Canada’s oral health professionals and antimicrobial stewardship

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doi:10.14745/ccdr.v46i1112a02

Cited by 5 publications

(2 citation statements)

References 7 publications

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“…Canadian efforts in dental AMS are nascent, but there is strong interest and support for moving forward ( 28 ). The Canadian dental profession is well positioned to evaluate international dental AMS programs, as well as programs developed in medicine such as Choosing Wisely campaigns, to develop a strategy for a Canadian dental AMS program.…”

Section: How Can We Move the Needle Forward In Canadian Dentistry?mentioning

confidence: 99%

Moving the needle on dental antibiotic overuse in Canada post COVID-19

Sutherland¹,

Born²,

Singhal³

2022

CCDR

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Antimicrobial resistance due to over-prescribing in health care, including in dentistry, has been acknowledged as one of the top ten threats to global health by the World Health Organization. Dentistry is responsible for approximately 10% of antibiotics prescribed worldwide and research has shown up to 80% of antibiotics prescribed by dentists may be unnecessary. During the early months of the coronavirus disease 2019 pandemic, when dental offices handled only dental emergencies, it is probable that antibiotics were prescribed more readily and for longer duration to defer treatment for non-urgent cases. These unprecedented times strengthened the realization that strong dental antimicrobial stewardship practises are required in Canada to keep antimicrobial overuse under control. In countries, such as the United Kingdom and Australia, significant work is ongoing in this regard. Canada has made progress in developing tools for antimicrobial stewardship specifically for physicians in community settings, where the vast majority of antibiotics are prescribed, and it is now time to pay attention to antimicrobial stewardship in the field of dental care. Investments in developing a national level dental prescription database, along with monitoring, education and feedback mechanisms, can strongly support moving the needle on dentist-driven antibiotic overuse in Canada.

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Section: How Can We Move the Needle Forward In Canadian Dentistry?mentioning

confidence: 99%

Moving the needle on dental antibiotic overuse in Canada post COVID-19

Sutherland¹,

Born²,

Singhal³

2022

CCDR

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“…Additionally, there is an acknowledged need for research in this domain. 5 Given the significance of AMR, it is crucial to improve its management and strategize its use in dentistry.…”

Section: Introductionmentioning

confidence: 99%

Dental antimicrobial stewardship: a qualitative study of perspectives among Canadian dentistry sector leaders and experts in antimicrobial stewardship

Martine,

Sutherland,

Born

et al. 2024

JAC-Antimicrobial Resistance

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Objectives Dentistry is a significant contributor to the burden of antimicrobial overprescribing and hence to the global problem of antimicrobial resistance. However, antimicrobial stewardship in Canadian dentistry is nascent, with an acknowledged need for research and coordinated stewardship efforts. This study aimed to gain insights into the perspectives of Canadian dentistry sector leaders and experts on the main drivers of dental antibiotic overprescribing and potential stewardship strategies. Methods Exploratory qualitative design. Data collection: four one-time, 1 h focus group discussions with 22 experts and stakeholders in antimicrobial stewardship in Canada, recruited through a mix of purposive and snowball sampling. Data analysis: inductive thematic analysis. Results The analysis yielded five themes: outdated patterns; antimicrobials as a Band-Aid; fear and risk aversion; behavioural change; and why reinvent the wheel? Overprescription in dentistry stems primarily from a perpetuation of outdated prescribing patterns, ubiquitous use of antibiotics as a temporary solution, and an overly cautious antibiotic use by risk-averse providers. Stewardship strategies should be grounded on behavioural change (motivation, robust data and enactment of new behaviours) and may be modelled after tested medical interventions. Conclusions This study presents a roadmap for behavioural change in dental antibiotic prescribing, and points to the fact that the success of a stewardship actionable plan for Canadian dentistry may depend more on concerted efforts for change than on the creation of novel strategies. Hence, contextualizing and testing medical stewardship programmes in Canadian dentistry may be effective in combatting antibiotic overprescription, thereby contributing to global efforts to reduce antimicrobial resistance.

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Understanding the Technology Acceptance and Usability of a New Device for Hand Therapy: Qualitative Descriptive Study

Rincón¹,

Guptill²,

Salamanca³

et al. 2022

JMIR Rehabil Assist Technol

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Background Upper extremity function plays a critical role in completing activities of daily living, employment, and participating in recreational activities. The FEPSim device is a medical device for hand and wrist rehabilitation that can be adjusted according to the patient’s requirements in rehabilitation. Furthermore, the FEPSim can be used to assess the patient’s strength and range of motion of the forearm, wrist, and hand. At present, the acceptance and usability of the FEPSim have not been tested in a clinical setting, with limited perspectives from rehabilitation-providing clinicians. Objective This study aims to understand the factors related to the acceptance and usability of the FEPSim device. Upper limb disorders are prevalent across populations. The impact of upper limb disorders, both acute and chronic, puts a significant burden on the Canadian health care system. Methods A qualitative descriptive study was conducted that involved face-to-face semistructured interviews with hand therapists from hand therapy services who used the FEPSim device. We used purposive sampling to recruit 10 participants over a period of 14 months. Semistructured interview questions (topic-guided) examined the technology acceptance and usability of the FEPSim device. Results We found 6 factors to be critical aspects of the acceptance and usability of the FEPSim device. These factors were (1) useful for therapy, (2) effortlessness, (3) environmental conditions, (4) internal encouragement, (5) technological aesthetics, and (6) use. Conclusions The FEPSim device was widely accepted by the therapists. The use of the FEPSim device is a feasible alternative for supporting hand therapy. Trial Registration ISRCTN Registry ISRCTN13656014; https://www.isrctn.com/ISRCTN13656014

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Canada’s oral health professionals and antimicrobial stewardship

Cited by 5 publications

References 7 publications

Moving the needle on dental antibiotic overuse in Canada post COVID-19

Moving the needle on dental antibiotic overuse in Canada post COVID-19

Dental antimicrobial stewardship: a qualitative study of perspectives among Canadian dentistry sector leaders and experts in antimicrobial stewardship

Understanding the Technology Acceptance and Usability of a New Device for Hand Therapy: Qualitative Descriptive Study

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