Dentists' knowledge, attitudes and perceptions of antibiotic prescribing: A systematic review

IF 4.3 2区医学 Q1 MEDICINE, GENERAL & INTERNAL Preventive medicine Pub Date : 2024-06-18 DOI:10.1016/j.ypmed.2024.108043

Olalla Vázquez-Cancela , Maruxa Zapata-Cachafeiro , Maria Teresa Herdeiro , Adolfo Figueiras , Almudena Rodríguez-Fernández

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Abstract

Objective

This study aims to explore dentists' knowledge, attitudes, and perceptions regarding antibiotic use.

Methods

We conducted a systematic review of dentists' knowledge, attitudes and perceptions regarding antibiotic use, by searching the MEDLINE, EMBASE and Web of Science for all original paper published from January 1990 to July 2023, in accordance with the Preferred Reporting Items for systematic Reviews and Meta-analyses (PRISMA 2020) guidelines.

Results

The review included 37 papers, (7 qualitative and 30 quantitative studies). Modifiable factors (knowledge, attitudes) were reported as being associated with antibiotic prescribing by dentists which were cited in 30 of the 37. These attitudes most frequently identified by dentists were: complacency (22/29); lack of trust (16/29); the need to postpone the dental procedure (17/29); and fear (8/29). Gaps in knowledge were also identified (15/29). Only one of the included articles quantified the influence between the reported modifiable factors and antibiotic prescribing.

Conclusions

The review emphasizes that dentists' antibiotic prescribing is predominantly influenced by modifiable factors. This insight informs the potential for targeted interventions to curtail inappropriate antibiotic use, contributing to global efforts in reducing antibiotic resistance.

The protocol of this systematic review can be found in PROSPERO under registration no. CRD42021253937.

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牙医对抗生素处方的认识、态度和看法：系统回顾。

研究目的本研究旨在探讨牙科医生对抗生素使用的认识、态度和看法：根据系统性综述和元分析首选报告项目（PRISMA 2020）指南，我们在 MEDLINE、EMBASE 和 Web of Science 上检索了 1990 年 1 月至 2023 年 7 月期间发表的所有原始论文，对牙医使用抗生素的知识、态度和看法进行了系统性综述：综述包括 37 篇论文（7 项定性研究和 30 项定量研究）。在 37 篇论文中，有 30 篇报告了与牙医开具抗生素处方相关的可改变因素（知识、态度）。牙医最常表现出的态度是：自满（22/29）；缺乏信任（16/29）；需要推迟牙科手术（17/29）；以及恐惧（8/29）。此外，还发现了知识差距（15/29）。只有一篇纳入的文章量化了所报告的可改变因素与抗生素处方之间的影响：综述强调，牙医开具抗生素处方主要受可改变因素的影响。这一观点有助于采取有针对性的干预措施来减少抗生素的不当使用，从而推动全球减少抗生素耐药性的工作。本系统综述的方案可在 PROSPERO 中找到，注册编号为CRD42021253937。

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来源期刊

Preventive medicine 医学-公共卫生、环境卫生与职业卫生

CiteScore

7.70

自引率

3.90%

发文量

审稿时长

42 days

期刊介绍： Founded in 1972 by Ernst Wynder, Preventive Medicine is an international scholarly journal that provides prompt publication of original articles on the science and practice of disease prevention, health promotion, and public health policymaking. Preventive Medicine aims to reward innovation. It will favor insightful observational studies, thoughtful explorations of health data, unsuspected new angles for existing hypotheses, robust randomized controlled trials, and impartial systematic reviews. Preventive Medicine''s ultimate goal is to publish research that will have an impact on the work of practitioners of disease prevention and health promotion, as well as of related disciplines.