JOMPAC
Journal of Medicine and Palliative Care

Journal of Medicine and Palliative Care (JOMPAC) is an open access scientific journal with independent, unbiased, and double-blind review under international guidelines. The purpose of JOMPAC is to contribute to the literature by publishing articles on health sciences and medicine.

eISSN: 2717-7505
Creative Commons CC BY-NC-ND 4.0 International License.
EndNote Style

Submit Manuscript

Index
Original Article
Knowledge levels of graduate and trainee dentists on antibiotic use in endodontics
Abstract
Aims: The aim of this study was to compare and evaluate the level of knowledge of dentists and dental students about the rational use of antibiotics (RUA), their clinical approaches when prescribing antibiotics, and student and graduate dentists. Rational use of medicines means that patients take their medicines according to their clinical needs, in appropriate doses, for sufficient time, and at the lowest cost to themselves and society. The RUA is very important in the treatment and prevention of bacterial infections.
Methods: The questionnaire, which was prepared on Google Forms for all graduate and trainee dentists in Turkey that we could reach and included questions about RUA and antibiotic use in dentists, was distributed to approximately 400 people, and 331 people returned the questionnaire.
Results: Of the respondents, 52.3% were dental students, and the remaining 47.7% were dental graduates. 94.8% of the participants reported that they received information about RUA from the faculty, followed by scientific publications, the internet and social media, the Ministry of Health, relatives, spouses, and friends, professional associations, and newspapers. The majority of participants, 303 people, answered the question, ‘Can inappropriate use of antibiotics increase antimicrobial resistance? The majority of participants answered yes, while the remaining 18 answered no. The majority of participants, 62.1%, thought that antibiotics were prescribed more than necessary. Only 35% of participants (110 people) correctly answered the question about antibiotics that are not suitable for use during pregnancy and breastfeeding.
Conclusion: According to the results of our study, dentists have an important role to play in ensuring the RUA. Dentists should be regularly trained with updated curricula.

Keywords : Rational antibiotic use, dentistry, dental trainees

Download Article


1. World Health Organization. The rational use of drugs Report ofthe Conference of Experts Nairobi, 1985. Geneva: World HealthOrganization; 1987, p. 321.
2. Akıcı A. Basic principles of rational drug use and antibioticsAntibiyotikler ve Klinik Kullanımlar Dergisi. 2012;1:1-13.
3. Niederman MS. Principles of appropriate antibiotic use. Int JAntimicrob Agents. 2005;26(Suppl 3):S170-175.
4. Büyüker SM. Evaluation of knowledge, attitude, and practices ofmidwifery department students of the faculty of health sciencesabout rational antibiotic use. JAMER. 2020;5(2):11-16.
5. World Health Organization, Antimicrobial Resistance GlobalReport on Surveillance, Switzerland, 2014.
6. World Health Organization. Prioritization of pathogens to guidediscovery, research, and development of new antibiotics for drug-resistant bacterial infections, including tuberculosis, Geneva,2017.
7. Laxminarayan R, Heymann DL. Challenges of drug resistance inthe developing world. BMJ. 2012;344:e1567.
8. Kandemir S., Ergül N. Grievances in cases using antibiotics dueto orodental problems and assessment of the need for antibiotics.Int Dent J. 2000;50(2):73-77.
9. Karabay O., Hosoglu S. Increased antimicrobial consumptionfollowing reimbursement reform in Turkey. J AntimicrobChemother. 2008;61(5):1169-1171.
10. Versporten A, Bolokhovets G, Ghazaryan L, et al. Antibioticuse in eastern Europe: a cross-national database study incoordination with the WHO Regional Office for Europe. LancetInfect Dis. 2014;14(5):381-387.
11. Marra F, George D, Chong M, Sutherland S, and Patrick DMAntibiotic prescribing by dentists has increased. Why? J Am DentAssoc. 2016;147:320-327.
12. Doherty R. In the news: antibiotic resistance. Br Dent J. 2014;216:56.
13. Fluent MT, Jacobsen PL, Hicks LA, and Osap T. Considerationsfor responsible antibiotic use in dentistry. J Am Dent Assoc.2016;147:683-686.
14. Bahrani-Mougeot FK, Paster BJ, Coleman S, Ashar J, Barbuto S,Lockhart PB. Diverse and novel oral bacterial species in the bloodfollowing dental procedures. J Clin Microbiol. 2008; 46(6):2129-2132.
15. Longman LP, Preston AJ, Martin MV, Wilson NH. Endodonticsin the adult patient: the role of antibiotics. J Dent. 2000;28(8):539-548.
16. Matthews DC, Tabesh M. Detection of localized tooth-relatedfactors that predispose to periodontal infections. Periodontol2000. 2004;34:136-150.
17. Chow AW. Infections of the oral cavity, neck, and head. In:Bennet JE, Dolin R, Blaser MJ, eds. Principles and Practice ofInfectious Diseases. 8th ed. Philadelphia: Elsevier, Saunders; 2015.p. 789-805.
18. Anderson R, Calder L, and Thomas DW. Antibiotic prescribingfor dental conditions: general medical practitioners and dentistscompared. Br Dent J. 2000;188(7):398-400.
19. Wilson WR, Gewitz M, Lockhart PB, et al. Prevention ofviridans group streptococcal infective endocarditis: a scientificstatement from the American Heart Association. Circulation.2021;143(20):e963-e978.
20. Roberts RM, Bartoces M, Thompson SE, and Hicks LA. Antibioticprescribing by general dentists in the United States, 2013. J AmDent Assoc. 2017;148:172-178.
21. Lockhart PB, Hanson NB, Ristic H, Menezes AR, Baddour L.Acceptance among and impact on dental practitioners andpatients of American Heart Association recommendations forantibiotic prophylaxis. J Am Dent Assoc. 2013;144:1030-1035.
22. Chopra R, Merali R, Paolinelis G, Kwok J. An audit ofantimicrobial prescribing in an acute dental care department.Prim Dent J. 2014; 3:24-29.
23. Aydn M, Koyuncuolu CZ, Klboz MM, Akıncı A. DişHekimliğinde akılcı antibiyotik kullanımı. Turkiye Klinikleri JDental Sci. 2017;23(1):33-47
24. Mazinska B., Hryniewicz W. Polish physicians’ attitudes towardsantibiotic prescription and antimicrobial resistance. Pol JMicrobiol. 2017;66:309-319.
25. Minen MT, Duquaine D, Marx MA, Weiss D. A survey of theknowledge, attitudes, and beliefs of medical students concerningantimicrobial use and resistance. Microbial Drug Resistance.2010;16:285-289.
26. Agnihotry A, Fedorowicz Z, Van Zuuren EJ, et al., Antibiotic usefor irreversible pulpitis. Cochrane Database Syst Rev. 2016;17:2.
27. DarOdeh NS, AbuHammad OA, Khraisat AS, El MaaytahMA, Shehabi A. An analysis of therapeutic adult antibioticprescriptions issued by dental practitioners in Jordan.Chemotherapy. 2008;54:17-22.
28. Durkin MJ, Hsueh K, Sallah YH, et al. An evaluation of dentalantibiotic prescribing practices in the United States. J Am DentAssoc. 2017;148:878-886.
29. Güngör A, Çuhacı Çakır B, Yalçın H, Çakır HT, Karauzun A.Çocuklarda antibiyotik kullanımı ile ilgili ebeveynlerin tutumve davranışlarının değerlendirilmesi. Türkiye Çocuk Hast Derg.2019;3:202-206.
30. Doshi A, Asawa K, Bhat N, et al. Knowledge and practices ofIndian dental students regarding the prescription of antibioticsand analgesics. Clujul Medical (1957). 2017;90(4):431-437.
Article available in :
Volume 4, Issue 5, 2023
Page : 547-554
https://doi.org/10.47582/jompac.1357295
Article Information
Received : 08 Sep 2023
Accepted : 07 Oct 2023
Published : 27 Oct 2023
Corresponding Author :

Celalettin Topbaş: Department of Endodontics, Hamidiye Faculty of Dentistry, University of Health Sciences, İstanbul, Turkey

[email protected]
Citation : Topbaş C, Keskin Tunç S, Güdücüoğlu H. Knowledge levels of graduate and trainee dentists on antibiotic use in endodontics. J Med Palliat Care. 2023;4(5):547-554.

Read: 131
Cited: 0
Download : 85
_Footer