Data from the same 3 Randomized Control Trials (RCTs) and the 8 observational studies was used to determine the harms associated with antibiotic use.
Data from the 8 observational studies suggested that the use of antibiotics may cause harm, like Clostridioides difficile infections (overgrowth of a life-threatening bacteria after antibiotic use) and antibiotic-resistant infections (in which antibiotics become less
effective at killing bacteria), while data from the RCTs suggested that the use of antibiotics may cause side effects like diarrhea and malaise.
The available evidence suggests that antibiotic use probably contributes to both small to moderate individual-level harms (very low to low certainty) and potentially large population-level harms (very low to moderate certainty).
Who writes this type of advice? Are we lawyers or dentists? I have been practicing dentistry for over 43 years and I can state without equivocation that I have prescribed antibiotics thousands of times for the condition described without fear of death to the patient and indeed no patients have died or been hospitalized as a result. This pendulum (like the sterilization one) has swung way past the point of reason.
With all due respect to Dr. Jim Roxborough, I have been practicing dentistry for 37 years–so I would say that we are the same vintage. However, I have written very few prescriptions in my career. The pendulum has swung–and research has unequivocally shown that antibiotic use is creating superbugs which cannot be treated with our traditional antibiotics. Hence antibiotics must be used judiciously. Without fever, trismus, lymphadenopathy, or swelling, I do not prescribe antibiotics and try to treat the problem locally. We are not trying to be lawyers. He are trying to do no harm.
Dr. Jim just because you did something for 43 years doesn’t mean it is correct. In fact likely if you are doing the same thing for 43 years it would suggest One of two things. 1) it is correct 2) you have never taken any continuing education or have been keeping up with the times.
Dr. Sheryl is right evidence clearly shows prescribing antibiotics is warranted in a few cases but most certainly not all.
I suggest you educate yourself prior to writing comments.