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Magnitude and determinants of inappropriate prescribing of antibiotics in dentistry: a nation-wide study. | LitMetric

AI Article Synopsis

  • - Dentists in Spain are implicated in the misuse of antibiotics, with a study revealing that half of the participants prescribed antibiotics inappropriately over 28.6% of clinical situations evaluated.
  • - Factors influencing prescribing quality include the perception of antibiotic resistance as a public health issue, with quality improving when recognized, while fear and economic motivations tend to lead to poorer prescribing decisions.
  • - Experience level matters, as those with over 30 years in practice and those specializing in prosthodontics showed worse prescribing habits, suggesting the need for targeted education and training programs to improve antibiotic prescribing in dentistry.

Article Abstract

Background: Dentist play an important role in misuse of antibiotics. Identification of the dental activities linked to the misuse of antibiotics is important for improving dentists' prescribing quality. The aim of the study was to quantify the magnitude of inappropriate antibiotic prescribing by dentists in Spain and identify the characteristics, knowledge and attitudes that influence prescribing quality.

Material And Methods: We conducted a cross-sectional, questionnaire-based study on dentists in Spain, assessing prescribing quality (dependent variable) on the basis of their responses about the prescription of antibiotics in 14 clinical situations. As the independent variables, we assessed professional characteristics and attitudes (lack of knowledge, fear, complacency, scheduling problems, and economic benefit) measured on a Likert scale. Odds Ratios (OR) (95%CI) were calculated using logistic regression.

Results: A total of 878 participants were included in the analysis. Half of all dentists displayed inappropriate antibiotic prescribing habits in more than 28.6% (10/14) of the clinical situations posed (interquartile range 57-79%). Prescribing quality increased when resistance was perceived as a public health problem (OR 0.88, 95% CI: 0.79-0.97), and decreased in response to fear (OR 1.12, 95% CI:1.07-1.18) or the pursuit of economic benefit (OR 1.07, 95% CI 1.01-1.14). Having over 30 years' experience (OR 4.58, 95% CI:1.80-12.48) and/or practising in the field of prosthodontics as opposed to endodontics (OR 2.65, 95% CI:1.26-5.71) were associated with worse prescribing quality.

Conclusions: Antibiotics are the most commonly prescribed drugs in dentistry, and in many cases this prescription is inappropriate. Our findings shows that modifiable factors influence prescribing quality among dentists in Spain. These may be use for designing educational and training programmes for dentists.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10026418PMC
http://dx.doi.org/10.1186/s13756-023-01225-zDOI Listing

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