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Original Article

J Pak Dent Assoc. 2020; 29(3): 144-150


Knowledge, Attitude and Practice of Dentists Prescribing Antibiotics in Periodontal diseases in Dental Colleges of Karachi

Usman Rahman, Ashar Nizamuddin Jamelle, yousuf Ansari, Noman Nasarullah, Gulrukh Askary, Hamid Baig.




Abstract

Objective
Over the years, it has become a common practice among dental professionals to prescribe antibiotic therapy for the treatment of various dental infections and as a prophylactic protocol. However, this liberal use of antibiotics may lead to resistance to many microorganisms in humans and their environment. The objective of this study is to assess the Practice of dental practitioners with reference to the prescription of antibiotics in patients with periodontitis.

Methods
A self-administered, structured questionnaire was distributed to Three hundred and Fifty subjects including dental students of final year BDS, house officer, and lecturers. The questionnaire inquired about the prescription of antibiotics in different types of periodontal diseases and the type of severity. Frequencies and percentages were calculated and the data was analyzed using SPSS software version 20.

Results
For periodontal abscess and gingivitis respectively, 95.2% and 99.1% of the participants, reported they will not prescribe antibiotics. While, 44.8% of the participants reported they give antibiotics to patients with Necrotizing Ulcerative Periodontitis, 50.9% preferred the use of antibiotics in patients with Aggressive Periodontitis while 57% said they will give antibiotics in chronic periodontitis. Amoxicillin (53%) was the preferred drug of choice for periodontal cases followed by Augmentin (34.2%).

Conclusion
The prescription of antibiotics is used incoherently by dental practitioners, without following any proper protocol or standard guidelines

Key words: Antibiotics, Over prescription, Resistance, Periodontal disease.

Key words: Antibiotics, Over prescription, Resistance, Periodontal disease






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