DHSV Dental Antimicrobial Prescribing Audit

• DHSV Dental Antimicrobial Prescribing Audit

• Client / Site

• Conducted on

  Date

• Conducted by

• Personnel

• Location
  Address

Prescription 1

• Date of prescription

• Dental Record Number

• Clinician Name or Code

• Reason for prescribing

  Acute odontogenic infection

  Non-responsive infection

  Prophylaxis

• If acute odontogenic infection, was definitive treatment provided first (e.g. open & drain, extraction etc.)

  Yes

  No

• Primary antibiotic prescribed

  Select Penicillin Clindamycin Metranidazole Amoxicillin Augmentin Not applicable

  • Penicillin
  • Clindamycin
  • Metranidazole
  • Amoxicillin
  • Augmentin
  • Not applicable

• Secondary antibiotic prescribed

  Select Penicillin Clindamycin Metranidazole Amoxicillin Augmentin Not applicable

  • Penicillin
  • Clindamycin
  • Metranidazole
  • Amoxicillin
  • Augmentin
  • Not applicable

• Follow the "antimicrobial creed"?

  Select Indication evidence based Narrowest spectrum Dosage appropriate Minimize duration Monotherapy wherever possible

  • Indication evidence based
  • Narrowest spectrum
  • Dosage appropriate
  • Minimize duration
  • Monotherapy wherever possible

• Appropriately prescribed in line with the Therapeutic Guidelines Oral & Dental (2012)

  Appropriate

  Inappropriate

Prescription 2

• Date of prescription

• Dental Record Number

• Clinician Name or Code

• Reason for prescribing

  Acute odontogenic infection

  Non-responsive infection

  Prophylaxis

• If acute odontogenic infection, was definitive treatment provided first (e.g. open & drain, extraction etc.)

  Yes

  No

• Primary antibiotic prescribed

  Select Penicillin Clindamycin Metranidazole Amoxicillin Augmentin Not applicable

  • Penicillin
  • Clindamycin
  • Metranidazole
  • Amoxicillin
  • Augmentin
  • Not applicable

• Secondary antibiotic prescribed

  Select Penicillin Clindamycin Metranidazole Amoxicillin Augmentin Not applicable

  • Penicillin
  • Clindamycin
  • Metranidazole
  • Amoxicillin
  • Augmentin
  • Not applicable

• Follow the "antimicrobial creed"?

  Select Indication evidence based Narrowest spectrum Dosage appropriate Minimize duration Monotherapy wherever possible

  • Indication evidence based
  • Narrowest spectrum
  • Dosage appropriate
  • Minimize duration
  • Monotherapy wherever possible

• Appropriately prescribed in line with the Therapeutic Guidelines Oral & Dental (2012)

  Appropriate

  Inappropriate

Prescription 3

• Date of prescription

• Dental Record Number

• Clinician Name or Code

• Reason for prescribing

  Acute odontogenic infection

  Non-responsive infection

  Prophylaxis

• If acute odontogenic infection, was definitive treatment provided first (e.g. open & drain, extraction etc.)

  Yes

  No

• Primary antibiotic prescribed

  Select Penicillin Clindamycin Metranidazole Amoxicillin Augmentin Not applicable

  • Penicillin
  • Clindamycin
  • Metranidazole
  • Amoxicillin
  • Augmentin
  • Not applicable

• Secondary antibiotic prescribed

  Select Penicillin Clindamycin Metranidazole Amoxicillin Augmentin Not applicable

  • Penicillin
  • Clindamycin
  • Metranidazole
  • Amoxicillin
  • Augmentin
  • Not applicable

• Follow the "antimicrobial creed"?

  Select Indication evidence based Narrowest spectrum Dosage appropriate Minimize duration Monotherapy wherever possible

  • Indication evidence based
  • Narrowest spectrum
  • Dosage appropriate
  • Minimize duration
  • Monotherapy wherever possible

• Appropriately prescribed in line with the Therapeutic Guidelines Oral & Dental (2012)

  Appropriate

  Inappropriate

Prescription 4

• Date of prescription

• Dental Record Number

• Clinician Name or Code

• Reason for prescribing

  Acute odontogenic infection

  Non-responsive infection

  Prophylaxis

• If acute odontogenic infection, was definitive treatment provided first (e.g. open & drain, extraction etc.)

  Yes

  No

• Primary antibiotic prescribed

  Select Penicillin Clindamycin Metranidazole Amoxicillin Augmentin Not applicable

  • Penicillin
  • Clindamycin
  • Metranidazole
  • Amoxicillin
  • Augmentin
  • Not applicable

• Secondary antibiotic prescribed

  Select Penicillin Clindamycin Metranidazole Amoxicillin Augmentin Not applicable

  • Penicillin
  • Clindamycin
  • Metranidazole
  • Amoxicillin
  • Augmentin
  • Not applicable

• Follow the "antimicrobial creed"?

  Select Indication evidence based Narrowest spectrum Dosage appropriate Minimize duration Monotherapy wherever possible

  • Indication evidence based
  • Narrowest spectrum
  • Dosage appropriate
  • Minimize duration
  • Monotherapy wherever possible

• Appropriately prescribed in line with the Therapeutic Guidelines Oral & Dental (2012)

  Appropriate

  Inappropriate

Prescription 5

• Date of prescription

• Dental Record Number

• Clinician Name or Code

• Reason for prescribing

  Acute odontogenic infection

  Non-responsive infection

  Prophylaxis

• If acute odontogenic infection, was definitive treatment provided first (e.g. open & drain, extraction etc.)

  Yes

  No

• Primary antibiotic prescribed

  Select Penicillin Clindamycin Metranidazole Amoxicillin Augmentin Not applicable

  • Penicillin
  • Clindamycin
  • Metranidazole
  • Amoxicillin
  • Augmentin
  • Not applicable

• Secondary antibiotic prescribed

  Select Penicillin Clindamycin Metranidazole Amoxicillin Augmentin Not applicable

  • Penicillin
  • Clindamycin
  • Metranidazole
  • Amoxicillin
  • Augmentin
  • Not applicable

• Follow the "antimicrobial creed"?

  Select Indication evidence based Narrowest spectrum Dosage appropriate Minimize duration Monotherapy wherever possible

  • Indication evidence based
  • Narrowest spectrum
  • Dosage appropriate
  • Minimize duration
  • Monotherapy wherever possible

• Appropriately prescribed in line with the Therapeutic Guidelines Oral & Dental (2012)

  Appropriate

  Inappropriate

Prescription 6

• Date of prescription

• Dental Record Number

• Clinician Name or Code

• Reason for prescribing

  Acute odontogenic infection

  Non-responsive infection

  Prophylaxis

• If acute odontogenic infection, was definitive treatment provided first (e.g. open & drain, extraction etc.)

  Yes

  No

• Primary antibiotic prescribed

  Select Penicillin Clindamycin Metranidazole Amoxicillin Augmentin Not applicable

  • Penicillin
  • Clindamycin
  • Metranidazole
  • Amoxicillin
  • Augmentin
  • Not applicable

• Secondary antibiotic prescribed

  Select Penicillin Clindamycin Metranidazole Amoxicillin Augmentin Not applicable

  • Penicillin
  • Clindamycin
  • Metranidazole
  • Amoxicillin
  • Augmentin
  • Not applicable

• Follow the "antimicrobial creed"?

  Select Indication evidence based Narrowest spectrum Dosage appropriate Minimize duration Monotherapy wherever possible

  • Indication evidence based
  • Narrowest spectrum
  • Dosage appropriate
  • Minimize duration
  • Monotherapy wherever possible

• Appropriately prescribed in line with the Therapeutic Guidelines Oral & Dental (2012)

  Appropriate

  Inappropriate

Prescription 7

• Date of prescription

• Dental Record Number

• Clinician Name or Code

• Reason for prescribing

  Acute odontogenic infection

  Non-responsive infection

  Prophylaxis

• If acute odontogenic infection, was definitive treatment provided first (e.g. open & drain, extraction etc.)

  Yes

  No

• Primary antibiotic prescribed

  Select Penicillin Clindamycin Metranidazole Amoxicillin Augmentin Not applicable

  • Penicillin
  • Clindamycin
  • Metranidazole
  • Amoxicillin
  • Augmentin
  • Not applicable

• Secondary antibiotic prescribed

  Select Penicillin Clindamycin Metranidazole Amoxicillin Augmentin Not applicable

  • Penicillin
  • Clindamycin
  • Metranidazole
  • Amoxicillin
  • Augmentin
  • Not applicable

• Follow the "antimicrobial creed"?

  Select Indication evidence based Narrowest spectrum Dosage appropriate Minimize duration Monotherapy wherever possible

  • Indication evidence based
  • Narrowest spectrum
  • Dosage appropriate
  • Minimize duration
  • Monotherapy wherever possible

• Appropriately prescribed in line with the Therapeutic Guidelines Oral & Dental (2012)

  Appropriate

  Inappropriate

Prescription 8

• Date of prescription

• Dental Record Number

• Clinician Name or Code

• Reason for prescribing

  Acute odontogenic infection

  Non-responsive infection

  Prophylaxis

• If acute odontogenic infection, was definitive treatment provided first (e.g. open & drain, extraction etc.)

  Yes

  No

• Primary antibiotic prescribed

  Select Penicillin Clindamycin Metranidazole Amoxicillin Augmentin Not applicable

  • Penicillin
  • Clindamycin
  • Metranidazole
  • Amoxicillin
  • Augmentin
  • Not applicable

• Secondary antibiotic prescribed

  Select Penicillin Clindamycin Metranidazole Amoxicillin Augmentin Not applicable

  • Penicillin
  • Clindamycin
  • Metranidazole
  • Amoxicillin
  • Augmentin
  • Not applicable

• Follow the "antimicrobial creed"?

  Select Indication evidence based Narrowest spectrum Dosage appropriate Minimize duration Monotherapy wherever possible

  • Indication evidence based
  • Narrowest spectrum
  • Dosage appropriate
  • Minimize duration
  • Monotherapy wherever possible

• Appropriately prescribed in line with the Therapeutic Guidelines Oral & Dental (2012)

  Appropriate

  Inappropriate

Prescription 9

• Date of prescription

• Dental Record Number

• Clinician Name or Code

• Reason for prescribing

  Acute odontogenic infection

  Non-responsive infection

  Prophylaxis

• If acute odontogenic infection, was definitive treatment provided first (e.g. open & drain, extraction etc.)

  Yes

  No

• Primary antibiotic prescribed

  Select Penicillin Clindamycin Metranidazole Amoxicillin Augmentin Not applicable

  • Penicillin
  • Clindamycin
  • Metranidazole
  • Amoxicillin
  • Augmentin
  • Not applicable

• Secondary antibiotic prescribed

  Select Penicillin Clindamycin Metranidazole Amoxicillin Augmentin Not applicable

  • Penicillin
  • Clindamycin
  • Metranidazole
  • Amoxicillin
  • Augmentin
  • Not applicable

• Follow the "antimicrobial creed"?

  Select Indication evidence based Narrowest spectrum Dosage appropriate Minimize duration Monotherapy wherever possible

  • Indication evidence based
  • Narrowest spectrum
  • Dosage appropriate
  • Minimize duration
  • Monotherapy wherever possible

• Appropriately prescribed in line with the Therapeutic Guidelines Oral & Dental (2012)

  Appropriate

  Inappropriate

Prescription 10

• Date of prescription

• Dental Record Number

• Clinician Name or Code

• Reason for prescribing

  Acute odontogenic infection

  Non-responsive infection

  Prophylaxis

• If acute odontogenic infection, was definitive treatment provided first (e.g. open & drain, extraction etc.)

  Yes

  No

• Primary antibiotic prescribed

  Select Penicillin Clindamycin Metranidazole Amoxicillin Augmentin Not applicable

  • Penicillin
  • Clindamycin
  • Metranidazole
  • Amoxicillin
  • Augmentin
  • Not applicable

• Secondary antibiotic prescribed

  Select Penicillin Clindamycin Metranidazole Amoxicillin Augmentin Not applicable

  • Penicillin
  • Clindamycin
  • Metranidazole
  • Amoxicillin
  • Augmentin
  • Not applicable

• Follow the "antimicrobial creed"?

  Select Indication evidence based Narrowest spectrum Dosage appropriate Minimize duration Monotherapy wherever possible

  • Indication evidence based
  • Narrowest spectrum
  • Dosage appropriate
  • Minimize duration
  • Monotherapy wherever possible

• Appropriately prescribed in line with the Therapeutic Guidelines Oral & Dental (2012)

  Appropriate

  Inappropriate

Prescription 11

• Date of prescription

• Dental Record Number

• Clinician Name or Code

• Reason for prescribing

  Acute odontogenic infection

  Non-responsive infection

  Prophylaxis

• If acute odontogenic infection, was definitive treatment provided first (e.g. open & drain, extraction etc.)

  Yes

  No

• Primary antibiotic prescribed

  Select Penicillin Clindamycin Metranidazole Amoxicillin Augmentin Not applicable

  • Penicillin
  • Clindamycin
  • Metranidazole
  • Amoxicillin
  • Augmentin
  • Not applicable

• Secondary antibiotic prescribed

  Select Penicillin Clindamycin Metranidazole Amoxicillin Augmentin Not applicable

  • Penicillin
  • Clindamycin
  • Metranidazole
  • Amoxicillin
  • Augmentin
  • Not applicable

• Follow the "antimicrobial creed"?

  Select Indication evidence based Narrowest spectrum Dosage appropriate Minimize duration Monotherapy wherever possible

  • Indication evidence based
  • Narrowest spectrum
  • Dosage appropriate
  • Minimize duration
  • Monotherapy wherever possible

• Appropriately prescribed in line with the Therapeutic Guidelines Oral & Dental (2012)

  Appropriate

  Inappropriate

Prescription 12

• Date of prescription

• Dental Record Number

• Clinician Name or Code

• Reason for prescribing

  Acute odontogenic infection

  Non-responsive infection

  Prophylaxis

• If acute odontogenic infection, was definitive treatment provided first (e.g. open & drain, extraction etc.)

  Yes

  No

• Primary antibiotic prescribed

  Select Penicillin Clindamycin Metranidazole Amoxicillin Augmentin Not applicable

  • Penicillin
  • Clindamycin
  • Metranidazole
  • Amoxicillin
  • Augmentin
  • Not applicable

• Secondary antibiotic prescribed

  Select Penicillin Clindamycin Metranidazole Amoxicillin Augmentin Not applicable

  • Penicillin
  • Clindamycin
  • Metranidazole
  • Amoxicillin
  • Augmentin
  • Not applicable

• Follow the "antimicrobial creed"?

  Select Indication evidence based Narrowest spectrum Dosage appropriate Minimize duration Monotherapy wherever possible

  • Indication evidence based
  • Narrowest spectrum
  • Dosage appropriate
  • Minimize duration
  • Monotherapy wherever possible

• Appropriately prescribed in line with the Therapeutic Guidelines Oral & Dental (2012)

  Appropriate

  Inappropriate

Prescription 13

• Date of prescription

• Dental Record Number

• Clinician Name or Code

• Reason for prescribing

  Acute odontogenic infection

  Non-responsive infection

  Prophylaxis

• If acute odontogenic infection, was definitive treatment provided first (e.g. open & drain, extraction etc.)

  Yes

  No

• Primary antibiotic prescribed

  Select Penicillin Clindamycin Metranidazole Amoxicillin Augmentin Not applicable

  • Penicillin
  • Clindamycin
  • Metranidazole
  • Amoxicillin
  • Augmentin
  • Not applicable

• Secondary antibiotic prescribed

  Select Penicillin Clindamycin Metranidazole Amoxicillin Augmentin Not applicable

  • Penicillin
  • Clindamycin
  • Metranidazole
  • Amoxicillin
  • Augmentin
  • Not applicable

• Follow the "antimicrobial creed"?

  Select Indication evidence based Narrowest spectrum Dosage appropriate Minimize duration Monotherapy wherever possible

  • Indication evidence based
  • Narrowest spectrum
  • Dosage appropriate
  • Minimize duration
  • Monotherapy wherever possible

• Appropriately prescribed in line with the Therapeutic Guidelines Oral & Dental (2012)

  Appropriate

  Inappropriate

Prescription 14

• Date of prescription

• Dental Record Number

• Clinician Name or Code

• Reason for prescribing

  Acute odontogenic infection

  Non-responsive infection

  Prophylaxis

• If acute odontogenic infection, was definitive treatment provided first (e.g. open & drain, extraction etc.)

  Yes

  No

• Primary antibiotic prescribed

  Select Penicillin Clindamycin Metranidazole Amoxicillin Augmentin Not applicable

  • Penicillin
  • Clindamycin
  • Metranidazole
  • Amoxicillin
  • Augmentin
  • Not applicable

• Secondary antibiotic prescribed

  Select Penicillin Clindamycin Metranidazole Amoxicillin Augmentin Not applicable

  • Penicillin
  • Clindamycin
  • Metranidazole
  • Amoxicillin
  • Augmentin
  • Not applicable

• Follow the "antimicrobial creed"?

  Select Indication evidence based Narrowest spectrum Dosage appropriate Minimize duration Monotherapy wherever possible

  • Indication evidence based
  • Narrowest spectrum
  • Dosage appropriate
  • Minimize duration
  • Monotherapy wherever possible

• Appropriately prescribed in line with the Therapeutic Guidelines Oral & Dental (2012)

  Appropriate

  Inappropriate

Prescription 15

• Date of prescription

• Dental Record Number

• Clinician Name or Code

• Reason for prescribing

  Acute odontogenic infection

  Non-responsive infection

  Prophylaxis

• If acute odontogenic infection, was definitive treatment provided first (e.g. open & drain, extraction etc.)

  Yes

  No

• Primary antibiotic prescribed

  Select Penicillin Clindamycin Metranidazole Amoxicillin Augmentin Not applicable

  • Penicillin
  • Clindamycin
  • Metranidazole
  • Amoxicillin
  • Augmentin
  • Not applicable

• Secondary antibiotic prescribed

  Select Penicillin Clindamycin Metranidazole Amoxicillin Augmentin Not applicable

  • Penicillin
  • Clindamycin
  • Metranidazole
  • Amoxicillin
  • Augmentin
  • Not applicable

• Follow the "antimicrobial creed"?

  Select Indication evidence based Narrowest spectrum Dosage appropriate Minimize duration Monotherapy wherever possible

  • Indication evidence based
  • Narrowest spectrum
  • Dosage appropriate
  • Minimize duration
  • Monotherapy wherever possible

• Appropriately prescribed in line with the Therapeutic Guidelines Oral & Dental (2012)

  Appropriate

  Inappropriate

Prescription 16

• Date of prescription

• Dental Record Number

• Clinician Name or Code

• Reason for prescribing

  Acute odontogenic infection

  Non-responsive infection

  Prophylaxis

• If acute odontogenic infection, was definitive treatment provided first (e.g. open & drain, extraction etc.)

  Yes

  No

• Primary antibiotic prescribed

  Select Penicillin Clindamycin Metranidazole Amoxicillin Augmentin Not applicable

  • Penicillin
  • Clindamycin
  • Metranidazole
  • Amoxicillin
  • Augmentin
  • Not applicable

• Secondary antibiotic prescribed

  Select Penicillin Clindamycin Metranidazole Amoxicillin Augmentin Not applicable

  • Penicillin
  • Clindamycin
  • Metranidazole
  • Amoxicillin
  • Augmentin
  • Not applicable

• Follow the "antimicrobial creed"?

  Select Indication evidence based Narrowest spectrum Dosage appropriate Minimize duration Monotherapy wherever possible

  • Indication evidence based
  • Narrowest spectrum
  • Dosage appropriate
  • Minimize duration
  • Monotherapy wherever possible

• Appropriately prescribed in line with the Therapeutic Guidelines Oral & Dental (2012)

  Appropriate

  Inappropriate

Prescription 17

• Date of prescription

• Dental Record Number

• Clinician Name or Code

• Reason for prescribing

  Acute odontogenic infection

  Non-responsive infection

  Prophylaxis

• If acute odontogenic infection, was definitive treatment provided first (e.g. open & drain, extraction etc.)

  Yes

  No

• Primary antibiotic prescribed

  Select Penicillin Clindamycin Metranidazole Amoxicillin Augmentin Not applicable

  • Penicillin
  • Clindamycin
  • Metranidazole
  • Amoxicillin
  • Augmentin
  • Not applicable

• Secondary antibiotic prescribed

  Select Penicillin Clindamycin Metranidazole Amoxicillin Augmentin Not applicable

  • Penicillin
  • Clindamycin
  • Metranidazole
  • Amoxicillin
  • Augmentin
  • Not applicable

• Follow the "antimicrobial creed"?

  Select Indication evidence based Narrowest spectrum Dosage appropriate Minimize duration Monotherapy wherever possible

  • Indication evidence based
  • Narrowest spectrum
  • Dosage appropriate
  • Minimize duration
  • Monotherapy wherever possible

• Appropriately prescribed in line with the Therapeutic Guidelines Oral & Dental (2012)

  Appropriate

  Inappropriate

Prescription 18

• Date of prescription

• Dental Record Number

• Clinician Name or Code

• Reason for prescribing

  Acute odontogenic infection

  Non-responsive infection

  Prophylaxis

• If acute odontogenic infection, was definitive treatment provided first (e.g. open & drain, extraction etc.)

  Yes

  No

• Primary antibiotic prescribed

  Select Penicillin Clindamycin Metranidazole Amoxicillin Augmentin Not applicable

  • Penicillin
  • Clindamycin
  • Metranidazole
  • Amoxicillin
  • Augmentin
  • Not applicable

• Secondary antibiotic prescribed

  Select Penicillin Clindamycin Metranidazole Amoxicillin Augmentin Not applicable

  • Penicillin
  • Clindamycin
  • Metranidazole
  • Amoxicillin
  • Augmentin
  • Not applicable

• Follow the "antimicrobial creed"?

  Select Indication evidence based Narrowest spectrum Dosage appropriate Minimize duration Monotherapy wherever possible

  • Indication evidence based
  • Narrowest spectrum
  • Dosage appropriate
  • Minimize duration
  • Monotherapy wherever possible

• Appropriately prescribed in line with the Therapeutic Guidelines Oral & Dental (2012)

  Appropriate

  Inappropriate

Prescription 19

• Date of prescription

• Dental Record Number

• Clinician Name or Code

• Reason for prescribing

  Acute odontogenic infection

  Non-responsive infection

  Prophylaxis

• If acute odontogenic infection, was definitive treatment provided first (e.g. open & drain, extraction etc.)

  Yes

  No

• Primary antibiotic prescribed

  Select Penicillin Clindamycin Metranidazole Amoxicillin Augmentin Not applicable

  • Penicillin
  • Clindamycin
  • Metranidazole
  • Amoxicillin
  • Augmentin
  • Not applicable

• Secondary antibiotic prescribed

  Select Penicillin Clindamycin Metranidazole Amoxicillin Augmentin Not applicable

  • Penicillin
  • Clindamycin
  • Metranidazole
  • Amoxicillin
  • Augmentin
  • Not applicable

• Follow the "antimicrobial creed"?

  Select Indication evidence based Narrowest spectrum Dosage appropriate Minimize duration Monotherapy wherever possible

  • Indication evidence based
  • Narrowest spectrum
  • Dosage appropriate
  • Minimize duration
  • Monotherapy wherever possible

• Appropriately prescribed in line with the Therapeutic Guidelines Oral & Dental (2012)

  Appropriate

  Inappropriate

Prescription 20

• Date of prescription

• Dental Record Number

• Clinician Name or Code

• Reason for prescribing

  Acute odontogenic infection

  Non-responsive infection

  Prophylaxis

• If acute odontogenic infection, was definitive treatment provided first (e.g. open & drain, extraction etc.)

  Yes

  No

• Primary antibiotic prescribed

  Select Penicillin Clindamycin Metranidazole Amoxicillin Augmentin Not applicable

  • Penicillin
  • Clindamycin
  • Metranidazole
  • Amoxicillin
  • Augmentin
  • Not applicable

• Secondary antibiotic prescribed

  Select Penicillin Clindamycin Metranidazole Amoxicillin Augmentin Not applicable

  • Penicillin
  • Clindamycin
  • Metranidazole
  • Amoxicillin
  • Augmentin
  • Not applicable

• Follow the "antimicrobial creed"?

  Select Indication evidence based Narrowest spectrum Dosage appropriate Minimize duration Monotherapy wherever possible

  • Indication evidence based
  • Narrowest spectrum
  • Dosage appropriate
  • Minimize duration
  • Monotherapy wherever possible

• Appropriately prescribed in line with the Therapeutic Guidelines Oral & Dental (2012)

  Appropriate

  Inappropriate

Prescription 21

• Date of prescription

• Dental Record Number

• Clinician Name or Code

• Reason for prescribing

  Acute odontogenic infection

  Non-responsive infection

  Prophylaxis

• If acute odontogenic infection, was definitive treatment provided first (e.g. open & drain, extraction etc.)

  Yes

  No

• Primary antibiotic prescribed

  Select Penicillin Clindamycin Metranidazole Amoxicillin Augmentin Not applicable

  • Penicillin
  • Clindamycin
  • Metranidazole
  • Amoxicillin
  • Augmentin
  • Not applicable

• Secondary antibiotic prescribed

  Select Penicillin Clindamycin Metranidazole Amoxicillin Augmentin Not applicable

  • Penicillin
  • Clindamycin
  • Metranidazole
  • Amoxicillin
  • Augmentin
  • Not applicable

• Follow the "antimicrobial creed"?

  Select Indication evidence based Narrowest spectrum Dosage appropriate Minimize duration Monotherapy wherever possible

  • Indication evidence based
  • Narrowest spectrum
  • Dosage appropriate
  • Minimize duration
  • Monotherapy wherever possible

• Appropriately prescribed in line with the Therapeutic Guidelines Oral & Dental (2012)

  Appropriate

  Inappropriate

Prescription 22

• Date of prescription

• Dental Record Number

• Clinician Name or Code

• Reason for prescribing

  Acute odontogenic infection

  Non-responsive infection

  Prophylaxis

• If acute odontogenic infection, was definitive treatment provided first (e.g. open & drain, extraction etc.)

  Yes

  No

• Primary antibiotic prescribed

  Select Penicillin Clindamycin Metranidazole Amoxicillin Augmentin Not applicable

  • Penicillin
  • Clindamycin
  • Metranidazole
  • Amoxicillin
  • Augmentin
  • Not applicable

• Secondary antibiotic prescribed

  Select Penicillin Clindamycin Metranidazole Amoxicillin Augmentin Not applicable

  • Penicillin
  • Clindamycin
  • Metranidazole
  • Amoxicillin
  • Augmentin
  • Not applicable

• Follow the "antimicrobial creed"?

  Select Indication evidence based Narrowest spectrum Dosage appropriate Minimize duration Monotherapy wherever possible

  • Indication evidence based
  • Narrowest spectrum
  • Dosage appropriate
  • Minimize duration
  • Monotherapy wherever possible

• Appropriately prescribed in line with the Therapeutic Guidelines Oral & Dental (2012)

  Appropriate

  Inappropriate

Prescription 23

• Date of prescription

• Dental Record Number

• Clinician Name or Code

• Reason for prescribing

  Acute odontogenic infection

  Non-responsive infection

  Prophylaxis

• If acute odontogenic infection, was definitive treatment provided first (e.g. open & drain, extraction etc.)

  Yes

  No

• Primary antibiotic prescribed

  Select Penicillin Clindamycin Metranidazole Amoxicillin Augmentin Not applicable

  • Penicillin
  • Clindamycin
  • Metranidazole
  • Amoxicillin
  • Augmentin
  • Not applicable

• Secondary antibiotic prescribed

  Select Penicillin Clindamycin Metranidazole Amoxicillin Augmentin Not applicable

  • Penicillin
  • Clindamycin
  • Metranidazole
  • Amoxicillin
  • Augmentin
  • Not applicable

• Follow the "antimicrobial creed"?

  Select Indication evidence based Narrowest spectrum Dosage appropriate Minimize duration Monotherapy wherever possible

  • Indication evidence based
  • Narrowest spectrum
  • Dosage appropriate
  • Minimize duration
  • Monotherapy wherever possible

• Appropriately prescribed in line with the Therapeutic Guidelines Oral & Dental (2012)

  Appropriate

  Inappropriate

Prescription 24

• Date of prescription

• Dental Record Number

• Clinician Name or Code

• Reason for prescribing

  Acute odontogenic infection

  Non-responsive infection

  Prophylaxis

• If acute odontogenic infection, was definitive treatment provided first (e.g. open & drain, extraction etc.)

  Yes

  No

• Primary antibiotic prescribed

  Select Penicillin Clindamycin Metranidazole Amoxicillin Augmentin Not applicable

  • Penicillin
  • Clindamycin
  • Metranidazole
  • Amoxicillin
  • Augmentin
  • Not applicable

• Secondary antibiotic prescribed

  Select Penicillin Clindamycin Metranidazole Amoxicillin Augmentin Not applicable

  • Penicillin
  • Clindamycin
  • Metranidazole
  • Amoxicillin
  • Augmentin
  • Not applicable

• Follow the "antimicrobial creed"?

  Select Indication evidence based Narrowest spectrum Dosage appropriate Minimize duration Monotherapy wherever possible

  • Indication evidence based
  • Narrowest spectrum
  • Dosage appropriate
  • Minimize duration
  • Monotherapy wherever possible

• Appropriately prescribed in line with the Therapeutic Guidelines Oral & Dental (2012)

  Appropriate

  Inappropriate

Prescription 25

• Date of prescription

• Dental Record Number

• Clinician Name or Code

• Reason for prescribing

  Acute odontogenic infection

  Non-responsive infection

  Prophylaxis

• If acute odontogenic infection, was definitive treatment provided first (e.g. open & drain, extraction etc.)

  Yes

  No

• Primary antibiotic prescribed

  Select Penicillin Clindamycin Metranidazole Amoxicillin Augmentin Not applicable

  • Penicillin
  • Clindamycin
  • Metranidazole
  • Amoxicillin
  • Augmentin
  • Not applicable

• Secondary antibiotic prescribed

  Select Penicillin Clindamycin Metranidazole Amoxicillin Augmentin Not applicable

  • Penicillin
  • Clindamycin
  • Metranidazole
  • Amoxicillin
  • Augmentin
  • Not applicable

• Follow the "antimicrobial creed"?

  Select Indication evidence based Narrowest spectrum Dosage appropriate Minimize duration Monotherapy wherever possible

  • Indication evidence based
  • Narrowest spectrum
  • Dosage appropriate
  • Minimize duration
  • Monotherapy wherever possible

• Appropriately prescribed in line with the Therapeutic Guidelines Oral & Dental (2012)

  Appropriate

  Inappropriate