[Mouth diseases and antibiotic therapy practices in Yaounde]

Based on 309 patients (171 women and 138 men), consulted by 15 dental surgeons of Yaounde during one year, the aim of this study was the evaluation of bringing into use an antibiotherapy in daily practice. A questionnaire on the subject was distributed to practitioners. We registered 10 most frequent mouth dental diseases that needed curative antibiotherapy, being 87% of prescriptions. A prophylactic antibiotherapy has been prescripted in three per cent of cases to patients carriers of general pathologies (cardiopathies, diabete...) or mandibular fractures. In 10% of cases, a covering antibiotherapy has been established during simple extractions of teeth without infections, from healthy patients. In 48% of cases the duration of antibiotherapy was short (less than eight days) and in 32% of cases, the quantities were infratherapeutic. There were three per cent of prescriptions concerning antibiotics (sulfonamides, phenicoles...) unsuited to usual germs of mouth cavity. Generics drugs have been prescribed in 12% of cases. The more prescribed antibiotics were amoxicillins, macrolides and cephalosporines. Only a best knowledge of antibiotics' families and their indications are able to avoid clumsiness. At last generic drugs prescription in our difficult economical environment should be common.