Antibiotic Prophylaxis in Oral Health Care: Administration Strategies of General Dental Practitioners

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Antibiotic Prophylaxis in Oral Health Care: Administration Strategies of General Dental Practitioners

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dc.contributor.author Ellervall, Eva
dc.contributor.author Björklund, Fredrik
dc.contributor.author Rohlin, Madeleine
dc.contributor.author Vinge, Ellen
dc.contributor.author Knutsson, Kerstin
dc.date.accessioned 2006-10-25T16:33:46Z
dc.date.available 2006-10-25T16:33:46Z
dc.date.issued 2005
dc.identifier.issn 0001-6357
dc.identifier.uri http://hdl.handle.net/2043/3042
dc.description.abstract Objective. To examine the strategies that general dental practitioners (GDPs) use to administer antibiotic prophylaxis and to study the agreement between the administration strategies of GDPs and local recommendations. Methods. Postal questionnaires in combination with telephone interviews were used. Two hundred GDPs in two Swedish counties, Skåne and Örebro, were asked to participate. The response rate was 51 % (n=101). The GDPs were presented with eight simulated cases of patients with different medical conditions for which antibiotic prophylaxis might be considered necessary when performing dental procedures (scaling, tooth removal, root canal treatment). The administration strategies of the GDPs were compared with local recommendations. Results. In general, the variation in the administration strategies of the GDPs was large. For two medical condi-tions, type 1 diabetes that was not well controlled and hip prosthesis, significantly more GDPs in Skåne than in Örebro administered antibiotic prophylaxis for tooth removal. Agreement between the administration strategies of the GDPs and local recommendations was low. Differences between the two counties were non-significant. Furthermore, within Örebro, GDPs who did not have formal access to local recommendations did not differ in their administration strategies from those who did. The choice of substance was seldom in agreement with the substance recommended, while the majority followed the recommended duration of treatment. Conclusion. Although recommendations existed, their impact appeared to be limited. This is significant, since the implementation of recommendations is crucial in making clinical practice more effective and in promoting the health of patients. en
dc.format.extent 9
dc.language.iso eng en
dc.subject.classification Medicine en
dc.title Antibiotic Prophylaxis in Oral Health Care: Administration Strategies of General Dental Practitioners en
dc.type Article, peer reviewed scientific en
dc.contributor.department Malmö University. Faculty of Odontology en
dc.identifier.doi 10.1080/00016350500206660
dc.subject.srsc Research Subject Categories::ODONTOLOGY
dc.relation.ispartofpublication Acta Odontologica Scandinavica;6 en
dc.relation.ispartofpublicationvolume 63 en
dc.format.ePage 329
dc.format.sPage 321
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