Prescribing antibiotics by dentists in Colombia: Toward a conscientious prescription
Objectives: Inappropriate prescription of antibiotics contributes to antibiotic resistance. Therefore, the objective of this study was to determine the awareness, attitudes, and intention to practice of dentists prescribing antibiotics in Colombia in order to design a virtual learning environment on...
- Autores:
-
Angarita Díaz, María del Pilar
Universidad Cooperativa de Colombia
Colgate
Bernal Cepeda, Lilia
Universidad Nacional
Rodriguez Paz, Martha
Universidad del Valle
Vergara Mercado, Martha
Herrera Herrera, Alejandra
Universidad del Sinú
Universidad Metropolitana
Forero Escobar, Diana
Universidad Antonio Nariño
Mora Reina, Julián Eduardo
Ochoa Acosta, Emilia María
UNICOC
Universidad Rafael Núñez
Maya Giraldo, Mónica
Caceres Matta, Sandra
Tamayo, Julian
Martinez Cajas, Carlos
Fortich Mesa, Natalia
Bermúdez Reyes, Patricia
Vergara Bobadilla, Henry
- Tipo de recurso:
- Article of journal
- Fecha de publicación:
- 2020
- Institución:
- Universidad Cooperativa de Colombia
- Repositorio:
- Repositorio UCC
- Idioma:
- OAI Identifier:
- oai:repository.ucc.edu.co:20.500.12494/28317
- Acceso en línea:
- https://hdl.handle.net/20.500.12494/28317
- Palabra clave:
- agentes antibacterianos
actitud
conocimiento
práctica
prescripción
anti-bacterial agents
attitude
awareness
practice
prescriptions
- Rights
- openAccess
- License
- Atribución
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| dc.title.spa.fl_str_mv |
Prescribing antibiotics by dentists in Colombia: Toward a conscientious prescription |
| title |
Prescribing antibiotics by dentists in Colombia: Toward a conscientious prescription |
| spellingShingle |
Prescribing antibiotics by dentists in Colombia: Toward a conscientious prescription agentes antibacterianos actitud conocimiento práctica prescripción anti-bacterial agents attitude awareness practice prescriptions |
| title_short |
Prescribing antibiotics by dentists in Colombia: Toward a conscientious prescription |
| title_full |
Prescribing antibiotics by dentists in Colombia: Toward a conscientious prescription |
| title_fullStr |
Prescribing antibiotics by dentists in Colombia: Toward a conscientious prescription |
| title_full_unstemmed |
Prescribing antibiotics by dentists in Colombia: Toward a conscientious prescription |
| title_sort |
Prescribing antibiotics by dentists in Colombia: Toward a conscientious prescription |
| dc.creator.fl_str_mv |
Angarita Díaz, María del Pilar Universidad Cooperativa de Colombia Colgate Bernal Cepeda, Lilia Universidad Nacional Rodriguez Paz, Martha Universidad del Valle Vergara Mercado, Martha Herrera Herrera, Alejandra Universidad del Sinú Universidad Metropolitana Forero Escobar, Diana Universidad Antonio Nariño Mora Reina, Julián Eduardo Ochoa Acosta, Emilia María UNICOC Universidad Rafael Núñez Maya Giraldo, Mónica Caceres Matta, Sandra Tamayo, Julian Martinez Cajas, Carlos Fortich Mesa, Natalia Bermúdez Reyes, Patricia Vergara Bobadilla, Henry |
| dc.contributor.advisor.none.fl_str_mv |
Universidad Cooperativa de Colombia |
| dc.contributor.author.none.fl_str_mv |
Angarita Díaz, María del Pilar Universidad Cooperativa de Colombia Colgate Bernal Cepeda, Lilia Universidad Nacional Rodriguez Paz, Martha Universidad del Valle Vergara Mercado, Martha Herrera Herrera, Alejandra Universidad del Sinú Universidad Metropolitana Forero Escobar, Diana Universidad Antonio Nariño Mora Reina, Julián Eduardo Ochoa Acosta, Emilia María UNICOC Universidad Rafael Núñez Maya Giraldo, Mónica Caceres Matta, Sandra Tamayo, Julian Martinez Cajas, Carlos Fortich Mesa, Natalia Bermúdez Reyes, Patricia Vergara Bobadilla, Henry |
| dc.subject.spa.fl_str_mv |
agentes antibacterianos actitud conocimiento práctica prescripción |
| topic |
agentes antibacterianos actitud conocimiento práctica prescripción anti-bacterial agents attitude awareness practice prescriptions |
| dc.subject.other.spa.fl_str_mv |
anti-bacterial agents attitude awareness practice prescriptions |
| description |
Objectives: Inappropriate prescription of antibiotics contributes to antibiotic resistance. Therefore, the objective of this study was to determine the awareness, attitudes, and intention to practice of dentists prescribing antibiotics in Colombia in order to design a virtual learning environment on this subject. Methods: In a descriptive study across seven cities, 700 dentists from different Colombian cities were requested to complete a validated questionnaire containing five sections: general information, awareness on antibiotic effectiveness and antibiotic resistance, attitudes regarding prescription decision, intention to practice concerning clinical cases, and complementary information. The level of awareness, attitudes, and intention to practice was determined and Chi-square test was used to determine the existence of significant differences among cities. Results: The majority of dentists showed a medium level regarding the number of correct answers on awareness (62.4 percent) and attitudes (88.7 percent) and a high level on intention to practice (91.7 percent). Common errors within the awareness section included the meaning of the term “antibiotic resistance” (35 percent) and most dentists were not convinced that such resistance could be derived from prescription of antibiotics (51.2 percent). In the attitudes section, only 45 percent declared that they prescribe antibiotics based mainly on symptoms, and the intention to practice section showed a significant percentage of unnecessary prescription (51 percent for pacemaker users) or absence of prescription (53.9 percent for ventricular septal defect) in antibiotic prophylaxis for infectious endocarditis (IE). Conclusion: The dentists interviewed should be trained and made aware of antibiotic resistance, microbiological and clinical foundations, and current antibiotic prophylaxis guidelines. |
| publishDate |
2020 |
| dc.date.accessioned.none.fl_str_mv |
2020-11-30T17:27:38Z |
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2020-11-30T17:27:38Z |
| dc.date.issued.none.fl_str_mv |
2020-10 |
| dc.type.none.fl_str_mv |
Artículo |
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http://purl.org/coar/resource_type/c_2df8fbb1 |
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http://purl.org/coar/resource_type/c_6501 |
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http://purl.org/coar/version/c_970fb48d4fbd8a85 |
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info:eu-repo/semantics/article |
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info:eu-repo/semantics/publishedVersion |
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http://purl.org/coar/resource_type/c_6501 |
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publishedVersion |
| dc.identifier.issn.spa.fl_str_mv |
00224006 |
| dc.identifier.uri.spa.fl_str_mv |
10.1111/jphd.12416 |
| dc.identifier.uri.none.fl_str_mv |
https://hdl.handle.net/20.500.12494/28317 |
| dc.identifier.bibliographicCitation.spa.fl_str_mv |
Angarita-Díaz MDP, Bernal-Cepeda, L., Rodriguez-Paz M., Vergara-Mercado, M., Herrera-Herrera, A., Forero-Escobar D, Mora-Reina, J., Ochoa-Acosta, E.M., Maya-Giraldo, M., Caceres-Matta, S., Tamayo, J., Martinez-Cajas, C., Fortich-Mesa, N., Bermudez-Reyes, P., Vergara-Bobadilla, H., (2020) Prescribing antibiotics by dentists in Colombia: Toward a conscientious prescription. J Public Health Dent. 2020;1–13. https://doi.org/10.1111/jphd. 12416 |
| identifier_str_mv |
00224006 10.1111/jphd.12416 Angarita-Díaz MDP, Bernal-Cepeda, L., Rodriguez-Paz M., Vergara-Mercado, M., Herrera-Herrera, A., Forero-Escobar D, Mora-Reina, J., Ochoa-Acosta, E.M., Maya-Giraldo, M., Caceres-Matta, S., Tamayo, J., Martinez-Cajas, C., Fortich-Mesa, N., Bermudez-Reyes, P., Vergara-Bobadilla, H., (2020) Prescribing antibiotics by dentists in Colombia: Toward a conscientious prescription. J Public Health Dent. 2020;1–13. https://doi.org/10.1111/jphd. 12416 |
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https://hdl.handle.net/20.500.12494/28317 |
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https://onlinelibrary.wiley.com/doi/abs/10.1111/jphd.12416 |
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Journal of Public Health Dentistry |
| dc.relation.references.spa.fl_str_mv |
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Struzycka I, Mazinska B, Bachanek T, Boltacz- Rzepkowska E, Drozdzik A, Kaczmarek U, Kochanska B, Mielczarek A, Pytko-Polonczyk J, Surdacka A, Tanasiewicz M, Waszkiel D, Hryniewicz W. Awareness of antibiotics and antimicrobial resistance amongst final year dental students of polish medical schools-a cross-sectional study. Eur J Dent Educ. 2019;23:295–303. Mansour H, Feghali M, Saleh N, Zeitouny M. Awareness, practice and attitudes regarding antibiotics use among Lebanese dentists. Pharm Pract. 2018;16:1272. Jones E, Cope A. Awareness and attitudes of recently qualified dentists working in Wales towards antimicrobial prescribing and resistance. Eur J Dent Educ. 2018;22: e730–e36. Palmer NO, Martin MV, Pealing R, Ireland RS, Roy K, Smith A, Bagg J. Antibiotic prescribing awareness of National Health Service general dental practitioners in England and Scotland. J Antimicrob Chemother. 2001;47:233–7. Salako N, Rotimi VO, Adib SM, Al-Mutawa S. Pattern of antibiotic prescription in the management of oral diseases among dentists in Kuwait. J Dent. 2004;32:503–9. Al-Haroni M, Skaug N. Knowledge of prescribing antimicrobials among Yemeni general dentists. Acta Odontol Scand. 2006;64(5):274–80. Germack M, Sedgley CM, Sabbah W, Whitten B. Antibiotic use in 2016 by members of the American Association of Endodontists: report of a National Survey. J Endod. 2017;43 (10):1615–22. Köhler M, Meyer J, Linder M, Lambrecht JT, Filippi A, Kulik Kunz EM. Prescription of antibiotics in the dental practice: a survey of dentists in Switzerland. Schweiz Monatsschr Zahnmed. 2013;123(9):748–59. Teoh L, Marino RJ, Stewart K, McCullough MJ. A survey of prescribing practices by general dentists in Australia. BMC Oral Health. 2019;19(1):193. Sivaraman SS, Hassan M, Pearson JM. A national survey of pediatric dentists on antibiotic use in children. Pediatr Dent. 2013;35:546–9. Sgolastra F, Gatto R, Petrucci A, Monaco A. 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J Dent Res. 2019;98(10):1081–7. Goel D, Goel GK, Chaudhary S, Jain D. Antibiotic prescriptions in pediatric dentistry: a review. J Family Med Prim Care. 2020;9(2):473–80. Oppelaar MC, Zijtveld C, Kuipers S, Ten Oever J, Honings J, Weijs W, Wertheim HFL. Evaluation of prolonged vs short courses of antibiotic prophylaxis following ear, nose, throat, and Oral and maxillofacial surgery: a systematic review and meta-analysis. JAMA Otolaryngol Head Neck Surg. 2019;145(7):610–6. Langford BJ, Morris AM. Is it time to stop counselling patients to "finish the course of antibiotics"? Can Pharm J (Ott). 2017;150(6):349–50. Dar-Odeh N, Fadel HT, Abu-Hammad S, Abdeljawad R, Abu-Hammad OA. Antibiotic prescribing for oro-facial infections in the paediatric outpatient: a review. Antibiotics (Basel). 2018;7(2):38. Yousuf W, Khan M, Mehdi H, Mateen S. Necessity of antibiotics following simple exodontia. Scientifica (Cairo). 2016;2016:2932697. Sambrook PJ, Goss AN. Contemporary exodontia. Aust Dent J. 2018;63:S11–8. https://doi.org/10.1111/adj.12586. Park J, Tennant M, Walsh LJ, Kruger E. Is there a consensus on antibiotic usage for dental implant placement in healthy patients? Aust Dental J. 2018;63:25–33. Abbott PV. Selective and intelligent use of antibiotics in endodontics. Aust Endod J. 2000;26(1):30–9. Thornhill MH, Dayer MJ, Prendergast B, Baddour LM, Jones S, Lockhart PB. Incidence and nature of adverse reactions to antibiotics used as endocarditis prophylaxis. J Antimicrob Chemother. 2015;70(8):2382–8. Watters W 3rd, Rethman MP, Hanson NB, Abt E, Anderson P, Carrol K, Futrell HC, Garvin K, Glenn SO, Hellstein J, Hewlett A, Kolessar D, Moucha C, O’Donnell RJ, O’Toole JE, Osmon DR, Evans RP, Rinella A, Steinberg MJ, Goldberg M, Ristic H, Boyer K, Sluka P, Martin WR 3rd, Cummins DS, Song S, Woznica A, Gross L, American Academy of Orthopedic Surgeons, American Dental Association. Prevention of orthopaedic implant infection in patients undergoing dental procedures. J Am Acad Orthop Surg. 2013;21(3):180–9. American Dental Association ADA. Oral health topics. Antibiotic prophylaxis prior to dental procedures. [Internet]. Chicago: ADA; 2020 [cited 2020 Jul 14]. Available from: https://www.ada.org/en/member-center/oral-health-topics/ antibiotic-prophylaxis. Termine N, Panzarella V, Ciavarella D, Lo Muzio L, D’angelo M, Sardella A, Compilato D, Campisi G. Antibiotic prophylaxis in dentistry and oral surgery: use and misuse. Int Dent J. 2009;59(5):263–70. Cutando-Soriano A, Galindo-Moreno P. Antibiotic prophylaxis in dental patients with body prostheses. Med Oral. 2002;7(5):348–59. Lockhart PB, Brennan MT, Fox PC, Norton HJ, Jernigan DB, Strausbaugh LJ. Decision-making on the use of antimicrobial prophylaxis for dental procedures: a survey of infectious disease consultants and review. Clin Infect Dis. 2002;34(12):1621–6. Durkin MJ, Hsueh K, Sallah YH, Feng Q, Jafarzadeh SR, Munshi KD, Lockhart PB, Thornhill MH, Henderson RR, Fraser VJ, Centers for Disease Control and Prevention Epicenters. An evaluation of dental antibiotic prescribing practices in the United States. J Am Dent Assoc. 2017;148:878–86. Rancˇi c J, Rancˇi c N, Majstorovi c N, Biocˇanin V, Milosavljevi c M, Jakovljevi c M. Cost differentials of dental outpatient care across clinical dentistry branches. Farmeconomia. 2015;16(1):25–32. Sipahi OR. Economics of antibiotic resistance. Expert Rev Anti Infect Ther. 2008;6(4):523–39. Teoh L, Stewart K, Marino R, McCullough M. Antibiotic resistance and relevance to general dental practice in Australia. Aust Dent J. 2018;63(4):414–21. World Health Organization. Global action plan on antimicrobial resistance [Internet]. Geneve: WHO; 2015 [cited 2020 Jul 15]. Available from: https://apps.who.int/ iris/handle/10665/193736. Roberts RM, Bartoces M, Thompson SE, Hicks LA. Antibiotic prescribing by general dentists in the United States, 2013. J Am Dent Assoc. 2017;148(3):172–178.e1. Kyaw BM, Tudor Car L, van Galen LS, van Agtmael MA, Costelloe CE, Ajuebor O, Campbell J, Car J. Health professions digital education on antibiotic management: systematic review and meta-analysis by the digital health education collaboration. J Med Internet Res. 2019;21(9):e14984. |
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Universidad Cooperativa de ColombiaAngarita Díaz, María del PilarUniversidad Cooperativa de ColombiaColgateBernal Cepeda, LiliaUniversidad NacionalRodriguez Paz, MarthaUniversidad del ValleVergara Mercado, MarthaHerrera Herrera, AlejandraUniversidad del SinúUniversidad MetropolitanaForero Escobar, DianaUniversidad Antonio NariñoMora Reina, Julián EduardoOchoa Acosta, Emilia María UNICOCUniversidad Rafael NúñezMaya Giraldo, MónicaCaceres Matta, SandraTamayo, JulianMartinez Cajas, CarlosFortich Mesa, NataliaBermúdez Reyes, PatriciaVergara Bobadilla, Henry2020-11-30T17:27:38Z2020-11-30T17:27:38Z2020-100022400610.1111/jphd.12416https://hdl.handle.net/20.500.12494/28317Angarita-Díaz MDP, Bernal-Cepeda, L., Rodriguez-Paz M., Vergara-Mercado, M., Herrera-Herrera, A., Forero-Escobar D, Mora-Reina, J., Ochoa-Acosta, E.M., Maya-Giraldo, M., Caceres-Matta, S., Tamayo, J., Martinez-Cajas, C., Fortich-Mesa, N., Bermudez-Reyes, P., Vergara-Bobadilla, H., (2020) Prescribing antibiotics by dentists in Colombia: Toward a conscientious prescription. J Public Health Dent. 2020;1–13. https://doi.org/10.1111/jphd. 12416Objectives: Inappropriate prescription of antibiotics contributes to antibiotic resistance. Therefore, the objective of this study was to determine the awareness, attitudes, and intention to practice of dentists prescribing antibiotics in Colombia in order to design a virtual learning environment on this subject. Methods: In a descriptive study across seven cities, 700 dentists from different Colombian cities were requested to complete a validated questionnaire containing five sections: general information, awareness on antibiotic effectiveness and antibiotic resistance, attitudes regarding prescription decision, intention to practice concerning clinical cases, and complementary information. The level of awareness, attitudes, and intention to practice was determined and Chi-square test was used to determine the existence of significant differences among cities. Results: The majority of dentists showed a medium level regarding the number of correct answers on awareness (62.4 percent) and attitudes (88.7 percent) and a high level on intention to practice (91.7 percent). Common errors within the awareness section included the meaning of the term “antibiotic resistance” (35 percent) and most dentists were not convinced that such resistance could be derived from prescription of antibiotics (51.2 percent). In the attitudes section, only 45 percent declared that they prescribe antibiotics based mainly on symptoms, and the intention to practice section showed a significant percentage of unnecessary prescription (51 percent for pacemaker users) or absence of prescription (53.9 percent for ventricular septal defect) in antibiotic prophylaxis for infectious endocarditis (IE). Conclusion: The dentists interviewed should be trained and made aware of antibiotic resistance, microbiological and clinical foundations, and current antibiotic prophylaxis guidelines.http://scienti.colciencias.gov.co:8081/cvlac/visualizador/generarCurriculoCv.do?cod_rh=0001561382https://orcid.org/0000-0002-5435-3456GIOMETmaria.angaritad@campusucc.edu.co13Universidad Cooperativa de Colombia, Facultad de Ciencias de la Salud, Programa de Odontología, Villavicencio, Colombia, 00000Robert WeyantOdontologíaVillavicenciohttps://onlinelibrary.wiley.com/doi/abs/10.1111/jphd.12416Journal of Public Health DentistryWorld Health Organization. Antimicrobial resistance: Global Report on Surveillance [Internet]. Geneve: WHO; 2014 [cited 2020 Jul 8]. Available from: https://www.who. int/drugresistance/documents/surveillancereport/en/.Jakovljevic M, Alahdab S, Jurisevic M, Mouselli S. Antibiotic resistance in Syria: a local problem turns into a global threat. 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