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Analysis of Dental Antibiotic Prescriptions for Children and Adolescents in South Korea

김지훈|이승준
대한소아치과학회 (The Korean Academy Of Pediatric Dentistry)|2023.08|대한소아치과학회지 (Journal of the Korean academy of pediatric dentistry)|제50권 제3호|pp. 292-306

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Big dataAntibioticsPrescription rate
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초록

Antibiotics are used for the prevention and treatment of infections. This study aimed to investigate the patterns of dental antibiotic prescription in children and adolescents. The Health Insurance Review and Assessment Service provided data on patients who visited medical institutions. It was categorized according to year, sex, age, insurance type, dental institution, and region. Chi-square tests, Fisher’s exact tests, and one-way analyses of variance were performed. Statistical analyses were performed using SAS software (ver. 9.2; SAS Institute, Cary, NC, USA). Amoxicillin and cephalosporins, the most commonly used antibiotics, accounted for approximately 96% of the prescriptions. The younger the child, the more antibiotics were prescribed for trauma, pulpitis, and dental abscesses. However, closer to adolescence, the antibiotics were primarily prescribed to manage impacted teeth and periodontal problems. Antibiotics were prescribed for 3.13 days on average. There were significant differences in the prescription rates according to age, sex, type of insurance, type of medical institution, and region (p < 0.05). This study suggested that antibiotic prescriptions should be closely monitored to ensure appropriate usage of antibiotics.

Abstract

Antibiotics are used for the prevention and treatment of infections. This study aimed to investigate the patterns of dental antibiotic prescription in children and adolescents. The Health Insurance Review and Assessment Service provided data on patients who visited medical institutions. It was categorized according to year, sex, age, insurance type, dental institution, and region. Chi-square tests, Fisher’s exact tests, and one-way analyses of variance were performed. Statistical analyses were performed using SAS software (ver. 9.2; SAS Institute, Cary, NC, USA). Amoxicillin and cephalosporins, the most commonly used antibiotics, accounted for approximately 96% of the prescriptions. The younger the child, the more antibiotics were prescribed for trauma, pulpitis, and dental abscesses. However, closer to adolescence, the antibiotics were primarily prescribed to manage impacted teeth and periodontal problems. Antibiotics were prescribed for 3.13 days on average. There were significant differences in the prescription rates according to age, sex, type of insurance, type of medical institution, and region (p < 0.05). This study suggested that antibiotic prescriptions should be closely monitored to ensure appropriate usage of antibiotics.

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Prescription of antibiotics after tooth extraction in adults: a nationwide study in KoreaYoon Young Choi대한구강악안면외과학회 · 대한구강악안면외과학회지2020 · 제46권 제1호치과 외래 치료에서 항생제 처방에 영향을 주는 요인 - 한국 국민건강보험 표본코호트 연구 -이경희, 최윤영한국치위생학회 · 한국치위생학회지2019 · 제19권 제3호Antibiotic Use in Pediatric Dentistry이제식대한소아치과학회 · 대한소아치과학회지2025 · 제52권 제1호치과분야 항생제 처방에 대한 국내외 문헌 분석김명진, 김성민, 박종철, 방강미, 이종호, 정한울, 조세형, 모하메드 아라쉬단대한구강악안면외과학회 · 대한구강악안면외과학회지2009 · 제35권 제3호치과에서 항생제 치료시 고려할 사항백정화대한치과의사협회 · 대한치과의사협회지2013 · 제51권 제3호Incidence of Dental Discoloration After Tetracycline Exposure in Korean Children: A Nationwide Population-Based StudyAhn Jong Gyun, Baek Jee Yeon, Jung Inkyung, Kang Chung-Min, Kang Ji-Man, Kim Eun Hwa, Kim MinYoung, Lee Ji Young, Lee Myeongjee, Lim Sung Min, Shin Jehee대한소아감염학회 · Pediatric Infection and Vaccine2024 · 제31권 제1호

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