key: cord-0015585-b6oro9vf
authors: Smith, R.; Loh, M.; Mills, D.
title: Prescription audit
date: 2021-02-26
journal: Br Dent J
DOI: 10.1038/s41415-021-2760-2
sha: f6b1cdb223d80706cf0e075633daca5e2d7985c7
doc_id: 15585
cord_uid: b6oro9vf

nan

https://doi.org/10.1038/s41415-021-2759-8 uncertainty of diagnosis. Out of the 81 patients that received prescriptions, 44.4% did not have a clinical intervention. This would be due to the restrictions of dental treatment at the time. Working within the CDS means we have additional challenges of special care patients with communication difficulties and complex needs. This has been exacerbated over the pandemic.

The results of the audit were disheartening, but highlighted problems and discrepancies and allowed us to disseminate the appropriate information to clinicians. It may be likely that this pattern of increased antibiotic prescribing seems an obvious outcome of the pandemic, however, as dentists we have a critical role in reducing antibiotic resistance. This time would be a great opportunity to audit these prescribing patterns and protect the use of antibiotics for the future.

R Antibiotic resistance

Sir, we write in response to the recent editorial on antimicrobials. 1 We work within the Community Dental Service (CDS) in Merseyside and thought it would be pertinent to audit the antibiotic prescribing patterns over the first wave of the COVID-19 pandemic. We found that within our trust these declined during the first wave of the pandemic. Out of 81 prescriptions, 49% did not have a diagnosis and only 33.3% were justified within FGDP antimicrobial guidelines. The most common reason for prescribing was pain (27.2%) and diffuse swelling (22.3%). Other reasons included delayed treatment, patient expectation and

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