Antimicrobial Prescribing for General Dental Practitioners

Price: 
£27.00
Shipping Price: 
£1.50
FGDP Product Code: 
FGDP 6
Published: 
May, 2012
ISBN: 
0-9543451-7-7
Format: 
A5 (148 × 210mm)
Description: 

Antimicrobial Prescribing for General Dental Practitioners provides guidance on the prescribing of antimicrobials to adults and children in primary dental care. It gives clear, simple and practical advice on when to prescribe, what to prescribe, for how long and at what dosage, and is available:

An invaluable asset in any dentist’s library, the current edition reflects changes to recommendations since the previous (2006) update, and includes dosage recommendations for children for the first time.

 

FGDP(UK) has also co-produced a number of related free resources for dentists, including our Antimicrobial Prescribing Self-Audit Tool, Antiobiotics Don't Cure Toothache poster and a patient information leaflet, and you can find out more on our antimicrobial prescribing page.
 

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Update April 2014 (amoxicillin dosage)
In light of the Health Protection Agency’s guidance: “Management of infection guidance for primary care for consultation & local adaptation” and expert advice relating to issues with resistance to amoxicillin, the BNF has recommended an increased dose of amoxicillin for the management of infections in adults.

Where antimicrobials are indicated for dental infections the dose for amoxicillin is as follows:

Adults
500 mg every 8 hours, dose doubled in severe infection

Children
• 1 month–1 year, 125 mg every 8 hours, increased if necessary up to 30 mg/kg every 8 hours;
• 1–5 years, 250 mg every 8 hours, increased if necessary up to 30 mg/kg every 8 hours;
• 5–12 years, 500 mg every 8 hours, increased if necessary up to 30 mg/kg (max. 1 g) every 8 hours
• 12–18 years, 500 mg every 8 hours, in severe infection 1 g every 8 hours

There has also been a change to the dosing for miconazole gel for oral candidosis.

BNF 66 now states:

Dose: prevention and treatment of oral candidiasis, by mouth, adult and child over 2 years, 2.5 mL 4 times daily after meals, retain near oral lesions before swallowing (dental prostheses should be removed at night and brushed with gel); child under 2 years see BNF for Children

Prevention and treatment of intestinal candidiasis, by mouth, adult and child over 4 months, 5 mg/kg 4 times daily; max. 250 mg (10 mL) 4 times daily

Note; Treatment should be continued for at least 7 days after lesions have healed or symptoms have cleared.

Update June 2016 (metronidazole dosing)
Adults
Metronidazole 400mg three times daily for up to five days, review after 2-3 days and discontinue if resolved5

Children
• 1-3 years: 100mg three times daily for up to five days, review after 2-3 days and discontinue if resolved
• 3-7 years: 200mg twice daily for up to five days, review after 2-3 days and discontinue if resolved
• 7-10 years: 200mg three times daily for up to five days, review after 2-3 days and discontinue if resolved
• Over 10 years: 400mg three times daily for up to five days, review after 2-3 days and discontinue if resolved

Available on prescription as:
• Metronidazole tablets 200mg
• Metronidazole oral suspension 200mg/5m

 

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