title: Antibiotic prescription in the treatment of odontogenic infection by health professionals: a factor to consensus.
abstract: OBJECTIVE
  To observe the attitude of dentists and family doctors in prescribing antibiotics for the treatment of dental infections.
  
  
  METHODS
  A poll was performed to determine the differences in the prescription of antibiotics for the treatment of odontogenic infection by dentists and family doctors of the primary care department of the Catalan Health Care Service.
  
  
  RESULTS
  A hundred polls were distributed among family doctors, and another 100 ones among primary care dentists assigned to the Catalan Health Care Service of the Generalitat de Catalunya. Of the total of questionnaires distributed, 63 were retuned and answered from dentists and 71 from family doctors. Eighty-one percent of dentists included in the opinion poll considered amoxicillin as the first antibiotic choice for the treatment of odontogenic infections, while 73.2% of family doctors preferred the combination of amoxicillin and clavulanic acid. With regard to antibiotics of choice in patients allergic to penicillin, 67.7% of family doctors preferred macrolides (25.4% opted for clarithromycin, 25.4% for erythromycin and 16.9% for spiramycin). However, clindamycin was the antibiotic most frequently prescribed by dentists (66.7%), followed by erythromycin (28.6%).
  
  
  CONCLUSIONS
  The results of this study show a large discrepancy in the criteria for the treatment of odontogenic infections on the part of leading professionals involved in the management of this condition. Although the most common prescription involved beta-lactam antibiotics in both groups, several significant differences have been detected with regard to the second antibiotic choice.
authors.affiliation: University of Barcelona Dental School, Barcelona, Spain.
authors.forename: Raquel
authors.initials: R
authors.lastname: González-Martínez
authors.forename: Isidoro
authors.initials: I
authors.lastname: Cortell-Ballester
authors.forename: José-María
authors.initials: JM
authors.lastname: Herráez-Vilas
authors.forename: José-María
authors.initials: JM
authors.lastname: Arnau-de Bolós
authors.forename: Cosme
authors.initials: C
authors.lastname: Gay-Escoda
mesh_terms: D019072:Antibiotic Prophylaxis; D032921:Consensus; D003430:Cross-Sectional Studies; D003813:Dentistry; D005194:Family Practice; D005491:Focal Infection, Dental / Q000517:prevention & control*; D006801:Humans; D010818:Practice Patterns, Physicians'