Antibiotic prescribing in dental primary care Not Applicable
Conditions
Interventions
The intervention involves elements of local consensus formation, antibiotic prescription feedback, and communication training. Training of the intervention group will be organized within small group s
Sponsors
Medical University of Rostock (Universitätsmedizin Rostock) (Germany)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Primary care dentists and their male and female patient population of all ages in Mecklenburg-Western Pomerania (Germany). 2. Patients aged 18 years or older seen by their dentists for an odontogenic infection or abscess, and who have not been treated for such a condition in the previous six months, are eligible for being recruited into the subgroup (swabs).
Exclusion criteria
Exclusion criteria: To investigate antibiotic prescribing the DREAM trial includes the entire patient population of participating dental practices. Exclusion criteria for patients in the subgroup include: 1. Younger than 18 years 2. Not being able to give informed consent (e.g. in case of dementia) 3. Consulting the dentist during the emergency service 4. Suffering from immunosuppression or malignoma 5. Having a disease-related life expectancy of less than 12 months
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Dentists? overall antibiotic prescription rate. Data is collected over a six-month baseline period (T0), at T1 (month 10 to 15), and T2 (month 19 to 24) | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary outcomes for the subgroup: 1. Severity of illness 2. Pain (VAS) 3. Duration of treatment 4. Re-consultation rate 5. Use of medical services 6. Adverse effects related to antibiotic treatment | — |
Countries
Germany
Outcome results
None listed