protocols followed by majority of the dentists in Lahore and these short comings should be addressed by governing bodies. KEYWORDS: Root canal therapy, Endodontic, Practice Patterns, Dentists HOW TO CITE: Lodhi Sk, Ehsan S, Rafique A, Saleem MN. Trends in endodontic protocols amongst dentists in Lahore. J Pak Dent Assoc 2020;29(4):239-245. DOI: https://doi.org/10.25301/JPDA.294.239 Received: 30 July 2020, Accepted: 08 September 2020


Author(s):  
Rumi Tano ◽  
Hiroko Miura ◽  
Katsuo Oshima ◽  
Kanako Noritake ◽  
Hideki Fukuda

Objective: The need to make sense of coherence in placement support for student dental hygienists has been shown. On this basis, this study investigated the relationship between the sense of coherence of student dental hygienists and their view of the profession and attitude to work in order to clarify how they perceive their prospects for employment. Methods: The subjects were graduation-year students at all of the dental hygienist training institutions in Japan, and anonymous, self-administered questionnaires were sent to the institutions by post in 2019. The results were analyzed by χ2 tests, as well as one-way analysis of variance and multiple comparisons using Tukey’s test, with the level of significance set at 5%. Results: Of 6270 questionnaires that were returned, 6264 were analyzed. The sense of coherence (SOC) component senses were manageability (F(26,221) = 5306.06, p < 0.01), meaningfulness (F(26,222) = 4373.48, p < 0.01), and comprehensibility (F(26,216) = 3986.12, p < 0.01), with meaningfulness scoring significantly higher than the other two (p < 0.01). Analysis with SOC scores divided into the low, medium, and high groups showed a relationship between the SOC of student dental hygienists and their view of the profession and attitude to work (p < 0.01), such that higher SOC scores were associated with a better view of the profession and a better attitude to work (F(26,225) = 282.18, p < 0.01). Conclusions: The results suggest that education that increases SOC in dental hygienist training programs may positively affect future prospects for student dental hygienists.


Author(s):  
Sujata Mandhwani ◽  
Sadaf Zia ◽  
Emad Salman Shaikh ◽  
Dante Duarte ◽  
Erum Tanveer

The adverse effects of excessive mobile phone (MP) use on children include deprivation from sleep, increased risk of lack of concentration, depression, anxiety and obesity. No such study has been conducted in children from Pakistan. Objectives: To assess the association of MP usage and musculoskeletal disorders in school going children. Methods: This was a cross sectional survey. Data were collected from different private schools of Karachi, Pakistan. Convenient non probability sampling technique was used. A sample size of 385 students was taken keeping a confidence interval of 95% with 5% margin of error. Results: A total of 385 subjects participated. It was also noticed that 75.6% (291) students have smart phone and 5.2% (20) have conventional phone and remaining 19.2% (74) have camera phone. It was noticed that the participants 306 (79.5%) said they slept for 1–2[Formula: see text]h daily and 30 (7.8%) had sleep for 3–4[Formula: see text]h daily. One hundred and four 104 (27%) had noticed pain in neck. Conclusion: The use of MP for any activity was associated with sleep deprivation and pain in wrist/hands followed by neck and upper back pain. The usage of MP should be limited to avoid the stress on musculoskeletal parts of the body.


2021 ◽  
Vol 2 (Issue 4) ◽  
pp. 66-74
Author(s):  
Simion Kaminyoge Ambakisye

This study investigated on classroom attentiveness of children from home with inter parental violence in Chamwino, Dodoma, Tanzania. The study employed the cross-sectional survey design whereby 312 out of 652 children from five secondary schools were randomly selected to participate by filling the questionnaire. Chi square test was employed to determine the relationship between violence against mothers and children’s attentiveness at the 0.05 level of significance. The results indicated a significant relationship between parental conflicts and lack of pupils’ adequate concentration in learning. The findings further showed that female children whose mothers are accustomed to violence are more inattentive than male children during the teaching and learning processes. The study recommends that effective intervention strategies such as developing training through psycho education within families, schools and the community be in place.


2016 ◽  
Vol 6 (2) ◽  
pp. 118-123 ◽  
Author(s):  
Harsimran Kaur ◽  
Seema Chaudhary ◽  
Nidhi Choudhary ◽  
Naveen Manuja ◽  
T.R. Chaitra ◽  
...  

2021 ◽  
Vol 25 (2) ◽  
pp. 122-128
Author(s):  
Tugba Yigit ◽  
Sibel Ezberci ◽  
Burcu Gucyetmez Topal

Summary Background/Aim: The purpose of this study was to investigate the antibiotic prescribing patterns for the treatment of paediatric oral infection, dental trauma and prophylaxis among dentists in Turkey. Material and Methods: A total of 206 paediatric dentists, including general dentists, paediatric dentists and specialist dentists, participated in this cross-sectional study. The questionnaire included questions about the number of paediatric patients treated and antibiotics prescribed, the most commonly prescribed antibiotic for oral infections and the clinical conditions under which antibiotics were prescribed. The participants’ ages, workplaces and professional experience were also evaluated. Results: The majority of the participants were paediatric dentists (45.1%) and general dentists (42.7%). For the management of dental infections, most dentists prescribed penicillin (94.7%). Their foremost prescription choices for the presence of an anaerobic infection were metronidazole (48.5%) and penicillin (32%). For dental trauma, the most common antibiotic-prescribed cases were avulsion and contaminated wounds, followed by alveolar fracture. Antibiotics were prescribed as a first choice for dental infections and dental infections of anaerobic origin, with no significant differences between professional experience or dental specialty in the dentists (p > 0.05). Practitioners belonging to Ministry of Health dental centres significantly differed from all other groups in preferring the antibiotic cephalosporin for dental infections of anaerobic origin. Conclusions: Adherence to published guidelines for antibiotic prescriptions for anaerobic dental infections and dental trauma was low. Clearer, more specific guidelines and increased post-graduate education could lead to a reduction in the negative consequences of this issue’s resultant over-prescribed antibiotics.


2018 ◽  
Vol 7 (3) ◽  
pp. 263-268
Author(s):  
Ijeoma V Ezeome ◽  
Joseph O Ezugworie ◽  
Theophilus O Nwankwo

Objectives: Menopause is a naturally occurring event in which there is a failure of a woman’s ovarian function, thus ending her ability to bear children. However, the attitude of women about menopause and its treatment vary in different societies. The present study assessed postmenopausal women’s attitude and knowledge about menopause and hormone treatment (HT) in a private specialist clinic in Enugu, Nigeria. Materials and Methods: This descriptive cross-sectional survey was conducted on 400 consecutively selected women at the gynecologic clinic of a specialist hospital in Enugu through a structured questionnaire. Descriptive statistics were applied to investigate women’s attitudes using SPSS software. The level of significance was estimated by the chi-square test and P<0.05 was considered statistically significant. Results: The mean age of the respondents at menopause was 48.4 (±5.2) years, and their ages ranged between 38 and 52 years. A total of 300 (75%) women had at least primary education. In addition, the hot flush was the most common symptom. Further, 236 (59%) of the respondents obtained their information based on experiences and older women while 64 (16%) of them received such information from books and the internet. Totally, 148 (37%) of women sought treatment in the hospital and 196 (49%) of them had heard of HT mostly from their physician. Even though they were aware that HT relieves hot flushes, they were afraid of the perceived side effects like cancer and heart disease. However, 10.3% remained as the current users. Given adequate information, 37% of the respondents would like to use HT. Conclusions: In general, an increased number of postmenopausal women in Enugu, Nigeria seek relief in the hospital and are becoming aware of HT.


2020 ◽  
Vol 12 (10) ◽  
pp. 45
Author(s):  
Jonathan Ogbonna Igboji ◽  
Prince Christian Ifeanachor Umoke ◽  
MaryJoy Umoke ◽  
Augustine Alugbala Nwazunku ◽  
Chioma Adaora Nwalieji ◽  
...  

The purpose of the study was to determine the perception of pupils on the Home Grown School Feeding Programme in Ebonyi State, South-East Nigeria. The research utilized a cross-sectional survey research design on a population of 66591 pupils in the selected public primary schools. A sample of 540 pupils was used for the study. The instrument for data collection is a 30-item &ldquo;Questionnaire on Perception of Pupils on Home Grown School Feeding Programme (QPPHGSFP).&rdquo; Four hundred and eighty-six (486) copies of each questionnaire were administered and 483 (99.4%) were retrieved. Data were analyzed using frequencies and percentages. Chi-square statistic was used to test the null hypothesis at a p&lt;0.05 level of significance. Result showed that HGSFP makes the pupils to enroll, attend, remain in school. Pupils like the quality and the size of the food served, and it was locally produced. Age, sex, and class level was not significant (p&gt;0.05) while the location was significant (p&lt;0.05). Conclusively pupils&rsquo; perception was good on HGSFP. We recommend that the government and other stakeholders in charge of the programme should remain committed to providing the needed resources for the smooth running of the programme to improve the educational infrastructure of rural communities.


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