University of Khartoum

Systemic Antibiotics Prescription for Periodontal Treatment among Sudanese Dentists in Khartoum State

Systemic Antibiotics Prescription for Periodontal Treatment among Sudanese Dentists in Khartoum State

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Title: Systemic Antibiotics Prescription for Periodontal Treatment among Sudanese Dentists in Khartoum State
Author: Elbili, Muafag Hassan Mohamed Ismail
Abstract: Background:Antibiotics are prescribed by dentists for treatment as well as prevention of infection. Indications for the use of systemic antibiotics in dentistry are limited, since most dental and periodontal diseases are best managed by operative intervention and oral hygiene measures. Inappropriate prescription of antibiotics by health care professionals is a worldwide concern. The aim of the study was toevaluate the practices of dental practitioners in the Khartoum state, regarding the therapeutic use of antibiotics for patients with periodontal diseases. Methods:A self administered Palmer modified questionnaire was done,the questionnaire included: demographic data, clinical indications, non clinical situations and factors affecting antibiotics prescription for periodontal treatment. 398 out of 500 dentists in Khartoum state hospitals and clinics completed the questionnaire. All data were collected by the author, and analyzed by a statistician. Results: 358 practitioners (89.9%)used to prescribe antibiotics for periodontal abcess, and 321 dentists (80.7%)prescribed it to treat aggressive periodontitis. There were also non clinical factors in which practitioners prescribed antibiotics,10 of them (2.5%) just to satisfy their patients request, and seventy eight practitioners (19.8%) prescribed antibiotics in case of incompletion of periodontal session. Ninety five of the dentists (23.9%) prescribed it just through the phone. The combination of amoxicillin and metronidazole were the most frequently prescribed antibiotic for all clinical conditions but there was a wide variation in dosage , frequency and duration for all antibiotics used . Conclusion : Discrepancies were noted inthe use of antibiotics, which supports that guidelines on rational antibiotic use are needed for dental practitioners in Khartoum.
URI: http://khartoumspace.uofk.edu/123456789/25005


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