Antibiotics Prescription by Spanish General Practitioners in Primary Dental Care

Domínguez-Domínguez, Laura; López-Marrufo-Medina, Alfonso; Cabanillas-Balsera, Daniel; Jiménez-Sánchez, María C; Areal-Quecuty, Victoria; López‐López, José; Segura-Egea, Juan José; Martín-González, Jénifer

doi:10.3390/antibiotics10060703

Cited by 9 publications

(14 citation statements)

References 15 publications

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“…This study reflects the current state of knowledge and patient perception of antibiotic resistance and the use and need for systemic antibiotics in the treatment of pulpo-periapical infections. Previous studies [2,10,[14][15][16][17] have evaluated dentists' knowledge of antibioticprescribing habits. However, although it is known that dentists' prescribing habits are sometimes influenced by patient pressure, until now, no study had analyzed patients' knowledge and beliefs about antibiotic treatment in endodontics.…”

Section: Discussionmentioning

confidence: 99%

Patients’ Opinions on Antibiotics in the Treatment of Dental Infections: A Cross-Sectional Survey

Domínguez-Domínguez,

Castelo Baz,

Cabrera-Fernandez

et al. 2024

JCM

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Background: The aim of this study was to evaluate patients’ knowledge and perceptions of the use of systemic antibiotics in the treatment of endodontic infections and to determine the possible contribution of patients to the development of bacterial resistance. Methods: A total of 550 patients were asked to respond to a survey on the perception of systemic antibiotic use in the treatment of endodontic infections and antibiotic resistance during January 2022 and March 2023. A bivariate and multivariate analysis was performed to determine possible correlates in the population regarding antibiotic use in the endodontic world. Results: A total of 514 patients were included in the study, 65.9% of whom were women. While 34.6% of the population studied thought that it was always necessary to take antibiotics prior to endodontics, 49.4% considered that they were necessary after endodontics, regardless of the clinical symptoms. The prevalence of self-medication was 17.3%, and women self-medicate more than men, with significant differences (p < 0.05), although they have a greater knowledge of antibiotic resistance than men (p < 0.05). Forty-four percent of the population expected to take antibiotics when faced with dental pain, mainly women (p < 0.05). Conclusion: The general population is contributing to the serious problem of bacterial resistance. It is necessary to promote educational strategies focused on the correct use of antibiotics in the community. The worst results were found mainly in the population with a low level of education. The level of education was the variable that most influenced the knowledge and attitudes of the population, followed by the sex of the participants.

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Section: Discussionmentioning

confidence: 99%

Patients’ Opinions on Antibiotics in the Treatment of Dental Infections: A Cross-Sectional Survey

Domínguez-Domínguez,

Castelo Baz,

Cabrera-Fernandez

et al. 2024

JCM

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“…The author also highlighted the overprescription of antibiotics in endodontic infections and the need for improved prescription habits and education. Domínguez-Domínguez, L. (2021) [17] revealed that 44% of dentists prescribed antibiotics for symptomatic irreversible pulpitis, with up to 27% not following current guidelines, indicating a need for improved antibiotic prescription habits among Spanish general dentists. Alonso-Ezpeleta, O.…”

Section: Spainmentioning

confidence: 99%

Systemic Antibiotic Use in Acute Irreversible Pulpitis: Evaluating Clinical Practices and Molecular Insights

Khijmatgar,

Bellucci,

Creminelli

et al. 2024

IJMS

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This scoping review systematically evaluates the use of systemic antibiotics in treating acute irreversible pulpitis, integrating clinical practice patterns with recent molecular insights. We analyzed clinical evidence on antibiotic prescription trends among dental professionals and examined molecular research advancements in relation to pulpitis. This review is intended to bridge the gap between clinical practice and molecular research, guiding more evidence-based approaches to treating acute irreversible pulpitis. Electronic databases were searched for relevant articles published in English based on the objective of the review. A second search using all identified keywords and index terms was undertaken across all the included databases. In addition, a reference list of identified articles was searched. Studies including original research, systematic reviews, meta-analyses, clinical trials, and observational and retrospective studies, all written in English and published from 2010 onwards, were included, and an analysis of the text words contained in the titles and abstracts of the retrieved papers and of the index terms used to describe the articles was performed. A total of N = 53 articles were selected. Altogether, N = 43 (76.79%) articles were cross-sectional studies, N = 4 (11.11%) were systematic reviews, and N = 3 (5.36%) were guidelines. The most frequent level of evidence was level VI (N = 43 (76.79%). The mean percentage of dentists who prescribed antibiotics to treat acute irreversible pulpitis was 23.89 ± 23.74% (range: 0.05–75.7). Similarly, for specialists, it was 22.41 ± 15.64 (range 2.2–50.4), and the percentage for undergraduates was 17.52 ± 20.59 (range 0–62.6). The significant developments in research models for pulpitis research and the characterisation of biomarkers have led to better management strategies. Concurrently, significant advancements in molecular research provide new understandings of pulpitis, suggesting alternative therapeutic approaches. Although there are guidelines available, increased rates of antibiotic prescription are still prevalent around the globe.

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“…Other surveys have demonstrated opportunities for improvement in antibiotic prescribing decisions for endodontic patients, [11][12][13][14][15][16] patients undergoing dental implant placement, 17,18 emergency dental care, [19][20][21] and general dentistry. [22][23][24][25][26] Other conditions, such as use of systemic antibiotics prior to periodontic treatments, have shown considerable variability. Work is underway to standardize candidate outcome sets for dental antibiotic stewardship.…”

Section: <001mentioning

confidence: 99%

How decisions are made: Antibiotic stewardship in dentistry

Schneider-Smith

Suda

Lew

et al. 2023

Infect. Control Hosp. Epidemiol.

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Background: We performed a preimplementation assessment of workflows, resources, needs, and antibiotic prescribing practices of trainees and practicing dentists to inform the development of an antibiotic-stewardship clinical decision-support tool (CDST) for dentists. Methods: We used a technology implementation framework to conduct the preimplementation assessment via surveys and focus groups of students, residents, and faculty members. Using Likert scales, the survey assessed baseline knowledge and confidence in dental providers’ antibiotic prescribing. The focus groups gathered information on existing workflows, resources, and needs for end users for our CDST. Results: Of 355 dental providers recruited to take the survey, 213 (60%) responded: 151 students, 27 residents, and 35 faculty. The average confidence in antibiotic prescribing decisions was 3.2 ± 1.0 on a scale of 1 to 5 (ie, moderate). Dental students were less confident about prescribing antibiotics than residents and faculty (P < .01). However, antibiotic prescribing knowledge was no different between dental students, residents, and faculty. The mean likelihood of prescribing an antibiotic when it was not needed was 2.7 ± 0.6 on a scale of 1 to 5 (unlikely to maybe) and was not meaningfully different across subgroups (P = .10). We had 10 participants across 3 focus groups: 7 students, 2 residents, and 1 faculty member. Four major themes emerged, which indicated that dentists: (1) make antibiotic prescribing decisions based on anecdotal experiences; (2) defer to physicians’ recommendations; (3) have limited access to evidence-based resources; and (4) want CDST for antibiotic prescribing. Conclusions: Dentists’ confidence in antibiotic prescribing increased by training level, but knowledge did not. Trainees and practicing dentists would benefit from a CDST to improve appropriateness of antibiotic prescribing.

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Antibiotics Prescription by Spanish General Practitioners in Primary Dental Care

Cited by 9 publications

References 15 publications

Patients’ Opinions on Antibiotics in the Treatment of Dental Infections: A Cross-Sectional Survey

Patients’ Opinions on Antibiotics in the Treatment of Dental Infections: A Cross-Sectional Survey

Systemic Antibiotic Use in Acute Irreversible Pulpitis: Evaluating Clinical Practices and Molecular Insights

How decisions are made: Antibiotic stewardship in dentistry

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