Patterns of antibiotic prescription in implant dentistry and antibiotic resistance awareness among European dentists: A questionnaire-based study

IF 4.8 1区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Clinical Oral Implants Research Pub Date : 2024-05-24 DOI:10.1111/clr.14285

Kathrin Becker, Katarzyna Gurzawska-Comis, Björn Klinge, Bodil Lund, Giulia Brunello

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Abstract

Objectives

Antimicrobial resistance is an alarming global public health concern, threatening the effective treatment of common infections. This phenomenon is driven by the improper prescription of antibiotics. This study aimed to elucidate the patterns of antibiotic prescription in implant dentistry among European dentists and their awareness of antibiotic resistance.

Materials and Methods

An anonymous online validated questionnaire was distributed via e-mail to 6431 recipients through the European Association for Osseointegration. It comprised of 17 structured questions investigating demographic variables, working environment, clinical experience, attitude towards antibiotic prescription in particular in relation to implant dentistry and COVID-19 pandemic, and awareness of antibiotic resistance. Data were collected from April to May 2023.

Results

281 dentists from 33 European countries completed the survey. Almost 80% affirmed to routinely prescribe antibiotics as prophylaxis as well as after dental implant placement, especially in medically compromised patients or in cases of bone grafting. Amoxicillin, alone (61%) or in combination with clavulanic acid (56%), was the most common antibiotic of choice. Awareness of penicillin resistance among respondents was high. For peri-implantitis treatment, more than half reported the use of systemic antibiotics. The large majority (95%) did not prescribe more antibiotics since the beginning of COVID-19 pandemic. Less than 40% declared to follow national guidelines for antibiotic prescription.

Conclusion

This survey revealed a high prescription rate of antibiotics in implant dentistry, despite the awareness about antibiotic resistance among the respondents. The development and adherence to European guidelines has been identified as a potential strategy for improving antimicrobial stewardship.

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欧洲牙医在种植牙方面的抗生素处方模式和抗生素耐药性意识：基于问卷的研究。

目的：抗生素耐药性是一个令人担忧的全球公共卫生问题，威胁着常见感染的有效治疗。这一现象是由于抗生素处方不当造成的。本研究旨在阐明欧洲牙医在种植牙过程中开具抗生素处方的模式以及他们对抗生素耐药性的认识：通过欧洲骨整合协会向 6431 名受访者发送了匿名在线验证问卷。问卷由 17 个结构化问题组成，调查内容包括人口统计学变量、工作环境、临床经验、对抗生素处方的态度（尤其是与种植牙和 COVID-19 大流行有关的抗生素处方）以及对抗生素耐药性的认识。数据收集时间为 2023 年 4 月至 5 月。结果：来自 33 个欧洲国家的 281 名牙医完成了调查。近 80% 的牙医表示会在牙科植入物植入后常规处方抗生素作为预防用药，尤其是在医疗条件较差的患者或骨移植的情况下。阿莫西林单独使用（61%）或与克拉维酸联合使用（56%）是最常用的抗生素。受访者对青霉素耐药性的认识很高。对于种植体周围炎的治疗，一半以上的受访者表示使用过全身性抗生素。自 COVID-19 大流行以来，绝大多数受访者（95%）没有开具更多的抗生素处方。只有不到 40% 的人表示遵照国家指南开具抗生素处方：这项调查显示，尽管受访者对抗生素耐药性有所认识，但种植牙科的抗生素处方率很高。制定和遵守欧洲指南被认为是改善抗菌药物管理的潜在策略。

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来源期刊

Clinical Oral Implants Research 医学-工程：生物医学

CiteScore

7.70

自引率

11.60%

发文量

149

审稿时长

3 months

期刊介绍： Clinical Oral Implants Research conveys scientific progress in the field of implant dentistry and its related areas to clinicians, teachers and researchers concerned with the application of this information for the benefit of patients in need of oral implants. The journal addresses itself to clinicians, general practitioners, periodontists, oral and maxillofacial surgeons and prosthodontists, as well as to teachers, academicians and scholars involved in the education of professionals and in the scientific promotion of the field of implant dentistry.