Antibiotic prescriptions issued by Dentists in the North East and Cumbria
PHE ePoster Library. Bird L. Sep 12, 2017; 186446; 61
Dr. Lucy Bird
Dr. Lucy Bird
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Abstract IntroductionIn 2015 Public Health England published 'Health matters: antimicrobial resistance' guidance to reduce inappropriate antibiotic prescribing and antimicrobial resistance. The North East and Cumbria has the highest daily dosage prescribing rate per population across England for mean defined daily doses and in obtaining data we can analyse prescribing habits to allow for education and training.Method Dental antibiotic prescriptions dispensed by pharmacies in the North East and Cumbria for October 2016 were extracted by the Business Services Agency; 13,565 antibiotic prescriptions in total from 22 different local authorities/districts.ResultsPrescriptions issued per 1000 population varied between 7.02 per month in Middlesbrough to 0.77 in Eden. Prescribing practice postcodes were used to determine the socio-economic status of practice areas and showed higher prescribing rates in more deprived areas. Oral health of 5 year old children in different districts was compared with district prescription rates and showed no relationship between levels of disease and prescribing patterns. Higher access rates showed strong positive correlation with increased prescription rates. A negative correlation was identified between 2014 data on urgent care episodes and prescribing rates. ConclusionEvidence demonstrated higher antibiotic dental prescribing in more deprived areas and increased prescribing correlates with increased access to dental services but is inversely proportional to urgent care claims per population 1000. There was no identified relationship between population oral health and antibiotic prescribing levels. An education and training event is planned for July to present findings and discuss best practice in antimicrobial use. External funding details NHS England for data extraction.
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