Journal of the korean academy of Pediatric Dentistry (대한소아치과학회지)

Korean Academy of Pediatric Dentistry (대한소아치과학회)
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Analysis of Dental Antibiotic Prescriptions for Children and Adolescents in South Korea

소아 청소년에 대한 한국 치과에서의 항생제 처방 분석

  • Seong Joon Lee (Department of Pediatric Dentistry, Wonju Severance Christian Hospital, Yonsei University) ;
  • Jihun Kim (Department of Pediatric Dentistry, Wonju Severance Christian Hospital, Yonsei University)
  • 이승준 (연세대학교 원주세브란스기독병원 소아치과) ;
  • 김지훈 (연세대학교 원주세브란스기독병원 소아치과)
  • Received : 2023.05.10
  • Accepted : 2023.07.10
  • Published : 2023.08.31
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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.

항생제는 감염의 예방과 치료를 위해 사용된다. 이 연구는 치과에서 소아·청소년에게 처방하고 있는 항생제 동향을 분석하기 위해 수행됐다. 건강보험심사평가원에서 2016년부터 2020년까지 치과의료기관을 방문한 소아·청소년 환자들의 정보를 제공받았고, 연도, 성별, 나이, 가입된 보험 종류, 의료기관의 종별 분류, 지역에 따라 범주화하여 통계적으로 분석하였다. Amoxicillin과 Cephalosporin계열 항생제가 전체 항생제 처방에서 약 96%를 차지하여, 치과에서 가장 많이 처방되는 것으로 나타났다. 그리고 낮은 연령일수록 치과적 외상, 치수염, 치성 농양을 이유로 항생제가 처방되는 빈도가 높았으며, 연령이 높을수록 매복치, 치주 문제로 항생제를 처방하는 빈도가 높아졌다. 항생제는 평균적으로 3.13일 처방되었고 항생제 처방률은 나이, 성별, 가입된 보험 종류, 의료기관의 종별 분류, 지역에 따라 유의미한 차이를 보였다(p < 0.05). 이 연구는 항생제 처방에 다양한 사회, 경제학적 요소가 영향을 주는 것을 확인해 주었고, 따라서 항생제 처방에 대해 주도면밀한 관찰 및 감시가 필요할 것으로 생각된다.

Keywords

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