Knowledge, practice and attitudes regarding antibiotics use among Lebanese dentists
Fuente:
Redalyc
Saved in:
| Main Author: | |
|---|---|
| Format: | Artículo científico |
| Language: | en |
| Published: |
Centro de investigaciones y Publicaciones Farmacéuticas
2018
|
| Subjects: | |
| Online Access: | |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1876440603334541312 |
|---|---|
| author | Hicham Mansour |
| author_facet | Hicham Mansour |
| contents | Knowledge, practice and attitudes regarding antibiotics use among Lebanese dentists Hicham Mansour Mireille Feghali Nadine Saleh Mona Zeitouny Medicina Lebanon Practice Dentists Attitudes Penicillins Objectives: Explore antibiotic use, assess conformity with evidence-practice guidelines, and describe knowledge and attitudinal factors among Lebanese dentists.Methods: National cross-sectional telephonic survey, using a standardized questionnaire addressing demographic, educational and professional data, usual antibiotics prophylactic and curative prescription pattern and influential factors, knowledge concerning antibiotics use in selected patient-populations, and attitude regarding antimicrobial resistance. Analyses used descriptive statistics, and bivariate analysis to observe predictors of higher knowledge.Results: the overall response rate for the study was around 21%. 322 dentists participated. On average, 17.51% of consultations resulted in antibiotic use; previous antibiotic experience mostly influenced prescriptions (81.3%). Referral of pregnant and lactating women and cardiac patients, when antibiotics are needed, was high (26.9%, 28.5% and 79.4%, respectively). Macrolides were the dominant first-line antibiotics in penicillin allergy (47.4%). Penicillins were most common for pregnant and lactating women. Penicillins (95.0%), 2g (63.9%), and 1 hour pre-procedure (34%) were the main components of prophylaxis for cardiac patients. Prophylactic and curative use varied widely; few dentists exhibited guideline-conform prescriptions. Mean knowledge scores of prophylaxis for cardiac and non-cardiac patients, and antibiotics’ side effects were predominantly poor (46.75±14.82, 39.21±33.09 and 20.27±18.77, respectively over 100). Practicing outside Beirut, undergraduate qualification in Lebanon, and post-graduate qualification predicted higher knowledge. 75.9% acknowledged the contribution of dentistry-based prescribing to antibiotic resistance and 94.7% knew at least one cause of resistance.Conclusions: Dentists show positive attitude towards antimicrobial resistance. Yet, they lack uniformity in antibiotic stewardship. Poor knowledge and guideline-incongruent prophylactic and therapeutic prescribing are observed. Development of targeted interventions is needed to promote judicious antibiotic use within Lebanese dentistry. 2018 artículo científico 1885-642X https://www.redalyc.org/articulo.oa?id=69057316011 https://www.redalyc.org/journal/690/69057316011/ https://www.redalyc.org/journal/690/69057316011/html/ https://www.redalyc.org/journal/690/69057316011/69057316011.epub https://www.redalyc.org/journal/690/69057316011/movil 10.18549/PharmPract.2018.03.1272 en http://www.redalyc.org/revista.oa?id=690 Pharmacy Practice application/pdf Centro de investigaciones y Publicaciones Farmacéuticas Pharmacy Practice (España) Num.3 Vol.16 |
| format | Artículo científico |
| id | redalyc_69057316011 |
| institution | Redalyc |
| language | en |
| publishDate | 2018 |
| publisher | Centro de investigaciones y Publicaciones Farmacéuticas |
| spellingShingle | Knowledge, practice and attitudes regarding antibiotics use among Lebanese dentists Hicham Mansour Medicina Lebanon Practice Dentists Attitudes Penicillins Knowledge, practice and attitudes regarding antibiotics use among Lebanese dentists Hicham Mansour Mireille Feghali Nadine Saleh Mona Zeitouny Medicina Lebanon Practice Dentists Attitudes Penicillins Objectives: Explore antibiotic use, assess conformity with evidence-practice guidelines, and describe knowledge and attitudinal factors among Lebanese dentists.Methods: National cross-sectional telephonic survey, using a standardized questionnaire addressing demographic, educational and professional data, usual antibiotics prophylactic and curative prescription pattern and influential factors, knowledge concerning antibiotics use in selected patient-populations, and attitude regarding antimicrobial resistance. Analyses used descriptive statistics, and bivariate analysis to observe predictors of higher knowledge.Results: the overall response rate for the study was around 21%. 322 dentists participated. On average, 17.51% of consultations resulted in antibiotic use; previous antibiotic experience mostly influenced prescriptions (81.3%). Referral of pregnant and lactating women and cardiac patients, when antibiotics are needed, was high (26.9%, 28.5% and 79.4%, respectively). Macrolides were the dominant first-line antibiotics in penicillin allergy (47.4%). Penicillins were most common for pregnant and lactating women. Penicillins (95.0%), 2g (63.9%), and 1 hour pre-procedure (34%) were the main components of prophylaxis for cardiac patients. Prophylactic and curative use varied widely; few dentists exhibited guideline-conform prescriptions. Mean knowledge scores of prophylaxis for cardiac and non-cardiac patients, and antibiotics’ side effects were predominantly poor (46.75±14.82, 39.21±33.09 and 20.27±18.77, respectively over 100). Practicing outside Beirut, undergraduate qualification in Lebanon, and post-graduate qualification predicted higher knowledge. 75.9% acknowledged the contribution of dentistry-based prescribing to antibiotic resistance and 94.7% knew at least one cause of resistance.Conclusions: Dentists show positive attitude towards antimicrobial resistance. Yet, they lack uniformity in antibiotic stewardship. Poor knowledge and guideline-incongruent prophylactic and therapeutic prescribing are observed. Development of targeted interventions is needed to promote judicious antibiotic use within Lebanese dentistry. 2018 artículo científico 1885-642X https://www.redalyc.org/articulo.oa?id=69057316011 https://www.redalyc.org/journal/690/69057316011/ https://www.redalyc.org/journal/690/69057316011/html/ https://www.redalyc.org/journal/690/69057316011/69057316011.epub https://www.redalyc.org/journal/690/69057316011/movil 10.18549/PharmPract.2018.03.1272 en http://www.redalyc.org/revista.oa?id=690 Pharmacy Practice application/pdf Centro de investigaciones y Publicaciones Farmacéuticas Pharmacy Practice (España) Num.3 Vol.16 |
| title | Knowledge, practice and attitudes regarding antibiotics use among Lebanese dentists |
| topic | Medicina Lebanon Practice Dentists Attitudes Penicillins |
| url | https://www.redalyc.org/articulo.oa?id=69057316011 https://www.redalyc.org/journal/690/69057316011/ https://www.redalyc.org/journal/690/69057316011/html/ https://www.redalyc.org/journal/690/69057316011/69057316011.epub https://www.redalyc.org/journal/690/69057316011/movil |