{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,12]],"date-time":"2026-05-12T11:16:06Z","timestamp":1778584566025,"version":"3.51.4"},"reference-count":20,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2014,12,1]],"date-time":"2014-12-01T00:00:00Z","timestamp":1417392000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Prim Dent J"],"published-print":{"date-parts":[[2014,12]]},"abstract":"<jats:sec><jats:title>Introduction<\/jats:title><jats:p> Antimicrobial resistance is a growing problem that is likely to have a major negative impact on healthcare in the future. Dentists have a key role in ensuring that antimicrobials are prescribed correctly to reduce the emergence of resistant strains. <\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p> To audit how appropriately antimicrobials were prescribed in the oral surgery acute dental department of Guy's Hospital in London, when compared to the standards set within the Faculty of General Dental Practice (UK)<jats:sup>1<\/jats:sup> and Scottish Dental Clinical Effectiveness<jats:sup>2<\/jats:sup> guidelines on antimicrobial prescribing in dentistry. <\/jats:p><\/jats:sec><jats:sec><jats:title>Target<\/jats:title><jats:p> 100% compliance. <\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p> A prospective audit consisting of two cycles (each including 60 patients) was carried out. Between each cycle, there was a two-month intervention period, which included extensive training and education of staff and students. <\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p> Cycle 1 showed that only 30% of prescriptions were appropriate and only 62% of practitioners were recording a diagnosis. After two months of intervention, cycle 2 was carried out; this showed a significant improvement, with 80% of prescriptions being appropriate and 100% of practitioners recording a diagnosis. The majority of inappropriate prescriptions in both cycles were for acute pulpitis without evidence of systemic involvement. <\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p> This audit has shown that clinical practice for antimicrobial prescribing did not follow the published guidelines. Following targeted interventions, a substantial improvement was made in the prescribing pattern. The target of 100% has not been reached, necessitating further intervention. <\/jats:p><\/jats:sec>","DOI":"10.1308\/205016814813877270","type":"journal-article","created":{"date-parts":[[2014,11,10]],"date-time":"2014-11-10T23:07:09Z","timestamp":1415660829000},"page":"24-29","source":"Crossref","is-referenced-by-count":32,"title":["An Audit of Antimicrobial Prescribing in an Acute Dental Care Department"],"prefix":"10.1177","volume":"3","author":[{"given":"Radhika","family":"Chopra","sequence":"first","affiliation":[{"name":"Oral Surgery, Guy's Hospital, London"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Razia","family":"Merali","sequence":"additional","affiliation":[{"name":"General Dental Practitioner, Bridge Street Dental Practice, Oxford"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"George","family":"Paolinelis","sequence":"additional","affiliation":[{"name":"Oral Surgery, Guy's Hospital, London"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jerry","family":"Kwok","sequence":"additional","affiliation":[{"name":"Oral Surgery, Guy's Hospital, London"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2014,12,1]]},"reference":[{"key":"bibr1-205016814813877270","volume-title":"Antimicrobial Prescribing for General Dental Practitioners","author":"Palmer NOA","year":"2012"},{"key":"bibr2-205016814813877270","volume-title":"Drug Prescribing for Dentistry. Dental Clinical Guidance","author":"Scottish Dental Clinical Effectiveness Programme (SCDEP).","year":"2011"},{"key":"bibr3-205016814813877270","doi-asserted-by":"publisher","DOI":"10.1038\/sj.bdj.2014.44"},{"key":"bibr4-205016814813877270","doi-asserted-by":"publisher","DOI":"10.1038\/sj.bdj.2008.984"},{"key":"bibr5-205016814813877270","volume-title":"British National Formulary. BNF 67","author":"Joint Formulary Committee.","year":"2014"},{"key":"bibr6-205016814813877270","doi-asserted-by":"publisher","DOI":"10.1038\/sj.bdj.4801156"},{"key":"bibr7-205016814813877270","doi-asserted-by":"publisher","DOI":"10.1038\/sj.ebd.6400340"},{"key":"bibr8-205016814813877270","doi-asserted-by":"publisher","DOI":"10.1308\/204268510X12610466792684"},{"key":"bibr9-205016814813877270","doi-asserted-by":"publisher","DOI":"10.3126\/kumj.v10i4.10991"},{"key":"bibr10-205016814813877270","doi-asserted-by":"publisher","DOI":"10.1093\/jac\/47.2.233"},{"key":"bibr11-205016814813877270","doi-asserted-by":"publisher","DOI":"10.1038\/sj.bdj.4801190"},{"key":"bibr12-205016814813877270","doi-asserted-by":"publisher","DOI":"10.1080\/17402520500376277"},{"key":"bibr13-205016814813877270","unstructured":"Copenhagen University Hospital and the International Association of Dental Traumatology. Dental Trauma Guide. Accessed (2014 Sep 15) at: www.dentaltraumaguide.org\/"},{"key":"bibr14-205016814813877270","unstructured":"World Health Organization (WHO). Antimicrobial resistance. Fact sheet No.194. Updated April 2014. Accessed (2014 Sep 15) at: www.who.int\/mediacentre\/factsheets\/fs194\/en\/"},{"key":"bibr15-205016814813877270","volume-title":"Human Medicines Evaluation","author":"European Medicines Agency (EMA).","year":"2013"},{"key":"bibr16-205016814813877270","unstructured":"National Institute for Health and Care Excellence (NICE). NHS urged to tackle antibiotic resistance. London: NICE; 2013. Accessed (2014 Sep 15) at: www.nice.org.uk\/News\/Article\/nhs-urged-to-tackle-antibiotic-resistance"},{"key":"bibr17-205016814813877270","volume-title":"UK Five Year Antimicrobial Resistance Strategy 2013 to 2018","author":"Department of Health (DH).","year":"2013"},{"key":"bibr18-205016814813877270","volume-title":"Antibiotic Resistance Threats in the United States, 2013","author":"Centers for Disease Control and Prevention (CDC).","year":"2013"},{"key":"bibr19-205016814813877270","volume-title":"IDSA Press Release STAAR Act","author":"Infectious Diseases Society of America (IDSA).","year":"2014"},{"key":"bibr20-205016814813877270","doi-asserted-by":"publisher","DOI":"10.2807\/ese.13.46.19041-en"}],"container-title":["Primary Dental Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1308\/205016814813877270","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1308\/205016814813877270","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,11]],"date-time":"2025-03-11T03:46:20Z","timestamp":1741664780000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1308\/205016814813877270"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,12]]},"references-count":20,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2014,12]]}},"alternative-id":["10.1308\/205016814813877270"],"URL":"https:\/\/doi.org\/10.1308\/205016814813877270","relation":{},"ISSN":["2050-1684","2050-1692"],"issn-type":[{"value":"2050-1684","type":"print"},{"value":"2050-1692","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,12]]}}}