Magnitude and determinants of inappropriate prescribing of antibiotics in dentistry: a nation-wide study
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 prescribin...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-03-01
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| Series: | Antimicrobial Resistance and Infection Control |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13756-023-01225-z |
| _version_ | 1797863550428905472 |
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| author | Almudena Rodríguez-Fernández Olalla Vázquez-Cancela María Piñeiro-Lamas María Teresa Herdeiro Adolfo Figueiras Maruxa Zapata-Cachafeiro |
| author_facet | Almudena Rodríguez-Fernández Olalla Vázquez-Cancela María Piñeiro-Lamas María Teresa Herdeiro Adolfo Figueiras Maruxa Zapata-Cachafeiro |
| author_sort | Almudena Rodríguez-Fernández |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-04-09T22:37:19Z |
| format | Article |
| id | doaj.art-973a34b762f44897ba950f33041ccea0 |
| institution | Directory Open Access Journal |
| issn | 2047-2994 |
| language | English |
| last_indexed | 2024-04-09T22:37:19Z |
| publishDate | 2023-03-01 |
| publisher | BMC |
| record_format | Article |
| series | Antimicrobial Resistance and Infection Control |
| spelling | doaj.art-973a34b762f44897ba950f33041ccea02023-03-22T12:25:08ZengBMCAntimicrobial Resistance and Infection Control2047-29942023-03-0112111010.1186/s13756-023-01225-zMagnitude and determinants of inappropriate prescribing of antibiotics in dentistry: a nation-wide studyAlmudena Rodríguez-Fernández0Olalla Vázquez-Cancela1María Piñeiro-Lamas2María Teresa Herdeiro3Adolfo Figueiras4Maruxa Zapata-Cachafeiro5Department of Preventive Medicine and Public Health, University of Santiago de CompostelaDepartment of Preventive Medicine and Public Health, University of Santiago de CompostelaConsortium for Biomedical Research in Epidemiology and Public Health (CIBER en Epidemiología y Salud Pública-CIBERESP)Department of Medical Sciences, Institute of Biomedicine - iBiMED, University of AveiroDepartment of Preventive Medicine and Public Health, University of Santiago de CompostelaDepartment of Preventive Medicine and Public Health, University of Santiago de CompostelaAbstract 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.https://doi.org/10.1186/s13756-023-01225-zAntibioticDentistPrescribingKnowledgeAttitudes |
| spellingShingle | Almudena Rodríguez-Fernández Olalla Vázquez-Cancela María Piñeiro-Lamas María Teresa Herdeiro Adolfo Figueiras Maruxa Zapata-Cachafeiro Magnitude and determinants of inappropriate prescribing of antibiotics in dentistry: a nation-wide study Antimicrobial Resistance and Infection Control Antibiotic Dentist Prescribing Knowledge Attitudes |
| title | Magnitude and determinants of inappropriate prescribing of antibiotics in dentistry: a nation-wide study |
| title_full | Magnitude and determinants of inappropriate prescribing of antibiotics in dentistry: a nation-wide study |
| title_fullStr | Magnitude and determinants of inappropriate prescribing of antibiotics in dentistry: a nation-wide study |
| title_full_unstemmed | Magnitude and determinants of inappropriate prescribing of antibiotics in dentistry: a nation-wide study |
| title_short | Magnitude and determinants of inappropriate prescribing of antibiotics in dentistry: a nation-wide study |
| title_sort | magnitude and determinants of inappropriate prescribing of antibiotics in dentistry a nation wide study |
| topic | Antibiotic Dentist Prescribing Knowledge Attitudes |
| url | https://doi.org/10.1186/s13756-023-01225-z |
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