General dental practitioners' perceptions of antimicrobial use and resistance: a qualitative interview study

Abstract

Interventions to enhance the quality of antibiotic prescribing in primary care dentistry should address issues associated with inappropriate prescribing as well as providing education about the causes, prevalence and impact of antibiotic resistance.

Knowledge and attitudes of recently qualified dentists working in Wales towards antimicrobial prescribing and resistance

“…In concordance with a study by Cope et al 14 , the majority of participants believed that dentists' contribution to the current levels of antimicrobial resistance was moderate and most agreed that measures were needed to improve antibiotic use within the dental profession. Participants expressed that a greater availability of guidelines would improve antimicrobial prescribing F I G U R E 3 Factors likely to influence newly-qualified dentists' prescribing decisions-the proportion of newly qualified dentists reporting a clinical scenario was "likely" or "very likely" to influence their decision to prescribe an antimicrobial (n = 71)…”

“…In concordance with a study by Cope et al, the majority of participants believed that dentists’ contribution to the current levels of antimicrobial resistance was moderate and most agreed that measures were needed to improve antibiotic use within the dental profession. Participants expressed that a greater availability of guidelines would improve antimicrobial prescribing in dentistry.…”

“…This may be due to characteristics of the population studied, as newly qualified dentists may typically be under less pressure to complete large volumes of clinical work, and receive additional support from their educational supervisors. Nevertheless, in concordance with conclusions drawn by previous authors, many participants highlighted that the NHS General Dental Services contract in England and Wales does not support providing operative treatment for patients.…”

“…As a result, newly registered Dental Practitioners may not have had to demonstrate specific competencies around antimicrobial use. As undergraduate education is known to be an enduring influence on antibiotic use as a qualified dental practitioner, 14 it is important that courses are providing graduates with the knowledge and skills to be judicious prescribers of antibiotics.…”

A questionnaire based study to assess the knowledge, attitude and practice (KAP) of rationale use of antibiotics among undergraduate dental students in a tertiary care dental hospital of South India

“…6 It is high time to create awareness, find and bridge the gap about different dimensions of antibiotic uses including antimicrobial stewardship and inculcate a practice of rational uses of drugs in general and antibiotics in particulars among budding medical and dental practitioners who will be the torchbearers of tomorrow. 7,8 There are large number of studies to assess the KAP of medical students on antibiotic resistance as well as stewardship but few studies are there to measure the same in dental students. [9][10][11][12] Keeping all these in mind this study was initiated to assess the KAP of rational antibiotic use among undergraduate dental students in a dental college hospital.…”