2017 Volume 36 Issue 3 Pages 95-100
Oral antibiotics are generally prescribed for the odontogenic infection such as periodontal inflammation and pericoronitis or the postoperative infection of extraction in dental medication. Even in this hospital, oral antibiotics especially third generation cephalosporins trend to be frequently prescribed.
As a first step to antimicrobial stewardship, we conducted survey on the type and prescription amount of oral antibiotics for specified treatment including prophylactic prescription after extraction using hospital database. Prophylaxis antibiotics after extraction were prescribed for about 90% of patients and 43% of the prescribed antibiotics were third generation cephalosporins. Moreover, almost 70% of oral antibiotics in treatment for infected root canal, pulpectomy and flap operation were third generation cephalosporins, and it was higher than that for prophylactic prescription after extraction. We need consideration of antimicrobial stewardship about the oral third generation cephalosporins and standardization for prophylaxis oral antibiotics usage according to infectious risks in this hospital.
