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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
Control d'infeccions
Medicina preventiva
Extracció dental
Oral surgery
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:
It is part of: Medicina Oral, Patología Oral y Cirugia Bucal, 2009, vol. 14, num. 10, p. 533-537
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ISSN: 1698-4447
Appears in Collections:Articles publicats en revistes (Odontostomatologia)
Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL))

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