Adherence to Antibiotic Prescription of Dental Patients: The Other Side of the Antimicrobial Resistance
Since non-adherence to antibiotic therapy can cause several problems, including antimicrobial resistance (AMR) and treatment failures, the present study evaluated adherence to oral antibiotic therapy and AMR awareness among consecutively enrolled dental patients. Data concerning age, gender, socioec...
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-08-01
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| Series: | Healthcare |
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| Online Access: | https://www.mdpi.com/2227-9032/10/9/1636 |
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| author | Francesco D’Ambrosio Federica Di Spirito Francesco De Caro Antonio Lanza Daniela Passarella Ludovico Sbordone |
| author_facet | Francesco D’Ambrosio Federica Di Spirito Francesco De Caro Antonio Lanza Daniela Passarella Ludovico Sbordone |
| author_sort | Francesco D’Ambrosio |
| collection | DOAJ |
| description | Since non-adherence to antibiotic therapy can cause several problems, including antimicrobial resistance (AMR) and treatment failures, the present study evaluated adherence to oral antibiotic therapy and AMR awareness among consecutively enrolled dental patients. Data concerning age, gender, socioeconomic status, education level, cohabitation, and general health were retrieved from medical records. AMR awareness was investigated through direct questions and adherence to antibiotic treatment was assessed through a modified Italian version of the Morisky medical scale-8 items. Participants’ characteristics were analyzed in relation to treatment adherence and AMR, using a Χ<sup>2</sup> independence test (significance level of α <0.1). Dental patients generally showed a low (51.82%) adherence to oral antibiotic therapy, and medium and high adherence was reported only by 29.37% and 18.81% of participants. Treatment adherence was similar in relation to participants’ gender and age but significantly lower in subjects with only secondary school graduation and higher in participants with higher education levels. Non-cohabitants were significantly more adherent than cohabitants. AMR awareness was declared by 42.15% of males and 38.70% of females: 56.52% of dental patients aware of AMR were 18–38 years old, 35.20% were 39–59 years old, and 26.95% were aged between 60 and 80. Further studies are needed to develop adequate strategies, expanding dental patients’ knowledge of AMR, thus optimizing the benefits and reducing the risks of antibiotic administration in dental patients. |
| first_indexed | 2024-03-09T23:54:12Z |
| format | Article |
| id | doaj.art-0e7642d8fa6d49138e4bcd4fa83a2f5d |
| institution | Directory Open Access Journal |
| issn | 2227-9032 |
| language | English |
| last_indexed | 2024-03-09T23:54:12Z |
| publishDate | 2022-08-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Healthcare |
| spelling | doaj.art-0e7642d8fa6d49138e4bcd4fa83a2f5d2023-11-23T16:28:13ZengMDPI AGHealthcare2227-90322022-08-01109163610.3390/healthcare10091636Adherence to Antibiotic Prescription of Dental Patients: The Other Side of the Antimicrobial ResistanceFrancesco D’Ambrosio0Federica Di Spirito1Francesco De Caro2Antonio Lanza3Daniela Passarella4Ludovico Sbordone5Department of Medicine, Surgery and Dentistry “Schola Medica Salernitana”, University of Salerno, 84081 Salerno, ItalyDepartment of Medicine, Surgery and Dentistry “Schola Medica Salernitana”, University of Salerno, 84081 Salerno, ItalyDepartment of Medicine, Surgery and Dentistry “Schola Medica Salernitana”, University of Salerno, 84081 Salerno, ItalyDepartment of Medicine, Surgery and Dentistry “Schola Medica Salernitana”, University of Salerno, 84081 Salerno, ItalyDepartment of Medicine and Health Sciences “V. Tiberio”, University of Molise, 86100 Campobasso, ItalyDepartment of Medicine and Health Sciences “V. Tiberio”, University of Molise, 86100 Campobasso, ItalySince non-adherence to antibiotic therapy can cause several problems, including antimicrobial resistance (AMR) and treatment failures, the present study evaluated adherence to oral antibiotic therapy and AMR awareness among consecutively enrolled dental patients. Data concerning age, gender, socioeconomic status, education level, cohabitation, and general health were retrieved from medical records. AMR awareness was investigated through direct questions and adherence to antibiotic treatment was assessed through a modified Italian version of the Morisky medical scale-8 items. Participants’ characteristics were analyzed in relation to treatment adherence and AMR, using a Χ<sup>2</sup> independence test (significance level of α <0.1). Dental patients generally showed a low (51.82%) adherence to oral antibiotic therapy, and medium and high adherence was reported only by 29.37% and 18.81% of participants. Treatment adherence was similar in relation to participants’ gender and age but significantly lower in subjects with only secondary school graduation and higher in participants with higher education levels. Non-cohabitants were significantly more adherent than cohabitants. AMR awareness was declared by 42.15% of males and 38.70% of females: 56.52% of dental patients aware of AMR were 18–38 years old, 35.20% were 39–59 years old, and 26.95% were aged between 60 and 80. Further studies are needed to develop adequate strategies, expanding dental patients’ knowledge of AMR, thus optimizing the benefits and reducing the risks of antibiotic administration in dental patients.https://www.mdpi.com/2227-9032/10/9/1636antibioticsantibiotic stewardshipbacterial resistanceMorisky scalepatient adherence |
| spellingShingle | Francesco D’Ambrosio Federica Di Spirito Francesco De Caro Antonio Lanza Daniela Passarella Ludovico Sbordone Adherence to Antibiotic Prescription of Dental Patients: The Other Side of the Antimicrobial Resistance Healthcare antibiotics antibiotic stewardship bacterial resistance Morisky scale patient adherence |
| title | Adherence to Antibiotic Prescription of Dental Patients: The Other Side of the Antimicrobial Resistance |
| title_full | Adherence to Antibiotic Prescription of Dental Patients: The Other Side of the Antimicrobial Resistance |
| title_fullStr | Adherence to Antibiotic Prescription of Dental Patients: The Other Side of the Antimicrobial Resistance |
| title_full_unstemmed | Adherence to Antibiotic Prescription of Dental Patients: The Other Side of the Antimicrobial Resistance |
| title_short | Adherence to Antibiotic Prescription of Dental Patients: The Other Side of the Antimicrobial Resistance |
| title_sort | adherence to antibiotic prescription of dental patients the other side of the antimicrobial resistance |
| topic | antibiotics antibiotic stewardship bacterial resistance Morisky scale patient adherence |
| url | https://www.mdpi.com/2227-9032/10/9/1636 |
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