Antibiotic prescribing for dental conditions rose during Covid lockdown
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- Published: Thursday, 19 November 2020 08:25
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Restricted access to dental care due to COVID-19 resulted in greatly increased dental antibiotic prescribing, against an otherwise downward trend. In April to July 2020 was 25% higher than April to July 2019, with a peak in June 2020. The increase was highest in London (60%) and lowest in the South West (10%).
The British Dental Journal has published new research[i] on how restricted access to dental care during the April to June lockdown influenced antibiotic prescribing. It found that:
Antibiotic prescribing in April to July 2020 was 25% higher than April to July 2019, with a peak in June 2020. Some regions experienced greater increases and for longer periods than others. The increase was highest in London (60%) and lowest in the South West (10%). East of England had the highest rate of dental antibiotic prescriptions per 1,000 of the population every month over the study period (April to July 2020).
The authors comment: antibiotic resistance is a global problem driven by unnecessary antibiotic use. Between 25 March-8 June 2020, COVID-19 restrictions severely reduced access to dentistry in England. During the initial lockdown, dental practices were instructed to manage patients remotely with advice, analgesics and antibiotics, where appropriate.
Conclusion Restricted access to dental care due to COVID-19 resulted in greatly increased dental antibiotic prescribing, against an otherwise downward trend. As dental care adapts to the COVID-19 era, it is important to ensure access for all to high-quality urgent dental care. Understanding the reasons for variation will help to optimise the use of antibiotics in the future.
[i] Shah S, Wordley V, Thompson W: How did COVID-19 impact on dental antibiotic prescribing across England? British Dental Journal volume 229, pages601–604(2020)
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