Antibiotic use and resistance: a nationwide questionnaire survey among French dentists

Baudet, Alexandre; Kichenbrand, C; Pulcini, Céline; Descroix, Vianney; Lesclous, Philippe; Thilly, Nathalie; Clement, C.; Guillet, J.

doi:10.1007/s10096-020-03849-0

Cited by 27 publications

(31 citation statements)

References 26 publications

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“…Approximately half to three quarters of the respondents report knowing the national recommendations, which is consistent with the proportion (75.3%) observed in a previous survey in France [ 54 ]. According to the literature, knowledge of guidelines among dentists and dental students varies widely (from as low as 1.9% to as high as 100%) depending on the detail being examined [ 56 ].…”

Section: Discussionsupporting

confidence: 88%

“…Importantly, the present study focuses on exploring potential differences between various groups of practitioners in an effort to identify practice-based factors that could explain prescribing patterns. The objectives of the present study were different, although complementary to those of a national survey recently conducted in France [ 54 ]. This survey focused on the prophylactic use of antibiotics, oral surgery, and prescription in the context of dental emergencies.…”

Section: Discussionmentioning

confidence: 99%

“…Another issue may concern the representativeness of the sample studied. Nearly one-third of the respondents are academics and/or work in a hospital, while only 1% of French dentists practice currently in a hospital [ 54 ]. It can therefore be speculated that the dentists most aware of the proper use of antibiotics are over-represented in this sample.…”

Section: Discussionmentioning

confidence: 99%

“…Fortunately, French dentists are favorable to receiving up-to-date training on antibiotic use. 43.7% report feeling inadequately informed and trained on this subject and 93.7% are willing to receive regular updates on prescribing recommendations, particularly in the form of practical sheets [ 54 ]. Complementary approaches: used alone, didactic passive educational materials are insufficient as antimicrobial stewardship activities.…”

Section: Discussionmentioning

confidence: 99%

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Antibiotic Use in Periodontal Therapy among French Dentists and Factors Which Influence Prescribing Practices

Agossa

Mainville

et al. 2021

Antibiotics

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The aim of the present survey is to investigate the use of antibiotics during periodontal therapy among French dentists with a focus on exploring potential differences between various groups of practitioners. A self-administered questionnaire was distributed to different groups of practitioners including members of (i) the French Society of Periodontology and Implantology; (ii) the College of University Teachers in Periodontology and, (iii) private practitioners participating in the French general dental practice-based research network. 272 questionnaires were included in the analysis. Prescription patterns were globally in line with the current recommendations. Systemic antibiotics are most frequently used as a first-line therapy in necrotizing periodontitis (92%) and aggressive periodontitis (53.3% to 66.1%). However, malpractice still exists, including in the management of periodontal abscesses. Antibiotics are prescribed (i) less frequently for periodontal abscesses and (ii) more frequently for generalized aggressive periodontitis by members of the periodontal society and University college (p < 0.05). Amoxicillin (59.9%) and the amoxicillin + metronidazole (59.6%) combination were the most frequently prescribed molecules. Providing a high number of periodontal treatments per week, being more recently graduated, having a post-graduate certificate in periodontology and holding or having held an academic position/hospital practice were all factors associated with a better knowledge of and/or more adequate antibiotic use.

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Section: Discussionsupporting

confidence: 88%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Antibiotic Use in Periodontal Therapy among French Dentists and Factors Which Influence Prescribing Practices

Agossa

Mainville

et al. 2021

Antibiotics

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show abstract

“…A discrepancy between the statements regarding the knowledge of the current French guidelines and their applications has already been highlighted in a recent article [ 14 ]. The practitioners interviewed for the qualitative study appear to justify this discrepancy, on the one hand, by the difficulty with accessing information and the lack of training on the subject, but also by the fact that to them the guidelines do not appear to adequately take into account the realities of daily clinical practice.…”

Section: Discussionmentioning

confidence: 99%

Perceptions of Antibiotic Use and Resistance: Are Antibiotics the Dentists’ Anxiolytics?

et al. 2021

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Background: Antibiotic resistance is a global health crisis. The aim of this study was to explore dentists’ perceptions of antibiotic resistance. Methods: A qualitative method was used. Seventeen dentists practising in the Nancy (Lorraine, France) region were surveyed. They were general practitioners or specialised in oral surgery, implantology, or periodontology. The practitioners took part in semi-structured interviews between September 2019 and July 2020. All of the interviews were transcribed in full and analysed thematically. Results: Four major themes have been selected: attitudes of the dentists in regard to the guidelines, clinical factors that influence prescriptions, non-clinical factors that influence prescriptions, and the perception of antibiotic resistance. The dentists stated that they were very concerned regarding the public health issue of antibiotic resistance. However, they often prescribe according to their own interests and habits rather than according to the relevant guidelines. Conclusions: Although dentists are generally well aware of antibiotic resistance, they often do not adequately appreciate the link between their prescribing habits and the phenomenon of antibiotic resistance. Regular updating of practitioners’ knowledge in this regard is necessary, but patients and the general public should also be made more aware of the issue.

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The level of knowledge of medical and dental students regarding prophylaxis for infective endocarditis

Karaçam,

Erdem

2024

Journal of Dental Education

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ObjectivesInfective endocarditis is a rarely seen disease, but has a high mortality rate. Therefore, it is extremely important that the guidelines are followed correctly. The main aim of this study was to evaluate and compare the level of knowledge and attitude of infective endocarditis of fourth‐ and fifth‐year dentistry students in clinical residency and fifth‐ and sixth‐year medical students.MethodsA 42‐item questionnaire evaluating the type and dosage of antibiotics administered as infective endocarditis prophylaxis in medical conditions and dentistry procedures was delivered online to the study participants. The data obtained were examined using descriptive statistics and analyzed with the chi‐square test.ResultsThe questionnaire was completed by a total of 332 participants. The statistical analyses showed a good level of knowledge in 55% of the dentistry faculty students and in 43.5% of the medical faculty students.ConclusionsWhen considering that dental and medical faculty students are not expected to receive additional training on antimicrobial management after graduation, the findings of this study have raised significant attitude for the improvement of our education system in this field.

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Antibiotic use and resistance: a nationwide questionnaire survey among French dentists

Cited by 27 publications

References 26 publications

Antibiotic Use in Periodontal Therapy among French Dentists and Factors Which Influence Prescribing Practices

Antibiotic Use in Periodontal Therapy among French Dentists and Factors Which Influence Prescribing Practices

Perceptions of Antibiotic Use and Resistance: Are Antibiotics the Dentists’ Anxiolytics?

The level of knowledge of medical and dental students regarding prophylaxis for infective endocarditis

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