Misuse of antibiotics: A potential threat

Abstract

Introduction: Antibiotics are invaluable adjuncts in the management of orofacial infections. Role of dentists & injudicious use of antibiotics resulting in antimicrobial resistance is unknown. Therefore a survey was conducted. Aims & Objectives: To assess the types and frequency of antibiotic prescriptions , by dental practitioners in the state of Rajasthan , India. Method: A two page questionnaire was mailed to 525 dental practitioners & the results were assessed. Results: A total of 500 dentists responded to the questionnaire . Discussion: Confusion about prescribing antibiotics & inappropriate prescribing practises , however are reported by dentists (Steed et al 1997) . Patients not finishing the prescribed doses , wrong prescription , inefficient tools for diagnosing & preventing drug resistance , lack of Govt. commitment to address these issues are various factors that may affect development of antibiotic resistant microorganisms. (Loesche 1996) Conclusion: Amoxicillin -Clavulunic acid combination was the most preferred antibiotic prescribed by dental practitioners for orodental infections followed by amoxicillin & ofloxacin ornidazole combination. Discrepancies were noted in the prophylactic use of antibiotics , which supports the need for educational initiatives to promote rational use of antibiotics in dentistry.