Knowledge about Prescription of the Antibiotic for Endodontic’s Treatment among Final Year Students.

2021 ◽  
pp. 2901-2904
Author(s):  
Mawra Hyder ◽  
Muhammad Ali ◽  
Isma Sajjad ◽  
Nousheen Khan ◽  
Muhammad Ahmed ◽  
...  
Keyword(s):  
Drug Prescription ◽  
Hospital Setting ◽  
Sinus Tract ◽  
Good Doctor ◽  
Odontogenic Infections ◽  
Prescription Practices ◽  
Prosthetic Joint ◽  
Uncontrolled Diabetes ◽  
Radio Therapy ◽  
Dental Hospital

Background: Since antibiotic’s discovery, they have been widely utilized for treatment of the odontogenic infections. Writing a prescription is a vital determining factor of the good doctor/clinician. Drug Prescription is a dynamic and personalized clinical process, which is established as a result of necessities of the patient & acquaintance of practitioner & is also the component of curriculum of graduation. Aim: To evaluate and assess knowledge about prescription of the antibiotic during the endodontics’s treatment and the errors made by final year students at the dental hospital. Setting: Multan Medical & Dental College Multan Methodology: This survey-based research was led among 48 students of Multan Dental College Multan. A form was designed, regarding pattern of the antibiotic’s prescription & conditions/situations for which the drugs were recommended by students of final year. Results: The medication of choice was mostly Amoxicillin alone (75%) and Amoxicillin + clavulanic acid (55%). Most of antibiotic prescriptions were written for Perio-endo lesion (85%), acute apical abscess (80%). Chronic apical abscess with sinus tract (80%), Ch. apical abscess with periodontitis (65%), Patients with swelling & difficulty in swallowing (62%). In this study the greatest numbers of antibiotics prescribed were prophylactically for congenital cardiac sicknesses 69.7%, and uncontrolled diabetes mellitus 60%. Prosthetic joint in past 2 years 40% & Chemo/radio therapy 30%. Conclusion: There is a dearth of knowledge as well as information concerning the suitable indication, kind, & dose of the antibiotics in practice of dentistry. The curriculum should propose great accent on prescription, and decent prescription practices should also be taught in clinical rotation’s, using actual or imaginary cases. Keywords: Antibiotics, Endodontics, Prescription writing, prophylaxis, Root canal treatment (RCT)

Pediatric Odontogenic Infections and Prescription Antibiotic Use

2020 ◽  
Author(s):  
Keri Discepolo
Keyword(s):  
Clinical Presentation ◽  
Vital Signs ◽  
Hospital Setting ◽  
Retrospective Chart Review ◽  
Antibiotic Use ◽  
High Variability ◽  
Odontogenic Infections ◽  
Prescription Practices ◽  
Different Types

Objectives: In the past several years worldwide, the discussion has developed about antibiotic resistance. Dentists, although a small percentage of the prescribers of antibiotics, can play a role in reducing antibiotic use and therefore help address this growing problem. Highly variable prescription practices illustrate the dentist’s contribution to the overuse of antibiotics. An investigation into antibiotic use and subsequent effects on clinical presentation odontogenic infections. Described are the variances in the clinical presentation of subjects who received antibiotics and those that had no antimicrobial therapy before presentation in the hospital setting. Methods: A retrospective chart review was conducted for subjects who presented with odontogenic infections to a children’s hospital emergency department. Variables collected were: pre-hospital antibiotic use, vital signs on admission, site of infection, quality of infection, and dental involvement. Results: 112 subjects: 73 male and 39 females. 49 received pre-hospital antibiotics while 63 did not have previous antibiotic therapy. Pre-hospital antimicrobials consisted of 10 different types of antibiotic therapies. No significance was found between the two groups and the clinical presentation of infection or admission vital signs. Conclusion: High variability of antibiotic use for orofacial infections was observed including the type of antimicrobial utilized and prescribing provider (non-dentist). This study provided information correlating patient physiology and the lack of clinical impact by pre-hospital antibiotic use. Due to high variability in providers' type administering antibiotic prescriptions and irregular drug and dosage practices, detailed practice guidelines and antibiotic stewardship programs should be augmented for assistance concerning odontogenic infection treatments.

scholarly journals Dermatological Aspects of Infections Caused By Endotoxins In Teeth With Necrotic Pulps and Apical Periodontitis

2021 ◽  
Vol 6 (1) ◽  
pp. 01-05
Author(s):  
Daniel Jiménez Zaragoza ◽  
Jorge Paredes Vieyra ◽  
Francisco Javier Jiménez Enríquez
Keyword(s):  
Case Report ◽  
Skin Lesions ◽  
Sinus Tract ◽  
Purulent Discharge ◽  
Radiographic Examination ◽  
Odontogenic Infections ◽  
Facial Region ◽  
Dental Origin ◽  
The Face ◽  
Uncommon Case

Aim: To report an uncommon case of an extraoral sinus tract of the facial region caused by a tooth with an acute apical abscess in the mandible. Case report: Established on oral examination and radiographic examination, an Acute Apical Abscess (cellulitis/phlegmon) of tooth 47 was diagnosed, which had resulted in a cutaneous sinus tract. The continuous purulent discharge of the sinus tract in the facial right region ceased after drainage and extraction of tooth 47. Conclusion: It is challenging to diagnose and identify a cutaneous draining sinus tract of dental origin. Thus, treatment of skin lesions of the face (impetigo), and neck odontogenic infections should always be considered. Clinical and radiographic dental examinations can identify the tooth involved.

scholarly journals Chronic prosthetic joint infections with a draining sinus. Who should receive suppressive antibiotic treatment?

2020 ◽  
Vol 6 (2) ◽  
pp. 43-45
Author(s):  
Karel-Jan Lensen ◽  
Rosa Escudero-Sanchez ◽  
Javier Cobo ◽  
Alex Soriano ◽  
Marjan Wouthuyzen-Bakker
Keyword(s):  
Antibiotic Treatment ◽  
Patient Group ◽  
Periprosthetic Joint Infection ◽  
Joint Infection ◽  
Sinus Tract ◽  
Advantages And Disadvantages ◽  
Joint Infections ◽  
Prosthetic Joint ◽  
Prosthetic Joint Infections

Abstract. The benefit of suppressive antibiotic treatment in inoperable patients with a chronic periprosthetic joint infection and a sinus tract is unknown. Some physicians prefer to just let the sinus drain, while others prefer antibiotic treatment. In this viewpoint article we discuss the advantages and disadvantages of suppressive antibiotic treatment in this particular patient group.

Drug prescription practices in Brazil: a structural equation model

2011 ◽  
Vol 5 (4) ◽  
pp. 262-278 ◽  
Author(s):  
Wagner Junior Ladeira ◽  
Marlon Dalmoro ◽  
Alisson Eduardo Maehler ◽  
Clécio Falcão Araujo
Keyword(s):  
Structural Equation Model ◽  
Structural Equation ◽  
Drug Prescription ◽  
Equation Model ◽  
Prescription Practices

Effect of Outside Provider Interventions on Severity and Management of Odontogenic Infections in a Hospital Setting

2020 ◽  
Vol 78 (10) ◽  
pp. e70-e71
Author(s):  
H. Afwerke-Lynch ◽  
M. Sabino ◽  
L. Christensen ◽  
S. McGowan ◽  
L. Svoboda
Keyword(s):  
Hospital Setting ◽  
Odontogenic Infections

scholarly journals Self-Resolution of a Draining Sinus Tract in a Patient with Chronic Periprosthetic Hip Infection

2018 ◽  
Vol 2018 ◽  
pp. 1-4
Author(s):  
Trevor J. Shelton ◽  
Alton W. Skaggs ◽  
Gavin C. Pereira
Keyword(s):  
Total Hip Arthroplasty ◽  
Consensus Statement ◽  
Joint Infection ◽  
Sinus Tract ◽  
Suppressive Therapy ◽  
Musculoskeletal Infection ◽  
Full Resolution ◽  
Prosthetic Joint ◽  
Hip Infection ◽  
Minor Criteria

We report a novel case of a patient who had a draining sinus soon after a total hip arthroplasty that spontaneously resolved. The patient voluntarily discontinued antibiotic suppressive therapy (AST) after 10 years of treatment and paradoxically experienced full resolution of signs of chronic prosthetic joint infection (PJI), including recovery of his left-sided draining sinus tract. Now 8 years after discontinuing AST, the patient has no pain, good function, and no major or minor criteria of joint infection according to the Musculoskeletal Infection Society (MSIS) workgroup. The authors have not identified literature describing a similar resolution of draining sinus tracts from around a prosthetic joint after discontinuing AST. Despite the resolution of this patient’s sinus tract, the authors do not advocate for discontinuing AST in patients with a draining sinus tract. However, in spite of the fact that the MSIS consensus statement suggests that a draining sinus is a sure sign of PJI and that the assumption is that the infection will not go away until explant, this case was different.

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