Abstract

DIAS, Natasha M et al. Antibiotic indication in endodontics by Colombian dentists with different levels of training: a survey. Acta odontol. latinoam. [online]. 2022, vol.35, n.3, pp.198-205.  Epub Dec 31, 2022. ISSN 0326-4815.  http://dx.doi.org/10.54589/aol.35/3/198.

Aim: This study investigated how Colombian dentists with different academic levels indicate antibiotics with therapeutic purposes in endodontics. Materials and method: A cross-sectional survey was conducted among 559 dentists in the form of an online questionnaire. Results: Three hundred and twenty questionnaires were answered (57.2%). There were significant differences among respondents. For irreversible pulpitis, 140 dentists (43.7%) said they prescribe antibiotics (57.5% of general practitioners, 20.1% of specialists and 38.9% of those with Master’s and/or PhD degrees), while for symptomatic apical periodontitis, 183 (57.2%) did so (74.1% of general practitioners, 28.4% of specialists and 50.0% of those with Master’s and/or PhD degrees) (p < 0.05). Amoxicillin was the most frequently prescribed antibiotic, and its association with clavulanic acid was the most often cited for acute periradicular abscess with systemic involvement. Conclusions: The greatest misunderstandings in prescribing antibiotics occurred among general practitioners. Considering all clinical conditions that do not require antibiotics, 60% of general practitioners and 34% of specialists, on average, indicated antibiotics.

Keywords : antimicrobial stewardship; dental pulp disease; bacteria; dental infection control; antibacterial drug resistance.

        · abstract in Portuguese     · text in English     · English ( pdf )