Characteristics of dentists and patients associated with appropriate antibiotic prescriptions by French dentists: a cross-sectional study using Health Insurance databases
Abstract Background The use of antibiotics in dental care is often unnecessary or inappropriate. Our objectives were to identify (i) Clusters of dentists grouped according to their appropriateness score based on proxy indicators’ results; and (ii) Dentists’ and patients’ characteristics associated w...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-01-01
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| Series: | BMC Oral Health |
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| Online Access: | https://doi.org/10.1186/s12903-023-02727-3 |
| _version_ | 1797945689206947840 |
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| author | Maïa Simon Ouarda Pereira Marie-Louise Constant Julie Guillet-Thibault Céline Pulcini Nathalie Thilly |
| author_facet | Maïa Simon Ouarda Pereira Marie-Louise Constant Julie Guillet-Thibault Céline Pulcini Nathalie Thilly |
| author_sort | Maïa Simon |
| collection | DOAJ |
| description | Abstract Background The use of antibiotics in dental care is often unnecessary or inappropriate. Our objectives were to identify (i) Clusters of dentists grouped according to their appropriateness score based on proxy indicators’ results; and (ii) Dentists’ and patients’ characteristics associated with the appropriateness of antibiotic prescriptions. Methods We used data of the Health Insurance reimbursement databases on antibiotics prescribed in 2019 by general dental practitioners of the Grand Est region in France. The appropriateness of antibiotic prescriptions was estimated by the results of recently published proxy indicators. We conducted a cluster analysis according to an appropriateness score calculated for each dentist, using the Ward method. We then conducted bivariate and multivariable analyses to identify characteristics associated with these clusters. Results We included 3,014 dentists, who prescribed 373,975 antibiotics in 2019, and which were grouped into three clusters: average practices (n = 1,241), better (n = 686), and worse (n = 1,087) than average practices. Overall, dentists had more appropriate prescription practices when they were male (OR for belonging to cluster with “worse than average practices” = 1.37 (p = 0.003) for female), having a predominant surgery practice (p = 0.028) in the Lorraine area (p < 0.0001) for less years (p = 0.0002), when they had healthier patients (i.e., younger, with no chronic diseases, and who received less procedures), and when they had a more prudent use of drugs in general (i.e., less prescriptions of drugs, antibiotics, and non-steroidal anti-inflammatory). Conclusions We identified clusters and characteristics associated with the appropriateness of antibiotic prescriptions made by dentists, which might help guiding antimicrobial stewardship interventions. |
| first_indexed | 2024-04-10T20:59:04Z |
| format | Article |
| id | doaj.art-a2a00cf8ee3a4d618eca8322c5e81679 |
| institution | Directory Open Access Journal |
| issn | 1472-6831 |
| language | English |
| last_indexed | 2024-04-10T20:59:04Z |
| publishDate | 2023-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Oral Health |
| spelling | doaj.art-a2a00cf8ee3a4d618eca8322c5e816792023-01-22T12:27:03ZengBMCBMC Oral Health1472-68312023-01-012311910.1186/s12903-023-02727-3Characteristics of dentists and patients associated with appropriate antibiotic prescriptions by French dentists: a cross-sectional study using Health Insurance databasesMaïa Simon0Ouarda Pereira1Marie-Louise Constant2Julie Guillet-Thibault3Céline Pulcini4Nathalie Thilly5Université de Lorraine, APEMACDirection Régionale du Service Médical (DRSM) Grand EstUniversité de Lorraine, CHRU de Nancy, Service d’OdontologieUniversité de Lorraine, CHRU de Nancy, Service d’OdontologieUniversité de Lorraine, APEMACUniversité de Lorraine, APEMACAbstract Background The use of antibiotics in dental care is often unnecessary or inappropriate. Our objectives were to identify (i) Clusters of dentists grouped according to their appropriateness score based on proxy indicators’ results; and (ii) Dentists’ and patients’ characteristics associated with the appropriateness of antibiotic prescriptions. Methods We used data of the Health Insurance reimbursement databases on antibiotics prescribed in 2019 by general dental practitioners of the Grand Est region in France. The appropriateness of antibiotic prescriptions was estimated by the results of recently published proxy indicators. We conducted a cluster analysis according to an appropriateness score calculated for each dentist, using the Ward method. We then conducted bivariate and multivariable analyses to identify characteristics associated with these clusters. Results We included 3,014 dentists, who prescribed 373,975 antibiotics in 2019, and which were grouped into three clusters: average practices (n = 1,241), better (n = 686), and worse (n = 1,087) than average practices. Overall, dentists had more appropriate prescription practices when they were male (OR for belonging to cluster with “worse than average practices” = 1.37 (p = 0.003) for female), having a predominant surgery practice (p = 0.028) in the Lorraine area (p < 0.0001) for less years (p = 0.0002), when they had healthier patients (i.e., younger, with no chronic diseases, and who received less procedures), and when they had a more prudent use of drugs in general (i.e., less prescriptions of drugs, antibiotics, and non-steroidal anti-inflammatory). Conclusions We identified clusters and characteristics associated with the appropriateness of antibiotic prescriptions made by dentists, which might help guiding antimicrobial stewardship interventions.https://doi.org/10.1186/s12903-023-02727-3Associated factorsDentistsPrescriptionsAntibioticsAppropriateness |
| spellingShingle | Maïa Simon Ouarda Pereira Marie-Louise Constant Julie Guillet-Thibault Céline Pulcini Nathalie Thilly Characteristics of dentists and patients associated with appropriate antibiotic prescriptions by French dentists: a cross-sectional study using Health Insurance databases BMC Oral Health Associated factors Dentists Prescriptions Antibiotics Appropriateness |
| title | Characteristics of dentists and patients associated with appropriate antibiotic prescriptions by French dentists: a cross-sectional study using Health Insurance databases |
| title_full | Characteristics of dentists and patients associated with appropriate antibiotic prescriptions by French dentists: a cross-sectional study using Health Insurance databases |
| title_fullStr | Characteristics of dentists and patients associated with appropriate antibiotic prescriptions by French dentists: a cross-sectional study using Health Insurance databases |
| title_full_unstemmed | Characteristics of dentists and patients associated with appropriate antibiotic prescriptions by French dentists: a cross-sectional study using Health Insurance databases |
| title_short | Characteristics of dentists and patients associated with appropriate antibiotic prescriptions by French dentists: a cross-sectional study using Health Insurance databases |
| title_sort | characteristics of dentists and patients associated with appropriate antibiotic prescriptions by french dentists a cross sectional study using health insurance databases |
| topic | Associated factors Dentists Prescriptions Antibiotics Appropriateness |
| url | https://doi.org/10.1186/s12903-023-02727-3 |
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