Quality indicators for the use of systemic antibiotics in dentistry

Zeitschrift für Evidenz, Fortbildung und Qualität im Gesundheitswesen
Rugzan Jameel HusseinGerald Willms

Abstract

Risks resulted from using systemic antibiotics such as increasing rates of bacterial resistance, allergy and side effects should be always weighed individually for each patient against any potential benefits. Routine antibiotic prescribing must be therefore discouraged. The Federal Joint Committee ("Gemeinsamer Bundesauschuss", G-BA) commissioned the AQUA-Institute with the development of an external quality assurance procedure, examining systemic antibiotic use in periodontal, conservative and surgical treatments in ambulatory dental health care. The aim of the procedure was to increase patient safety through rational use of systemic antibiotics and increasing the use of first line medications. The process of developing the quality indicators included searching for relevant literature and quality indicators, analyzing dental claims data (2013) and antibiotic prescriptions, and finally evaluating the proposed quality indicators in an expert panel. The analysis examined patients who received dental treatments and a prescription for systemic antibiotics. The indicator set consisted of three indicators: usage of systemic antibiotics in dental treatments without indication for antibiotics, the percentage of penicillin prescriptions...Continue Reading

Citations

Sep 29, 2018·Pharmacoepidemiology and Drug Safety·Gabriele GradlMartin Schulz
Oct 31, 2018·Community Dentistry and Oral Epidemiology·Amy Joyce RigholtDenise Duijster
Jul 18, 2018·BMJ Open·Kenji FujitaTimothy F Chen
Oct 22, 2020·Cadernos de saúde pública·Claudia Dolores Trierweiler Sampaio de Oliveira CorrêaClaudia Tartaglia Reis

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