Antibiotic prophylaxis habits in dental implant surgery among dentists in Spain. A cross-sectional survey

  1. María Iciar Arteagoitia Calvo 1
  2. Carlos Rodríguez Andrés 2
  3. Fabio Rodríguez-Sánchez 3
  1. 1 MD, PhD. Department of Stomatology, School of Medicine and Nursing. University of the Basque Country (UPV/EHU). Barrio Sarriena, s/n, 48940 Bilbao, Spain. BioCruces Health Research Institute member, Cruces University Hospital. Plaza de Cruces, 48903 Barakaldo, Spain
  2. 2 MD, PhD. Professor and Head Epidemiology and Public Health Department, School of Medicine and Nursing. University of the Basque Country (UPV/EHU). Barrio Sarriena, s/n, 48940 Bilbao, Spain
  3. 3 DDS. Epidemiology and Public Health Department, School of Medicine and Nursing. University of the Basque Country (UPV/EHU). Barrio Sarriena, s/n, 48940 Bilbao, Spain
Revista:
Medicina oral, patología oral y cirugía bucal. Ed. inglesa

ISSN: 1698-6946

Año de publicación: 2018

Volumen: 23

Número: 5

Páginas: 9

Tipo: Artículo

DOI: 10.4317/MEDORAL.22626 DIALNET GOOGLE SCHOLAR lock_openAcceso abierto editor

Otras publicaciones en: Medicina oral, patología oral y cirugía bucal. Ed. inglesa

Resumen

The use of antibiotics to prevent dental implant failures and postoperative infections remains a controversial issue. The objectives of this study were to assess the current antibiotic prescribing patterns and antibiotic prescribing frequency of dentists in Biscay (Spain) in conjunction with routine dental implant surgery among healthy patients and to determine whether any consensus has been reached by such practitioners and last published evidence was being followed. Observational cross-sectional study: electronic survey. This study was reported according to the STROBE guidelines. This anonymous questionnaire contained open-ended and close-ended questions. An email was sent 26 October 2017 to all the registered members of the Biscay dentists’ College (n=989). The collected data were analyzed using STATA® 14 software, and 95% confidence intervals (CI) were used to assess the frequency of prescription for each antibiotic regimen. The survey was responded to by a total of 233 participants (response rate=23.56%). Overall, 210 participants finished the survey completely, and 23 surveys were answered partially. The questionnaire was responded to by 122 females (58.1%) and 88 males (41.9%). Of the participants, 88% (n=207) always routinely prescribed prophylactic antibiotics in conjunction with dental implant surgery (95% CI: 84.79-92.88%). Approximately 9% (n=22) prescribed antibiotics sometimes (95% CI: 5.68-13.19%), and only 4 dentists (1.72%) never prescribed antibiotics (95% CI: 0.04-3.38%). Overall, 179 of 233 respondents prescribed both pre- and postoperative antibiotics (78.85%, 95% CI: 72.96-83.97%), 13 prescribed antibiotics only preoperatively (5.73%, 95% CI: 3.08-9.59%), and 35 prescribed antibiotics exclusively after routine dental implant surgery (15.42%, 95% CI: 10.98-20.78%). Most of the dentists working in Biscay routinely prescribe prophylactic antibiotics in conjunction with dental implant surgery among healthy patients. A large range of prophylactic regimens are prescribed and the most recently published evidence is not being followed.

Referencias bibliográficas

  • Guillaume, . (2016). Dental implants: A review. Morphologie. 100. 189
  • Esposito, M,Grusovin, MG,Worthington, H. (2013). Interventions for replacing missing teeth: antibiotics at dental implant placement to prevent complications. Cochrane Database Syst Rev. 31. 004152
  • Pye, AD,Lockhart, DE,Dawson, MP,Murray, CA,Smith, A. (2009). A review of dental implants and infection. J Hosp Infect. 72. 104
  • Tan, WC,Ong, M,Han, J,Mattheos, N,Pjetursson, BE,Tsai, A. (2014). Antibiotic Study Group. Effect of systemic antibiotics on clinical and patientreported outcomes of implant therapy – a multicentervrandomized controlled clinical trial. Clin Oral Implants Res. 25. 185
  • Arduino, PG,Tirone, F,Schiorlin, E,Esposito, . (2015). Single preoperative dose of prophylactic amoxicillin versus a 2-day postoperative course in dental implant surgery: A two-centre randomised controlled trial. Eur J Oral Implantol. 8. 143
  • Caiazzo, A,Casavecchia, P,Barone, A,Brugnami, . (2011). A pilot study to determine the effectiveness of different amoxicillin regimens in implant surgery. J Oral Implantol. 37. 691
  • Rodríguez Sánchez, F,Rodríguez Andrés, C,Arteagoitia, . (2018). Which antibiotic regimen prevents implant failure or infection after dental implant surgery? A systematic review and meta-analysis. J Craniomaxillofac Surg. 46. 722
  • AbuKaraky, AE,Afifeh, KA,Khatib, AA,Khdairi, NO,Habarneh, HM,Ahmad, WK. (2011). Antibiotics prescribing practices in oral implantology among jordanian dentists. A cross sectional, observational study. BMC Res Notes. 4. 266
  • Ireland, RS,Palmer, NO,Lindenmeyer, A,Mills, . (2012). An investigation of antibiotic prophylaxis in implant practice in the UK. Br Dent J. 213. 14
  • Khalil, D,Hultin, M,Andersson Fred, L,Parkbring Olsson, N,Lund, . (2015). Antibiotic prescription patterns among Swedish dentists working with dental implant surgery: adherence to recommendations. Clin Oral Implants Res. 26. 1064
  • Pyysalo, M,Helminen, M,Antalainen, AK,Sándor, GK,Wolff, . (2014). Antibiotic prophylaxis patterns of Finnish dentists performing dental implant surgery. Acta Odontol Scand. 72. 806
  • Deeb, GR,Soung, GY,Best, AM,Laskin, D. (2015). Antibiotic Prescribing Habits of Oral and Maxillofacial Surgeons in Conjunction With Routine Dental Implant Placement. J Oral Maxillofac Surg. 73. 1926
  • Silley, P,Simjee, S,Schwarz, . (2012). Surveillance and monitoring of antimicrobial resistance and antibiotic consumption in humans and animals. Rev Sci Tech. 31. 105
  • Rodríguez-Baño, J,Paño-Pardo, JR,Alvarez-Rocha, L,Asensio, A,Calbo, E,Cercenado, . (2012). Programs for optimizing the use of antibiotics (PROA) in Spanish hospitals: GEIH-SEIMC, SEFH and SEMPSPH consensus document. Enferm Infecc Microbiol Clin. 30. 22
  • Merlos, A,Vinuesa, T,Jané-Salas, E,López-López, J,Vi-as, . (2014). Antimicrobial prophylaxis in dentistry. J Glob Antimicrob Resist. 2. 232
  • von Elm, E,Altman, DG,Egger, M,Pocock, SJ,Gøtzsche, PC,Vandenbroucke, J. (2014). STROBE Initiative. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) Statement: guidelines for reporting observational studies. Int J Surg. 12. 1495