Management of patients needing antibiotic prophylaxis in a dental education setting.
The management of antibiotic prophylaxed (ABX) patients at an educational institution was evaluated to identify areas for improvement. Management criteria, reflecting guidelines to prevent oral-induced hematogenous microbial seeding, were pretested and applied to 1,225 record entries of eighty-five patients needing ABX for dental treatment between 1991 and 1996. Seven hundred twenty-two of the visits had 857 management or documentation problems, including no documentation indicating whether or not patients premedicated (n = 281); incomplete, insufficient, or repeated treatment (n = 214); and preventive concerns (n = 172), among others. The proportion of providers' patient visits with one or more management problems differed significantly (p < 0.001) by provider type, as did the distribution of problem categories (documentation, treatment, preventive, and scheduling concerns p < 0.001; compliance issues p < 0.005). Fifty-one percent of postgraduates' and 39 percent of faculty's record entries omitted patients' ABX status. Improved documentation, outcome measures, and patient, faculty and student education are indicated.
Johnson
T E
TE
Department of Dental Practice Management, University of Nebraska Medical Center, College of Dentistry, Lincoln 68583-0754, USA. tejohnso@unmc.edu
Froeschle
M L
ML
Lange
B M
BM
Marx
D B
DB
D019072:Antibiotic Prophylaxis / Q000706:statistics & numerical data; D016009:Chi-Square Distribution; D019230:Dental Audit / Q000379:methods / Q000706:statistics & numerical data; D003729:Dental Care / Q000706:statistics & numerical data; D004497:Education, Dental; D006801:Humans; D009329:Nebraska; D012189:Retrospective Studies; D012575:Schools, Dental; D013335:Students, Dental / Q000706:statistics & numerical data