An analysis of the clinical appropriateness of out-of-hours emergency dental prescribing of antibiotics in Northern Ireland
| Autor: | Gerry Cleary, Kathryn Burnett, Edward Begley, Gerry McKenna, Jennifer McKay, Donncha O'Carolan, Padraig Kerlin |
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| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
business.industry medicine.drug_class Antibiotics Significant difference Inappropriate Prescribing Northern Ireland 030206 dentistry Northern ireland Drug Prescriptions Triage Anti-Bacterial Agents 03 medical and health sciences 0302 clinical medicine Out of hours After-Hours Care Family medicine Health care Humans Medicine 030212 general & internal medicine Medical prescription business Telephone triage General Dentistry |
| Zdroj: | McKay, J, Begley, E, Kerlin, P, O'Carolan, D, Cleary, G, McKenna, G & Burnett, K 2020, ' An analysis of the clinical appropriateness of out-of-hours emergency dental prescribing of antibiotics in Northern Ireland ', British Dental Journal . https://doi.org/10.1038/s41415-020-1435-8 |
| ISSN: | 1476-5373 0007-0610 |
| DOI: | 10.1038/s41415-020-1435-8 |
| Popis: | The inappropriate prescribing of antibiotics in dentistry is potentially linked to the development of antimicrobial resistance, as well as being a considerable cost to healthcare. This study analysed the clinical appropriateness of antibiotics prescribed from ‘walk-in’ and telephone triage out-of-hours emergency dental clinics in Northern Ireland. Methods: Patient and prescribing data were collected from two out-of-hour emergency dental clinics over a two month period between September and December 2017. In total 434 prescriptions were analysed. Clinical appropriateness was determined on a case-by-case basis for each prescription by referencing dental prescribing guidelines.Results: Over half of the prescriptions analysed (52.77 %) were judged as clinically inappropriate. A total of 19.12% of prescriptions were judged as inappropriate as the antibiotic prescribed was not indicated for the diagnosis recorded by the clinician. Local measures were not attempted in 36.6% of cases. A significant difference (p=0.002) was observed between the clinical appropriateness of prescriptions issued via walk-in and triage appointments with triage appointments issuing more clinically appropriate prescriptions.Conclusions: A significant number of prescriptions provided in out-of-hours emergency dental clinics in Northern Ireland were judged to be inappropriate according to current dental prescribing guidelines. |
| Databáze: | OpenAIRE |
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