Antibiotics usage, how well we know it? KAP survey among the dentist population in Mumbai

Parekh, Amisha N.; Balasubramanian, Karthik; Bhate, Purvi; Kalra, Dheeraj

doi:10.18203/2319-2003.ijbcp20204500

Cited by 4 publications

(14 citation statements)

References 9 publications

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“…Studies conducted by Amisha et al 2020 and Singh et al found that <40% of dentists have advised antibiotic culture test, and in this study, only 15.3% of dentists have advised it [ 21 , 22 ]. Furthermore, about 61.4% of patients have self-prescribed antibiotics, and 50% of patients haven’t responded to the antibiotics which is almost similar to the results of the study done by Amisha et al This provides us the hint that we should focus on antibiotic culture tests.…”

Section: Discussionmentioning

confidence: 59%

Antibiotic Prescription Patterns for Endodontic Procedures in India: A KAP Survey

Vengidesh¹,

Kadandale²,

Ramachandran³

et al. 2023

Cureus

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The purpose of this study is to evaluate the antibiotic prescription patterns of endodontists, general dentists, and other dental specialists for endodontic procedures in India by using the knowledge, attitude, and practices (KAP) survey method. MethodsThis cross-sectional study was carried out from February 2022 to May 2022 and involved dentists across India. A self-made questionnaire survey was created to judge the knowledge of various dental practitioners, which includes general dentists, endodontists, other dental specialists, and post-graduates with regard to antibiotic usage guidelines for endodontic purposes. A total of about 310 dental practitioners were surveyed across India. The questionnaire was circulated via social platforms such as WhatsApp, Instagram, and Facebook Messenger. Statistical analysisData for KAP regarding antibiotic prescription patterns among general dentists, endodontists, other dental specialists, and postgraduates were entered into Microsoft Excel and analyzed using IBM SPSS Statistics for Windows, Version 20 (IBM Corp. Released 2011. IBM SPSS Statistics for Windows, Version 20.0. Armonk, NY: IBM Corp.). Descriptive statistics of the study population were examined. The level of statistical significance was determined at p<0.05. ResultsFor the percentage of patients who were prescribed systemic antibiotics every day for endodontic reasons, about 38.6% (119) responded 0-10% and 27.3% (84) responded 10-30%. For the order of antibiotics that they prefer from most to least, about 85.4% (263) responded amoxicillin > metronidazole > doxycycline > azithromycin > clindamycin > ciprofloxacin. For the question of whether they use local antibiotics, about 35% answered yes of which 25% were endodontists, 2% were general dentists, 5% were other dental specialists, and 3% were post-graduates. About 77.3% of the total participants were unaware of the antimicrobial stewardship concept and AwaRe classification from WHO. About 53.2% (164) attended CDE programs with regard to antibiotic usage. ConclusionIt is evident from the results of the present study that there is over-prescription of antibiotics by practitioners especially by general dentists without following proper guidelines for endodontic treatments. More emphasis should be made on the proper prescription pattern of antibiotics, proper understanding of endodontic diagnosis, and the need for antibiotics at the undergraduate level. In addition, proper awareness, as well as proper prescription of antibiotics, should be made for existing dental professionals.

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Section: Discussionmentioning

confidence: 59%

Antibiotic Prescription Patterns for Endodontic Procedures in India: A KAP Survey

Vengidesh¹,

Kadandale²,

Ramachandran³

et al. 2023

Cureus

View full text Add to dashboard Cite

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“…SRB/SDC/PhD/OPATH-2114/23/117). Following approval, a semi-structured questionnaire was prepared and shared via Google Forms (Alphabet Inc., Mountain View, CA, USA) following a review of existing literature on the topic [ 3 , 11 , 15 , 17 , 18 ]. The survey was conducted between January 2023 and July 2023, involving dental practitioners in Hyderabad (Telangana, India).…”

Section: Methodsmentioning

confidence: 99%

“…The questionnaire was designed to ensure that the questions were well-informed, comprehensive, and as per the purpose of this study. Some questions were designed after discussion among the authors, and some were referred to from the previous literature by Parekh et al [ 3 ] and Aragoneses et al [ 11 ].…”

Section: Methodsmentioning

confidence: 99%

“…However, dental practitioners still prescribe antibiotics for these conditions [ 3 , 11 ]. Further, knowledge, attitude, and practice (KAP) surveys conducted among dental practitioners from different places worldwide, such as India (Mumbai [ 3 ], West Bengal [ 12 ], Jharkhand [ 13 ], Davangre [ 14 ], and Uttar Pradesh [ 15 ]), Spain [ 16 ], and the Dominican Republic [ 11 ], indicate the lack of an established pattern for antibiotic prescription and misuse by both patients and dental practitioners. Surveys also indicated a lack of awareness among dental practitioners regarding WHO-established guidelines [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

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Antibiotics Knowledge, Usage, and Prescription Patterns Among Dental Practitioners in Hyderabad, South India

Ealla,

Kumari,

Sahu

et al. 2023

Cureus

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Background: Antimicrobial resistance is a pertinent issue in the healthcare sector, accounting for 1.27 million patient deaths worldwide. Dental practitioners account for 3% to 11% of total antibiotic prescriptions. Therefore, this study aimed to specifically assess their knowledge of antibiotic prescriptions, guidelines, and clinical practices. Method: Before conducting this knowledge, attitude, and practice (KAP) survey, study approval was obtained from the Scientific Review Board of Saveetha Dental College and Hospitals, Chennai, India. A total of 200 participants were randomly selected from the list of Indian Dental Association (Hyderabad chapter), and dental colleges, dental conferences, and peer suggestions. We received a total of 130 responses by the end of the survey. Results: The survey revealed gaps in practitioners’ KAP. Of those surveyed, 83 (63.85%) of the practitioners kept themselves updated about antibiotic guidelines and news, but many (94, 72.31%) were unaware of the WHO’s access, watch, reserve (AWaRe) and antimicrobial stewardship concepts (103, 79.23%). A total of 111 (85.38%) practitioners considered cross-reactions with other medications, yet only 28 (21.5%) practitioners tested patients for antibiotic sensitivity. While 64 (49.23%) practitioners encountered patients who did not respond to antibiotics, 84 (64.62%) practitioners encountered patients who demanded antibiotics. Conclusion: This study highlights the lack of awareness about the WHO's AWaRe classification and antimicrobial stewardship among the majority of dental practitioners across Hyderabad. Misuse or overuse of antibiotics was indicated in this survey by both patients and dental practitioners. Prioritizing updates on antibiotic knowledge and guidelines and awareness of their use is important. It is essential to educate patients about the ill effects of self-prescribing antibiotics. Dental practitioners need to consider cross-reactions and antibiotic-sensitivity testing before prescribing antibiotics. Labeling the sensitivity of a particular antibiotic for specific microbes on packaging can help reduce misuse and the use of antibiotics for the wrong indications.

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“…Studies have highlighted concerns regarding the prescription of antibiotics by dentists, particularly in relation to the growing problem of antibiotic resistance (1). Health organizations globally have intensified their focus on the judicious use of antibiotics (2)(3)(4). In the realm of dental practice, antibiotics are essential for treating various infections.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of Antibiotic Prescription by Dentists for Oral Diseases

Kandhro,

Unar,

Memon

et al. 2024

JHRR

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Background: The use of antibiotics in dentistry is a crucial aspect of managing oro-facial infections, often originating from odontogenic sources. However, the increasing prevalence of antibiotic resistance highlights the need for a careful examination of prescription practices among dental professionals. Objective: This study aims to analyze the patterns of antibiotic prescriptions among dental practitioners, with a focus on adherence to current guidelines and awareness of antibiotic resistance. Methods: A cross-sectional study was conducted at the Institute of Dentistry, Liaquat University of Medical & Health Sciences, and Dental Out Patient Department in Hyderabad. The study employed a non-probability convenience sampling method, encompassing consultants, postgraduates, and general dental practitioners, while excluding undergraduate dentists and those involved in malpractice. A preformed and validated questionnaire was used to collect data. The sample size was calculated based on the prevalence of antibiotic prescription among dentists, leading to a required sample size of 379. Data analysis was conducted using SPSS version 25, focusing on frequencies for categorical variables and employing the Chi-square test for associations, with a p-value of ≤ 0.05 deemed significant. Results: The majority of dentists (60.42%) reported always obtaining a patient's medicinal history before prescribing antibiotics, with 62% adhering to the 2-3 day prescription guideline. However, 17% prescribed antibiotics for more than three days. Approximately 70.44% of dentists were aware of antibiotic resistance. In terms of antibiotic choice, Amoxicillin was most frequently prescribed (26.91%), followed by Penicillin (21.62%) and Amoxicillin with Clavulanic Acid (21.37%). Conclusion: The study reveals a significant adherence to recommended antibiotic prescription practices among dental practitioners, with a notable level of awareness regarding antibiotic resistance. However, the persistence of overprescription and extended courses by some practitioners underscores the need for enhanced education and stricter adherence to guidelines. The findings emphasize the importance of balanced antibiotic use in dentistry to combat antimicrobial resistance.

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Antibiotics usage, how well we know it? KAP survey among the dentist population in Mumbai

Cited by 4 publications

References 9 publications

Antibiotic Prescription Patterns for Endodontic Procedures in India: A KAP Survey

Antibiotic Prescription Patterns for Endodontic Procedures in India: A KAP Survey

Antibiotics Knowledge, Usage, and Prescription Patterns Among Dental Practitioners in Hyderabad, South India

Evaluation of Antibiotic Prescription by Dentists for Oral Diseases

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