Vis enkel innførsel

dc.contributor.authorTousi, Farnoush
dc.contributor.authorAl-Haroni, Mohammed
dc.contributor.authorLie, Stein Atle
dc.contributor.authorLund, Bodil
dc.date.accessioned2023-10-31T08:49:43Z
dc.date.available2023-10-31T08:49:43Z
dc.date.issued2023-09-08
dc.description.abstractBackground The prescription of antibiotics in dental practice contributes signifcantly to the total use of antibiotics in primary healthcare. This study aimed to evaluate antibiotic prescription in dental practice during the years 2016–2021 in Norway and their relative contribution to national outpatient consumption and to investigate the infuence of age, gender, geographic region, and COVID-19. A further aim was to review diferences in prescribing patterns to verify efect of governmental strategies to reduce over-prescribing of antibiotics.<p> <p>Methods This register study investigated the national antibiotic prescription between 2016 and 2021. Data was obtained from the Norwegian prescription register, the Norwegian Institute of Public Health and Statistics Norway. The consumption of 12 common antibiotics was measured using WHO defned daily doses (DDDs), DDD per 1000 inhabitants per day (DIDs 1000). <p>Results A total of 6,049,445 antibiotic prescriptions of the 12 investigated compounds were issued in primary care during the study period. Dentists accounted for 942,350 prescriptions corresponding to 15.6% of the total. An overall decrease in the number of prescriptions by health professions other than dentists during the 5 years (IRR=0.92, 95% CI:0.92–0.93, p<0.001) was observed. For dentists a slight increase in the number of prescriptions (IRR=1.01, 95% CI: 1.01–1.01, p<0.001) was seen over the study period. The increase of antibiotic prescriptions in dentistry was more pronounced during the COVID-19 pandemic. The 4 most prescribed type of antibiotics based on average number of DDDs of the total period 2016–2021 were in descending order; phenoxymethylpenicillin (1,109,150) followed by amoxicillin (126,244), clindamycin (72,565), and metronidazole (64,599). An unexpected fnding was that the prescription of the combination compound amoxicillin/clavulanic acid had signifcantly increased in dentistry during the last 5 years. Geographic, gender, and age diferences in the rates of prescriptions were also seen. The data revealed that there are seasonal variations in dental prescriptions. <p>Conclusions Noticeable diferences exist in prescribing patterns of antibiotics in the last 5 years. Restricted access to dental care due to COVID-19 may have resulted in increased antibiotic prescribing in dentistry as opposed to an otherwise downward trend. Despite national guidelines there is still a need for improvement of antibiotic stewardship in dentistry and to defne efective methods to disseminate information.en_US
dc.identifier.citationTousi, Al-Haroni, Lie, Lund. Antibiotic prescriptions among dentists across Norway and the impact of COVID-19 pandemic. BMC Oral Health. 2023;23(1)en_US
dc.identifier.cristinIDFRIDAID 2173665
dc.identifier.doi10.1186/s12903-023-03380-6
dc.identifier.issn1472-6831
dc.identifier.urihttps://hdl.handle.net/10037/31658
dc.language.isoengen_US
dc.publisherBMCen_US
dc.relation.journalBMC Oral Health
dc.rights.accessRightsopenAccessen_US
dc.rights.holderCopyright 2023 The Author(s)en_US
dc.rights.urihttps://creativecommons.org/licenses/by/4.0en_US
dc.rightsAttribution 4.0 International (CC BY 4.0)en_US
dc.titleAntibiotic prescriptions among dentists across Norway and the impact of COVID-19 pandemicen_US
dc.type.versionpublishedVersionen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


Tilhørende fil(er)

Thumbnail

Denne innførselen finnes i følgende samling(er)

Vis enkel innførsel

Attribution 4.0 International (CC BY 4.0)
Med mindre det står noe annet, er denne innførselens lisens beskrevet som Attribution 4.0 International (CC BY 4.0)