Journal article
Prescribing practices for antibiotic prophylaxis in patients with prosthetic joints
Special care in dentistry, Vol.40(2), pp.198-205
03/2020
DOI: 10.1111/scd.12450
PMID: 31965592
Abstract
Aims
With the increasing number of patients with prosthetic joints, recommendations for antibiotic prophylaxis (AP) prior to dental procedures to prevent prosthetic joint infections (PJI) have changed.
Methods and results
This survey evaluated dentists’ AP practices for patients with prosthetic joints undergoing dental procedures and their familiarity with the American Dental Association Guidelines (ADA CPG) and American Academy of Orthopaedic Surgeons Appropriate Use Criteria (AAOS AUC). Dentists’ attitudes about antibiotic resistance, medical‐legal aspects, and adverse effects to using AP were examined. Dentists (n = 574) were familiar (51.2%) with ADA CPG and with the AAOS AUC (25.8%). Familiarity varied according to years since graduation. Female dentists (63.5%) were more likely to be very familiar with the ADA CPG than male dentists (49.5%). Overall, 65.4% of respondents believed that AP is not effective in the prevention of PJI, and 19.4% believed there is enough evidence to support AP. For a healthy patient, 28.9% of dentists would never recommend AP, 44.9% would recommend AP within the first two years since prosthetic joint replacement.
Conclusions
Dentists’ recommendations for the use of AP varied depending on different factors, including health status of the patient, dental procedure, time elapsed since joint surgery, suggesting that adherence to the ADA CPG and AUC is still challenging.
Details
- Title: Subtitle
- Prescribing practices for antibiotic prophylaxis in patients with prosthetic joints
- Creators
- Erica C. Teixeira - University of IowaJohn J. Warren - University of IowaSusan C. McKernan - University of IowaMichelle R. McQuistan - East Carolina UniversityFang Qian - University of Iowa
- Resource Type
- Journal article
- Publication Details
- Special care in dentistry, Vol.40(2), pp.198-205
- DOI
- 10.1111/scd.12450
- PMID
- 31965592
- ISSN
- 0275-1879
- eISSN
- 1754-4505
- Number of pages
- 8
- Language
- English
- Date published
- 03/2020
- Academic Unit
- Preventive and Community Dentistry; Operative Dentistry; Public Policy Center (Archive); Dental Research
- Record Identifier
- 9984283564602771
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