J Korean Acad Pediatr Dent.  2023 Aug;50(3):292-306. 10.5933/JKAPD.2023.50.3.292.

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

• Lee SJ
• Kim J

• KMID: 2545436
• DOI: http://doi.org/10.5933/JKAPD.2023.50.3.292

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.

Keyword

Antibiotics; Prescription rate; Big data; Health insurance review and assessment service database