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Inappropriate Dental Antibiotic Prescriptions: Potential Driver of the Antimicrobial Resistance in Albaha Region, Saudi Arabia

Authors Alzahrani AAH, Alzahrani MSA, Aldannish BH, Alghamdi HS, Albanghali MA, Almalki SSR

Received 24 January 2020

Accepted for publication 25 February 2020

Published 4 March 2020 Volume 2020:13 Pages 175—182

DOI https://doi.org/10.2147/RMHP.S247184

Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 2

Editor who approved publication: Professor Marco Carotenuto


Abdullah Ali H Alzahrani,1 Mohammed Sarhan A Alzahrani,2 Bander H Aldannish,3 Hani Saleh Alghamdi,3 Mohammad A Albanghali,4 Shaia Saleh R Almalki5

1Dental Health Department, Albaha University, Albaha, Saudi Arabia; 2Endodontics Department, Albaha University, Albaha, Saudi Arabia; 3Albaha Dental Center, The Saudi Ministry of Health, Albaha, Saudi Arabia; 4Public Health Department, Albaha University, Albaha, Saudi Arabia; 5Laboratory Medicine Department, Albaha University, Albaha, Saudi Arabia

Correspondence: Abdullah Ali H Alzahrani
Dental Health Department, Faculty of Applied Medical Sciences, Albaha University, Albaha, Saudi Arabia
Tel +966177274111
Fax +966177247272
Email aahalzahrani@bu.edu.sa

Purpose: The aim of this study was to analyze and evaluate dental antibiotic prescriptions in Albaha Region, Saudi Arabia.
Patients and Methods: A two-year retrospective cohort study was conducted between September 1, 2017 and September 1, 2019 in children and adults. Data collected from the patients’ medical records were analyzed using SPSS. The Z-test with Bonferroni correction and descriptive proportions were utilized to compare several levels of categorical variables.
Results: Of the 43,255 dental visits, antibiotics were provided during 12,573 (29.1%). The commonly prescribed antibiotics were amoxicillin and amoxicillin combined with metronidazole (56.3% and 16.9%, respectively). Alarmingly, antibiotics were provided in several conditions for which they are medically neither recommended nor indicated; together, they represented 27.8% of those consultations in which antibiotics were prescribed. Female dentists prescribed more antibiotics than male dentists (30%, P = < 0.000), with male patients receiving more antibiotics than female patients (36%, P = < 0.0001).
Conclusion: Unnecessary prescription of antibiotics was observed in the present study. Improving knowledge and awareness of Saudi dentists on dental antibiotic prescription is warranted.

Keywords: risk management, health policy, early diagnosis, oral disease, dental service

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