ucc
Research Articles

Antibiotic prescriptions for oral pathologies

DOI: https://doi.org/10.16925/od.v13i25.1883
Vol. 13 No. 25 (2017)
Published: 2017-06-13
Viviana E. Karaben
Ana E. Rea
Lelia I. Ramirez
Introduction: Drugs are regarded as valuable therapeutic and preventive instruments; however, there are no risk-free drugs. All of them have side effects, and some have serious consequences such as increased antimicrobial resistance. In this work, the different indications for which antimicrobials were prescribed by dentists were analyzed, in order to take intervention measures that help to achieve their rational use.
 
Methods: All the antimicrobial prescriptions received during twelve months by the drugstore of a social service institute were analyzed; the prescriptions contained data on medications, dosage, quantity
and diagnosis. The critical analysis of the prescriptions was made according to quantitative and qualitative aspects.
 
Results: The most prescribed antibiotic was azithromycin, followed by amoxicillin/clavulanic acid; however, the scientific literature recommends penicillins as the first choice in the pharmacological treatment of oral pathologies, with azithromycin being reserved for allergy to amoxicillin. Drugs prescribed from the qualitative point of view are of high therapeutic value, when there are groups of drugs that are not of choice for dental pathologies, macrolides (clarithromycin and azithromycin), third generation cephalosporins (ceftriaxone, etc.) and quinolones (ciprofloxacin and levofloxacin).
 
Conclusion: We must become aware of the importance of the rational use of antibiotics in the dental
clinical practice when looking for a successful treatment that minimizes side effects and drug resistance.
Keywords: Array, Array, Array, Array
PDF (Spanish)

How to Cite

Antibiotic prescriptions for oral pathologies. (2017). Revista Nacional de Odontología, 13(25). https://doi.org/10.16925/od.v13i25.1883

License

Every single author of the articles has to declare that is an original unpublished work exclusively created by them, that it has not been submitted for simultaneous evaluation by another publication and that there is no impediment of any kind for concession of the rights provided for in the contract.

In this sense, the authors committed to await the result of the evaluation by the journal Revista Nacional de Odontologia before considering its submission to another medium; in case the response by that publication is positive, additionally, the authors committed to respond for any action involving claims, plagiarism or any other kind of claim that could be made by third parties.

At the same time, the authors have to declare that they are completely in agreement with the conditions presented in their work and that they cede all patrimonial rights. These rights involve reproduction, public communication, distribution, dissemination, transformation, making it available and all forms of exploitation of the work using any medium or procedure, during the term of the legal protection of the work and in every country in the world, to the Universidad Cooperativa de Colombia Press. 

References

Figueras A, Vallano A, Narváez E. Fundamentos Metodológico de los Estudios de Utilización de Medicamentos. Manual práctico.2003.

Medicines: safety of medicines-adverse drug reactions.2008. Fact sheet N° 293.

Iñesta García A. Atención farmacéutica, estudios sobre uso de medicamentos y otros. Rev. Esp. Salud Pública. 2001; 75(4): 285-290. doi10.1590/S1135-57272001000400003

López J, Garay A. Estudio de utilización de antibióticos en el servicio de consulta externa de un hospital público en Bogotá, D.C. Revista Colombiana de Ciencias Químico-Farmacéuticas. 2016; 1: 35-47.doi10.15446 /rcciquifa.v45n1.58014

Laporte J-R, Tognoni G. Estudios de utilización de medicamentos y fármaco vigilancia. En JR Laporte, G Tognoni (eds). Principios de epidemiología del medicamento. 2ª ed. Barcelona: Ediciones Científicas y Técnicas; 1993.

Bascones A, Aguirre JM, Bermejo A, Blanco A, Gay-Escoda C, Gónzález-Moles MA et al. Documento de consenso sobre el tratamiento antimicrobiano de las infecciones bacterianas odontogénicas. Med Oral Patol Oral Cir Bucal. 2004; 9: 363-76. Doi10.4321/S0213-12852005000600004

Gutiérrez, JL.; V. Bagán, J.; Bascones, A.; Llamas, R.; Llena, J.; Morales, A.; Noguerol, B.; Planells, P.; Prieto, J.; Salmerón, JI. Documento de consenso sobre la utilización de profilaxis antibiótica en cirugía y procedimientos dentales. RevEspCirug Oral y Maxilofac. 2006; 28(3): 151-181.doi10.4321/s1130-05582006000300001

Armiñanzas Castillo C, García Zornoza R, Arnáiz de las RevillasAlmajano F. Protocolo diagnóstico y terapéutico de la infección oral y faríngea. Medicine - Programa de Formación Médica. 2014; 11 (59): 3515-3519. doi: 10.1016/S0304-5412(14)70808-X

Fuentes R, Weber B, Flores T, Oporto G. Uso de Profilaxis Antibiótica en Implantes Dentales: Revisión de la Literatura. Int. J. Odontostomat.2010;4(1):5-8. doi: 10.4067/S0718-381X2010000100001

Bravo Cordero G, Minzer Ferrer A, Fernández L. Sinusitis odontogénica, fístula oroantral y su reparación quirúrgica mediante colgajo de bolsa de Bichat: revisión de la literatura. Acta Otorrinolaringol Esp. 2016; 67(2):107-113. doi:10.1016/j.otorri.2015.03.001

Rodríguez-Alonso E, Rodríguez Monje M.T. Tratamiento antibiótico de la infección odontogénica. Información terapéutica del Sistema Nacional de Salud. 2009;33 (3):67-79.

González-Martínez R, Cortell-Ballester I, Herráez-Vilas JM, Arnau-de Bolós JM, Gay-Escoda C. Antibiotic prescription in thetreatment of odontogenic infection by health professionals: A factor to consensus. Med Oral Patol Oral Cir Bucal. 2012; 1; 17 (3):e452-6. doi:10.4317/medoral.17504

Wannmacher L, Cardozo Ferreira MB. Principios generais do uso correto de antimicrobianos. En Wannmacher L, Cardozo Ferreira MB. Farmacología Clínica para dentistas. 2da ed. Brasil: Editorial GuanabaraKoogan; 1999. 175 - 183.

Cope A, Francis N, Wood F, Mann MK, Chestnutt IG. Systemic antibiotics for symptomatic apical periodontitis and acute apical abscess in adults. Cochrane Database ofSystematicReviews 2014; 6. Art. No.: CD010136. doi: 10.1002/14651858.CD010136.pub2

Ferlini Filho J. Quimioterapia antimicrobiana em endodontia. EnWannmacher L, Cardozo Ferreira MB. Farmacologia Clinica para dentistas. 2da ed. Brasil: Editorial GuanabaraKoogan; 1999. 247 - 252.

Sancho-Puchades M, Herráez-Vilas JM, Valmaseda-Castellón E, BeriniAytés L, Gay-Escoda C. Analysis of the antibiotic prophylaxis prescribed by Spanish Oral Surgeons. Med Oral Patol Oral Cir Bucal. 2009; 1;14 (10):e533-7. doi:10.4317/medoral.14.e533

Bidar M, Gharechahi M, TayebehSoleimani B, Eslami N. Survey over the Dentists’ and Endodntists’ Approaches towards the Management of Endodontic Emergencies in Mashhad, Iran. Iran Endod J. 2015; 10(4): 256–262. doi: 10.7508/iej.2015.04.010

Robles Raya P, Frutos Echaniz E, Moreno Millán N, Mas Casals A, Sánchez Callejas A, Morató Agustí ML. Me voy al dentista: ¿antibiótico como prevención o comotratamiento?AtencPrimaria. 2013; 45(4):216-221.Doi:10.1016/j.aprim.2012.10.006

Lewis M. Why we must reduce dental prescription of antibiotics: European Union Antibiotic Awareness Day. British Dental Journal. 2008; 205 (10): 537-538. doi: 10.1038/sj.bdj.2008.984

OMS. Antimicrobial resistance: global report on surveillance. [Artículo en Internet] 2014

Resistencia a los antimicrobianos (RAM). Nota descriptiva N°194 2012

García-Rey C, Fenoll A, Aguilar L, Casal J. Effect of social and climatological factors on antimicrobialuse and Streptococcus pneumoniae resistance in different provinces in Spain. J AntimicrobChemother 2004; 54: 465-471.doi: 10.1093/jac/dkh375

Formulario Terapéutico Nacional. Confederación Médica de la República Argentina. 11° edición. Argentina: Editorial COMRA; 2010.

British National Formulary. London: BNF; 2009.57: 283-366.

Clay Walter- Luciana Machion. “Antibióticos”. En ADA y THOMSON PDR. Guía ADA/PDR de Terapéutica Dental. 4º edición. Madrid: Editorial Médica; 2009. 189-265.

Arteaga Bonilla R, Arteaga Michel R. Tratamiento de las infecciones odontogénicas.Rev. bol. ped.2006; 45(3)166-170.

Buchelli J, Esteves M C, Rojas Páez P A. Antibióticos en el manejo de las infecciones odontogénicas de origen endodóntico. Rev Odontología Actual. 2008;6 (61): 38-52.

Upegui Jiménez L, Molina Colorado D. Susceptibilidad Antimicrobiana de Microorganismos Anaerobios Aislados de Infecciones Endodónticas Primarias a Amoxicilina y Metronidazol y su Asociación con los Parámetros Clínicos: Serie de Casos. Int. J. Odontostomat. 2016; 10(1): 149-159. doi 10.4067/S0718-381X2016000100023

Saeed Dar-Odeh N, Abdalla Abu-Hammad O, Khaled Al-Omiri M, SamehKhraisat A, Shehabi A. Antibiotic prescribing practices by dentists: a review. Therapeutics and Clinical Risk Management.2010; 6: 301-306. doi: 10.2147/TCRM.S9736

Skucaite N, Peciuliene V, Vitkauskiene A, Machiulskiene V. Susceptibility of endodontic pathogens to antibiotics in patients with symptomatic apical periodontitis.J Endod.2010; 36(10):1611-6. DOI: 10.1016/j.joen.2010.04.009

Bascones Martínez A, Corcuera Muñoz M, BasconesIlundain J. “Infecciones orales y endocarditis bacteriana” MedClin (Barc). 2012; 138: 312-7. doi: 10.1016/j.medcli.2011.03.029

Habib G, Hoen B, Tornos P, Thuny F, Prendergast B, esc Committee for Practice Guidelines, et al. Guidelines on the prevention, diagnosis, and treat-ment of infective endocarditis (new version 2009): The Task Force on the Prevention, Diagnosis, and Treatment of Infective Endocarditis of the Euro-pean Society of Cardiology (esc) endorsed by the European Society of Clinical Microbiology and Infectious Diseases (escmid) and by the Interna-tional Society of Chemotherapy (isc) for Infection and Cancer. Eur Heart J. 2009;30(19):2369-413 doi: 10.1093/eurheartj/ehp285

MÉTRICAS
ARTICLE VIEWS: 10175
PDF VIEWS: 4142