Lockhart, P., Thornhill, M. orcid.org/0000-0003-0681-4083, Zhao, J. et al. (6 more authors) (2020) Prophylactic antibiotic prescribing in dental practice: findings from a national dental practice-based research network questionnaire. Journal of the American Dental Association, 151 (10). 770-781.e6. ISSN 0002-8177
Abstract
Background Little is known about antibiotic prescribing practices of dentists. The objective of this study was to gain a better understanding of dentists’ beliefs and behaviors regarding the use of antibiotic prophylaxis (AP) before invasive dental procedures.
Methods A multidisciplinary team developed and disseminated a questionnaire to 3,584 dentist members of the National Dental Practice-Based Research Network.
Results Overall, 2,169 network dentists (61%) responded. Respondents saw patients at risk of developing infective endocarditis (IE) and prosthetic joint infection (PJI) at least once per week (35% and 65%, respectively). Although 78% of dentists agreed that the 2007 American Heart Association guidelines for the prevention of IE are well-defined and clear, only 49% agreed concerning PJI guidelines. Differences for the IE and PJI patient populations also existed for questions regarding dentists’ understanding of the specific patient groups at risk, the recommended antibiotic regimens, and the need to consult with a patient’s cardiologist or orthopedic surgeon.
Conclusions The survey results indicate that decision making regarding the use of AP occurs frequently among dentists. Moreover, dentists reported uncertainty about the appropriate use of AP as defined by both IE and PJI guidelines, which may have resulted in a lack of concordance between dentists’ beliefs and their practice behaviors.
Practical Implications The results reported by the authors highlight the need to develop better educational programs that address antimicrobial stewardship in AP for patients at risk of developing IE and PJI and target the dental profession.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © 2020 American Dental Association. This is an author produced version of a paper subsequently published in Journal of the American Dental Association (JADA). Uploaded in accordance with the publisher's self-archiving policy. Article available under the terms of the CC-BY-NC-ND licence (https://creativecommons.org/licenses/by-nc-nd/4.0/). |
Keywords: | Endocarditis; surveys; antibiotic prophylaxis; antibiotics; practice guidelines; cardiovascular diseases; infection |
Dates: |
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Institution: | The University of Sheffield |
Academic Units: | The University of Sheffield > Faculty of Medicine, Dentistry and Health (Sheffield) > School of Clinical Dentistry (Sheffield) |
Funding Information: | Funder Grant number NATIONAL INSTITUTES OF HEALTH - UNITED STATES OF AMERICA 5U19DE022516-04 NATIONAL INSTITUTES OF HEALTH - UNITED STATES OF AMERICA 5U19DE022516-05 NATIONAL INSTITUTES OF HEALTH - UNITED STATES OF AMERICA 5U19DE022516-04 NATIONAL INSTITUTES OF HEALTH - UNITED STATES OF AMERICA 5U19DE022516-04 |
Depositing User: | Symplectic Sheffield |
Date Deposited: | 04 May 2020 16:17 |
Last Modified: | 23 Sep 2021 00:38 |
Status: | Published |
Publisher: | Elsevier |
Refereed: | Yes |
Identification Number: | 10.1016/j.adaj.2020.04.027 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:160199 |
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Filename: DPBRN Primary Manuscript Accepted 01-05-2020.pdf
Licence: CC-BY-NC-ND 4.0