Knowledge regarding antibiotic drug action and prescription practices among dentist in Jaipur city, Rajasthan

Singh, Diksha; Sampath, Naganandini; Mahuli, Amit; Yadav, Himani; Mahuli, Simpy Amit; Yadav, Roma

doi:10.4103/2348-2915.169827

Cited by 3 publications

(3 citation statements)

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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

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“…18 A study conducted by Singh et al found that less than 40% of the dentists advised culture sensitivity test, which is very similar to the results found in the present study 34% (141). 19 The WHO has introduced the concept of antimicrobial stewardship (AMS) to make sure that the health sector as a whole starts taking responsibility for the health and well being of the population and also guides the health systems first nationally and eventually globally. AMS is one of the three pillars which are aimed at strengthening the health systems at large.…”

Section: Discussionmentioning

confidence: 99%

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

Parekh¹,

Balasubramanian²,

Bhate³

et al. 2020

Int J Basic Clin Pharmacol

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Background: There is a rising concern for antibiotic resistance worldwide, the primary cause of which is overuse and misuse. This study primarily aimed at assessing the knowledge of dental practitioners regarding the current guidelines on use of antibiotics and to identify the shortcomings if any.Methods: Present study was a cross-sectional questionnaire-based study conducted amongst 450 dental practitioners across Mumbai with the help of a self-designed questionnaire. The data was entered into excel sheets and appropriate statistical analysis was done with chi-square test using SPSS version 20.Results: The present study had a response rate of 95%. For the total percentage of patients examined each day that required systemic antibiotics, 36.9% (153) dentists answered 0-5%, followed by 25.3% (105) answered 10-15%. 76.1% (316) dentists came across patients who had self-prescribed antibiotics. 66% (274) dentists had never advised an antibiotic sensitivity/ culture test for their patients. 51.3% (213) dentists came across patients who did not respond to antibiotics. 87.2% (363) dentists were not aware about the ‘AWaRe’ classification of antibiotics given by WHO. 93.3% (383) dentists did not know about antimicrobial stewardship concept.Conclusions: The present study reflected antibiotic overuse and misuse to a certain extent by dental practitioners across Mumbai. Most dentists were unaware about ‘AWaRe’ classification and antimicrobial stewardship. Patient education on ill effects of self-prescription of antibiotics, identification of traits of antibiotic resistance and antibiotic culture tests needs to be prioritized by dentists.

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“…BDS (Bachelor of Dental Surgery) graduates relied more on antibiotics to manage oral diseases than MDS (Master of Dental Surgery), which may be due to inadequate understanding of the disease, less skill and competency in carrying out the operative intervention measures. 4,19 With regard to duration of prescription 74% General dental practioners prescribe 3 day course, 60% of pediatric dentists resorted to 5 day course. Evidence also indicates that inadequate prescribing patterns may be due to inadequate knowledge about the diseases .20 Cross sectional survey shows that majority of dental practioners over prescribe antibiotics and were unaware of the recent antibiotic guidelines laid by government of India.…”

Section: Discussionmentioning

confidence: 99%

Morale of antibiotics usage in dentistry

A.G¹,

Gayathri²

2017

Int j curr adv res

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Knowledge regarding antibiotic drug action and prescription practices among dentist in Jaipur city, Rajasthan

Cited by 3 publications

References 1 publication

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

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

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

Morale of antibiotics usage in dentistry

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