Prescribing antibiotics by dentists in Colombia: Toward a conscientious prescription

Angarita-Díaz, María Del Pilar; Cepeda, Lilia Jadith Bernal; Rodriguez‐Paz, Martha; Vergara-Mercado, Martha Ligia; Herrera-Herrera, Alejandra; Escobar, Diana Forero; Mora‐Reina, Julián; Ochoa-Acosta, Emilia María; Maya‐Giraldo, Mónica; Caceres‐Matta, Sandra; Tamayo, J G; Martinez‐Cajas, Carlos; Mesa, Natalia Fortich; Bermudez‐Reyes, Patricia; Vergara‐Bobadilla, Henry

doi:10.1111/jphd.12416

Cited by 9 publications

(8 citation statements)

References 60 publications

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“…Angarita‐Diaz et al. (2020) studied the prescription pattern of antibiotics in Colombia and reported that 45% of doctors prescribe antibiotics mainly based on the symptoms and 51% of them are unnecessary prescriptions. Also, most people (in both groups) show a mixed (prescribed and nonprescribed) pattern of antibiotics use.…”

Section: Resultsmentioning

confidence: 99%

Disposal of unused antibiotics as household waste: A social driver of antimicrobial resistance

Sharma

Kumar

Dubey

2021

Environmental Quality Mgmt

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Globally, antibiotics’ consumption has been worrisome and immediate attention is required. Unused and expired antibiotics are continuously disposed of as household waste in sewage wastewater, which acts as social driver of antimicrobial resistance (AMR). A questionnaire‐based survey was conducted to identify the scale of consumption and methods of disposal used for unused/expired antibiotics. Two groups were selected based on the knowledge of usage and misuse of antibiotics, and the response was collected. Every respondent had taken at least one antibiotic, and many of them consumed without any cause that is, 72.3% in fever and 57.8% in cold. The antibiotic course completion percentage was very poor (23% and 40% for Groups 1 and 2, respectively) and ∼75% of respondents just throw the unused/expired antibiotics, while only 2–3% went for safe/other methods of disposal. Perhaps, this direct disposal of antibiotics in the environment may be one of the contributors to AMR. The present study suggests that public awareness regarding the use of prescribed antibiotics, completion of the course, and knowledge of the safe disposal of unused/expired antibiotics will be a good strategy to combat AMR.

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Section: Resultsmentioning

confidence: 99%

Disposal of unused antibiotics as household waste: A social driver of antimicrobial resistance

Sharma

Kumar

Dubey

2021

Environmental Quality Mgmt

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“…Extensive measures need to be taken worldwide as well as in individual countries to curb this trend [1,2,4]. One way is to develop clinical practice guidelines and contextualized educational material throughout the country [17].…”

Section: Discussionmentioning

confidence: 99%

Community Members and Dentist Perceptions for Oral Treatment Seeking Behavior in an Underprivileged Area: A Qualitative Study

Moideen

Tanwir

Mazhar

et al. 2021

JPRI

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Background: Antibiotic resistance affects generations. It is a major health issue. Resistance to antibiotics is on the rise globally. The absence of proper regulatory mechanism and free access to pharmaceutical agents have led to self-medication and inappropriate therapeutic and prophylactic prescription. Methods: Qualitative in-depth research was conducted using focus group discussions (FGDs) for data collection. The study was conducted in an underprivileged colony in Karachi, Pakistan. Community members and Dentist were part of the focus group discussion. Results: There were two major themes that emerged from the analysis. ‘Knowledge associated with common oral diseases and their consequences’ and ‘Home remedies and treatment seeking behavior’. The focus group discussions showed that the perceptions of community members and dentists was based on bad oral hygiene, lack of awareness of oral disease outcome and barriers in pursuing treatment by dentist There was a lack of Government healthcare facilities and poor professional attitudes and futile law enforcement regarding medicine dispensing and disposal. Conclusion: The value of this study is to understand the perceptions and determinants of health seeking behavior and recognize the reasons for use and misuse of antibiotics. There is a great need for Government intervention and inexpensive treatment for the masses.

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“…A quasi-experimental multicenter study with a before-and-after design and without a control group was conducted from March to May 2020 in seven Colombian cities: Barranquilla, Bogota, Cali, Cartagena, Medellin, Monteria, and Villavicencio. Dentists who had been part of our preliminary study on awareness, attitudes, and intention to practice antibiotic prescriptions [26] were invited to participate by researchers in each city. The sample size was calculated for each city, including dentists with a dentistry degree until 2016, according to the last update from the Observatorio Laboral para la Educacio ´n through a paired sample t-test (repeated measures).…”

Section: Study Design and Study Populationmentioning

confidence: 99%

“…The VLE was designed in accordance with the results from our prior study [26] and was named "Conscious antibiotic prescription in dentistry." This VLE contained dynamic and interactive multimedia learning resources and a storytelling technique with an animated character represented by a bacterium acting as a moderator, which intended to dominate the world and challenged the participant through different learning moments (Fig 1).…”

Section: Educational Strategymentioning

confidence: 99%

“…Similarly, score categorization was a limitation, as according to the percentile classification during the questionnaire validation, a high level of awareness and attitudes was achieved with 100% of correct answers, whereas for intention to practice, a high level was reached with 63 − 100% of correct answers [27]. Finally, other limitations include a selection bias as dentists had participated in our previous study where the questionnaire to determine awareness, attitudes, and intention to practice antibiotic prescription was implemented [26], and the COVID-19 pandemic and the lockdown in Colombia from March to August 2020, which did not allow us to measure the frequency of antibiotic prescription among participants and, consequently, the impact of the VLE on practices.…”

Section: Plos Onementioning

confidence: 99%

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Impact of a virtual learning environment on the conscious prescription of antibiotics among Colombian dentists

et al. 2022

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Appropriate antibiotic prescription contributes to reducing bacterial resistance; therefore, it is critical to provide training regarding this challenge. The objective of this study was to develop a virtual learning environment for antibiotic prescription and to determine its impact on dentists’ awareness, attitudes, and intention to practice. First, the learning content on multimedia resources was developed and distributed into three challenges that participants had to overcome. Then, a quasi-experimental study was performed in which the virtual learning environment was implemented on dentists from seven Colombian cities. The median of correct answers and the levels of awareness, attitudes, and intention to practice were compared before, immediately after, and 6-months post-intervention. Wilcoxon signed-rank and McNemar’s tests were used to determine the differences. A total of 206 participants who finished the virtual learning environment activities exhibited a favorable and statistically significant impact on the median of correct answers of awareness (p < 0.001), attitudes (p < 0.001), and intention to practice (p = 0.042). A significant increase occurred in the number of participants with a high level of awareness (p < 0.001) and a non-significant increase in participants with high levels of attitudes (p = 0.230) and intention to practice (p = 0.286). At 6 months, the positive effect on the median of correct answers on awareness and intention to practice persisted (p < 0.001); however, this was not evident for attitudes (p = 0.105). Moreover, there was a significant decrease in the number of participants who showed low levels of awareness (p = 0.019) and a slight increase in those with high levels of the same component (p = 0.161). The use of a virtual learning environment designed for dentists contributed to a rapid improvement in awareness and intention to practice antibiotic prescription; however, their attitudes and information retention need reinforcement.

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Prescribing antibiotics by dentists in Colombia: Toward a conscientious prescription

Cited by 9 publications

References 60 publications

Disposal of unused antibiotics as household waste: A social driver of antimicrobial resistance

Disposal of unused antibiotics as household waste: A social driver of antimicrobial resistance

Community Members and Dentist Perceptions for Oral Treatment Seeking Behavior in an Underprivileged Area: A Qualitative Study

Impact of a virtual learning environment on the conscious prescription of antibiotics among Colombian dentists

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