Antibiotic prescribing pattern of oral health practitioners before and during the COVID-19 pandemic at Wits Oral Health Centre
2024

Impact of COVID-19 on Antibiotic Prescribing by Dentists

Sample size: 698 Commentary Evidence: moderate

Author Information

Author(s): Patel Akshani, Kumar Satish

Primary Institution: Arizona School of Dentistry & Oral Health, A.T. Still University, Mesa, AZ USA

Hypothesis

Did the COVID-19 pandemic impact antibiotic prescribing patterns among dentists?

Conclusion

The COVID-19 pandemic significantly increased antibiotic prescriptions despite fewer in-person consultations.

Supporting Evidence

  • Antibiotic prescriptions increased from 1109 pre-COVID-19 to 1571 during COVID-19.
  • 53.1% of antibiotics prescribed pre-COVID-19 were not clinically indicated.
  • 54.3% of antibiotics prescribed during COVID-19 were not clinically indicated.
  • Amoxicillin was the most commonly prescribed antibiotic in both periods.

Takeaway

During the COVID-19 pandemic, dentists prescribed more antibiotics even though fewer patients were seen, which is concerning because many prescriptions were unnecessary.

Methodology

Patient records were collected and analyzed using descriptive statistics, chi-squared, and z-tests to compare pre-COVID-19 and COVID-19 prescription patterns.

Potential Biases

Potential bias due to the retrospective design and reliance on patient records.

Limitations

The study focused on data from one oral health center, which may limit generalizability, and did not include private practices.

Participant Demographics

Patients who received antibiotic prescriptions at Wits Oral Health Centre.

Statistical Information

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1016/j.bjoms.2024.05.005

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