This journal only 2000, Number 4 Rev ADM 2000; 57 (4) What antibiotics dentist prescribe? Gómez CJF Full text How to cite this article Language: Spanish References: 13 Page: 143-146 PDF size: 205.14 Kb. Key words: Antibiotics, prescriptions. ABSTRACT Odontogenic infections are commons in dentistry, treatment consist in removal of the source of the infection and surgical drainage, but antibiotics may be indicated. To determine which one antibiotic prescribing dentists, a questionnaire was circulated to 303 dentist in 3 cities of Mexico. When they were asked about the 3 antibiotics prescribed, ampicillin (23%) was the most frequently recorded, erythromycin (11%) was the second, followed by penicillin V with 10%. There was a wide variation in the duration of the antibiotic therapy: 7 days treatment (50.87%) was the most frequently schedule, followed by less than 7 days (35.19%), and more than 7 days 13.93%. Current evidence indicates that anaerobes play a major role in odontogenic infections, and ampicillin has low activity against anaerobes. The results of the questionnaire suggests a lack of current knowledge about microbiological etiology. REFERENCES Gill Y, Scully C. Orofacial odontogenic infections: review of microbiology and current treatment. Oral Surg Oral Med Oral Pathol 1990; 70: 155-158. Piédrola Angúlo G, Castillo Pérez Ana Ma. Microbiología Oral (editado por Lievana Ureña J.) McGraw-Hill Interamericana. 1997, capítulo 5, p 54. Guarinos J, Peñarrocha M, Lloria E. Antibióticos en cirugía oral. Revista Europea de Odonto-Estomatología 1995; 7(5): 301-310. Gómez Clavel JF. La prescripción de antibióticos en las infecciones odontogénicas. Práctica Odontológica 1999; 20: 6-13. Baker KA, Fotos PG. The manegement of odontogenic infections. A rationale for appropiate chemotherapy. Dent Clin Nort Am 1994; 38: 689-706. Gill Y, Scully C. British oral and maxillofacial surgeons’ views on the aetiology and management of acute pericoronitis. Br J Oral Maxillofac Surg 1991; 29: 180-182. Sandor GK, Low DE, Judd PL, Davidson RJ. Antimicrobial treatment options in the management of odontogenic infections. J Can Dent Assoc 1998; 64: 508-514. Stephens IFD, Binnie VI, Kinane DF. Dentists, pills and pregnancies. Br Dent J 1996; 181(7): 236-239. Palmer N, Martin M. An investigation of antibiotic prescribing by general dental practitioner: a pilot study. Prim Dent Care 1998; 5(1): 11-14. Adnan S et al. Prevention of bacterial endocarditis: recommendations by the American Heart Association. JADA 1997; 128: 1142-1151. Nord CE, Heimdahl A, Kager L, Malmborg AS. The impact of different antimicrobial agents on the normal gastrointestinal microflora in humans. Rev Infect Dis 1984; 6(suppl) 10: 270-275. Martin MV, Longman LP, Hill JB, Hardy P. Acute dentoalveolar infections: an investigation of the duration of antibiotic therapy. Br Dent J 1997; 183(4): 135-137. Walton RE, Zerr M, Peterson L. Antibióticos en odontología: bendición o pesadilla? Enfermedades Infecciosas y Microbiología 1998; 18: 74-80.