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Title: | Analysis of the antibiotic prophylaxis prescribed by Spanish oral surgeons |
Author: | Sancho Puchades, Manuel Herráez Vilas, José María Valmaseda Castellón, Eduardo Berini Aytés, Leonardo Gay Escoda, Cosme |
Keywords: | Cirurgia oral Antibiòtics Control d'infeccions Medicina preventiva Extracció dental Oral surgery Antibiotics Infection control Preventive medicine Teeth extraction |
Issue Date: | 1-Oct-2009 |
Publisher: | Medicina Oral SL |
Abstract: | Aim: To identify prophylactic antibiotic prescription practices among Spanish dentists with preferential dedication to Oral Surgery in different types of tooth extraction surgeries. Method: Members of the Spanish Oral Surgery Society were surveyed on antibiotic prophylaxis use in 4 different tooth extraction modalities scaled according to their surgical invasiveness. Results: Sixty-nine of the 105 distributed questionnaires were returned completed. Thirteen percent of the surveyed surgeons would prescribe antibiotics to prevent postoperative wound infection when confronted with conventional tooth extraction lasting less than 5 minutes. In the case of surgery lasting more than 5 minutes, the percentage of participants that would prescribe antibiotics increased to 39%. When a mucoperiosteal flap was elevated or an ostectomy was performed, 87% and 100%, respectively, would prescribe antibiotic prophylaxis. Amoxicillin and its combination with clavulanic acid were the most commonly prescribed antibiotics. All participants would prescribe the antibiotic orally, starting after surgery and with a duration that ranged from 2-8 days. Conclusions: The results obtained suggest that antibiotic prophylaxis for preventing local odontogenic infection is not being correctly implemented in Spain. This can generate new bacterial resistances, facilitate adverse drug reactions and favor opportunistic infections. Better designed studies are needed in order to clarify the role of antibiotics in the prevention of postsurgical wound infection |
Note: | Reproducció del document publicat a: http://dx.doi.org/10.4317/medoral.14.e533 Podeu consultar la versió en castellà del document a: http://hdl.handle.net/2445/145947 |
It is part of: | Medicina Oral, Patología Oral y Cirugia Bucal, 2009, vol. 14, num. 10, p. 533-537 |
URI: | http://hdl.handle.net/2445/50704 |
Related resource: | http://dx.doi.org/10.4317/medoral.14.e533 |
ISSN: | 1698-4447 |
Appears in Collections: | Articles publicats en revistes (Odontoestomatologia) Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL)) |
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