RT Journal Article
T1 Magnitude and determinants of inappropriate prescribing of antibiotics in dentistry: a nation-wide study
A1 Rodríguez Fernández, Almudena
A1 Vázquez, Olalla
A1 Piñeiro Lamas, María
A1 Herdeiro, Maria Teresa Ferreira
A1 Figueiras Guzmán, Adolfo
A1 Zapata Cachafeiro, Maruxa
K1 Antibiotic
K1 Dentist
K1 Prescribing
K1 Knowledge
K1 Attitudes
AB BackgroundDentist play an important role in misuse of antibiotics. Identification of the dental activities linked to the misuse of antibiotics is important for improving dentists’ prescribing quality. The aim of the study was to quantify the magnitude of inappropriate antibiotic prescribing by dentists in Spain and identify the characteristics, knowledge and attitudes that influence prescribing quality.Material and methodsWe conducted a cross-sectional, questionnaire-based study on dentists in Spain, assessing prescribing quality (dependent variable) on the basis of their responses about the prescription of antibiotics in 14 clinical situations. As the independent variables, we assessed professional characteristics and attitudes (lack of knowledge, fear, complacency, scheduling problems, and economic benefit) measured on a Likert scale. Odds Ratios (OR) (95%CI) were calculated using logistic regression.ResultsA total of 878 participants were included in the analysis. Half of all dentists displayed inappropriate antibiotic prescribing habits in more than 28.6% (10/14) of the clinical situations posed (interquartile range 57–79%). Prescribing quality increased when resistance was perceived as a public health problem (OR 0.88, 95% CI: 0.79–0.97), and decreased in response to fear (OR 1.12, 95% CI:1.07–1.18) or the pursuit of economic benefit (OR 1.07, 95% CI 1.01–1.14). Having over 30 years’ experience (OR 4.58, 95% CI:1.80–12.48) and/or practising in the field of prosthodontics as opposed to endodontics (OR 2.65, 95% CI:1.26–5.71) were associated with worse prescribing quality.ConclusionsAntibiotics are the most commonly prescribed drugs in dentistry, and in many cases this prescription is inappropriate. Our findings shows that modifiable factors influence prescribing quality among dentists in Spain. These may be use for designing educational and training programmes for dentists
PB BMC
YR 2023
FD 2023-03-20
LK http://hdl.handle.net/10347/32749
UL http://hdl.handle.net/10347/32749
LA eng
NO Rodríguez-Fernández, A., Vázquez-Cancela, O., Piñeiro-Lamas, M., Herdeiro, M. T., Figueiras, A., & Zapata-Cachafeiro, M. (2023). Magnitude and determinants of inappropriate prescribing of antibiotics in dentistry: a nation-wide study. Antimicrobial resistance and infection control, 12(1), 20. https://doi.org/10.1186/s13756-023-01225-z
NO This study was funded by the Carlos III Institute of Health (Instituto de Salud Carlos III/ISCIII) through the project PI19/01006 and co-funded by the Euro‑ pean Regional Development Fund (ERDF), European Union
DS Minerva
RD 24 abr 2026