University of Tokyo Reports Findings in Tooth Extraction (Trends in prophylactic antibiotic use for tooth extraction from 2015 to 2018 in Japan: An analysis using a health insurance claims database): Surgery – Tooth Extraction

Insurance Daily News

2022 JAN 18 (NewsRx) -- By a News Reporter-Staff News Editor at Insurance Daily News -- New research on Surgery - Tooth Extraction is the subject of a report. According to news reporting out of Tokyo, Japan, by NewsRx editors, research stated, “To describe patterns in antibiotic prophylaxis for tooth extraction following the 2016 Japanese National Action Plan on Antimicrobial Resistance. Using a health insurance claims database, we retrospectively identified tooth extraction visits by patients aged 18 years from September 2015 to August 2018 and classified patients as undergoing extraction of a fully impacted or horizontally impacted mandibular wisdom tooth, being at risk of infective endocarditis or surgical site infection, or being at low risk.”

Our news journalists obtained a quote from the research from the University of Tokyo, “Antibiotic use and type of antibiotics prescribed on the day of tooth extraction were evaluated across the study period, with stratification by tooth extraction category and facility type (hospital or dental clinic). We identified 662,435 patients with tooth extraction. The mean age was 42.7 years, and 57% were male. Twelve percent underwent wisdom tooth extraction, 32% were high risk, and 10% visited hospitals. The proportion of antibiotic use was 83% overall and 82% among low-risk patients. This proportion remained similar throughout the study period. A shift from third-generation cephalosporins to amoxicillin was observed from 2015 to 2018: the proportion prescribed third-generation cephalosporins decreased from 58% to 34% in hospitals and from 57% to 56% in clinics, and the proportion prescribed amoxicillin increased from 16% to 37% in hospitals and from 6% to 10% in clinics. The pattern of prophylactic antibiotic use for tooth extraction gradually changed after the initiation of the National Action Plan.”

According to the news editors, the research concluded: “Further efforts are required to reduce potentially inappropriate prescriptions for low-risk patients, especially in dental clinics.”

This research has been peer-reviewed.

For more information on this research see: Trends in prophylactic antibiotic use for tooth extraction from 2015 to 2018 in Japan: An analysis using a health insurance claims database. Journal of Infection and Chemotherapy, 2021. Journal of Infection and Chemotherapy can be contacted at: Elsevier, Radarweg 29, 1043 Nx Amsterdam, Netherlands. (Springer - www.springer.com; Journal of Infection and Chemotherapy - http://www.springerlink.com/content/1341-321x/)

Our news journalists report that additional information may be obtained by contacting Misuzu Sato, Dept. of Clinical Epidemiology and Health Economics, School of Public Health, University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-0033, Japan. Additional authors for this research include Hayato Yamana, Sachiko Ono, Miho Ishimaru, Hiroki Matsui and Hideo Yasunaga.

The direct object identifier (DOI) for that additional information is: https://doi.org/10.1016/j.jiac.2021.12.014. This DOI is a link to an online electronic document that is either free or for purchase, and can be your direct source for a journal article and its citation.