Management of patients needing antibiotic prophylaxis in a dental education setting.

T. E. Johnson, M. L. Froeschle, B. M. Lange, D. B. Marx

Research output: Contribution to journalArticlepeer-review

1 Scopus citations


The management of antibiotic prophylaxed (ABX) patients at an educational institution was evaluated to identify areas for improvement. Management criteria, reflecting guidelines to prevent oral-induced hematogenous microbial seeding, were pretested and applied to 1,225 record entries of eighty-five patients needing ABX for dental treatment between 1991 and 1996. Seven hundred twenty-two of the visits had 857 management or documentation problems, including no documentation indicating whether or not patients premedicated (n = 281); incomplete, insufficient, or repeated treatment (n = 214); and preventive concerns (n = 172), among others. The proportion of providers' patient visits with one or more management problems differed significantly (p < 0.001) by provider type, as did the distribution of problem categories (documentation, treatment, preventive, and scheduling concerns p < 0.001; compliance issues p < 0.005). Fifty-one percent of postgraduates' and 39 percent of faculty's record entries omitted patients' ABX status. Improved documentation, outcome measures, and patient, faculty and student education are indicated.

Original languageEnglish (US)
Pages (from-to)276-282
Number of pages7
JournalJournal of dental education
Issue number4
StatePublished - Apr 2000

ASJC Scopus subject areas

  • Education
  • General Dentistry


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