Critical Analysis of Consumption of Drug in Consultant Patients in Dental Emergencies Service
The objective of this study is to describe and analyze theprescription, self-medication and use of medicinal plants in patients consulting in the consultation and dental emergency department of the University Hospital Centre of Casablanca (CHU Ibn Rochd). Methods:
This is a descriptive, monocentric, prospectiveobservational study conducted at the Ibn Rochd University Hospital in Casablanca for two months (October 26 to December 18, 2018). The data collection was in the form of an anonymous questionnaire, as well as its analysis by Microsoft0 Office EXCEL and IBM SPSS statistics version software. Results:
The study involved 200 predominantly female patients(61.5%), the most common reasons for consultation in the dental emergency department were oral pain, oral abscess, trauma and dental bleeding. A total of 20 International Non-proprietary Name (INNs) were found in 192 drug prescriptions compared to 19 INNs by self-medication. Dentists prescribe 2.32±1.25 drugs per patient to which were added on average 1.27±0.73 drugs taken simultaneously by self-medication in 87 (43.5%) patients. The most frequently prescribed therapeutic classes used by self-medication were ATBs, analgesics, corticosteroids, antiseptics and NSAIDs. Patients had at least one non-compliant drug in 7.29% of prescriptions versus 27.58% by self-medication, of which 3 prescriptions were an absolute contraindication versus 2 cases by self-medication. A total of 11 drug interactions (78.57%) were mainly found by prescription compared to 16 cases of interactions (66.66%) found by self-medication, with a distribution according to the severity of contraindications, not recommended drug interactions, drug interactions requiring precautions for use and drug interactions to be considered. Conclusion:
The control of drug use in the dental consultation andemergency department is essential. Patients' awareness of the risk of self-medication should be raised to avoid second effects and drugs interactions. The realization of the electronic patient file for the follow-up of the medication intake.
Dental emergencies service, Drug, Drug interactions, Self medication.