Evidence map›Paper›PMID 27388087›Full record

ArticleBritish dental journal2016

Antimicrobial prescribing by dentists in Wales, UK: findings of the first cycle of a clinical audit.

A L Cope, E Barnes, E P Howells, A M Rockey, A J Karki, M J Wilson, M A O Lewis, J G Cowpe

Abstract read
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In one paragraph

Article in British dental journal, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
4.1field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 37 citations in OpenAlex.

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  13. Antibiotic and Analgesic Prescription Patterns among Dentists or Management of Dental Pain and Infection during Endodontic Treatment.Medical principles and practice : international journal of the Kuwait University, Health Science Centre · 2018
    Article
  14. An evaluation of dental antibiotic prescribing practices in the United States.Journal of the American Dental Association (1939) · 2017
    Article
  15. Article
  16. Antibiotic prescribing by general dentists in the United States, 2013.Journal of the American Dental Association (1939) · 2017
    Article
  17. Pressure to prescribe antimicrobials.British dental journal · 2016
    Article
  18. Article
  19. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 6 institutions in 2 countries.

A L CopeDental Public Health, Cardiff and Vale University Health Board.
E BarnesCardiff Unit for Research and Evaluation in Medical and Dental Education (CUREMeDE), School of Social Sciences, Cardiff University, 12 Museum Place, Cardiff, CF10 3BG.
E P HowellsHealth and Social Services Group, Welsh Government, Cathays Park, Cardiff, CF10 3NQ.
A M RockeyPostgraduate Dental Education, Wales Deanery, 8th Floor, Neuadd Meirionnydd, Heath Park, CF14 4YS.
A J KarkiWales Deanery, 8th Floor, Neuadd Meirionnydd, Heath Park, CF14 4YS.
M J WilsonDental Public Health, Public Health Wales, Dental Public Health, Public Health Wales, Temple of Peace and Health, Cardiff, CF10 3NW;
M A O LewisOral Medicine School of Dentistry; Cardiff University, University Dental Hospital, Heath Park, Cardiff, CF14 4XY.
J G CowpeOral Medicine School of Dentistry; Cardiff University, University Dental Hospital, Heath Park, Cardiff, CF14 4XY.
University Dental Hospital on Cardiff University · GBCardiff and Vale University Health Board · GBCardiff University · GBPublic Health Wales · GBWelsh Government · GBWest Midlands Deanery · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective To describe the findings of the first cycle of a clinical audit of antimicrobial use by general dental practitioners (GDPs).Setting General dental practices in Wales, UK.Subjects and methods Between April 2012 and March 2015, 279 GDPs completed the audit. Anonymous information about patients prescribed antimicrobials was recorded. Clinical information about the presentation and management of patients was compared to clinical guidelines published by the Scottish Dental Clinical Effectiveness Programme (SDCEP).Results During the data collection period, 5,782 antimicrobials were prescribed in clinical encounters with 5,460 patients. Of these 95.3% were antibiotic preparations, 2.7% were antifungal agents, and 0.6% were antivirals. Of all patients prescribed antibiotics, only 37.2% had signs of spreading infection or systemic involvement recorded, and 31.2% received no dental treatment. In total, 79.2% of antibiotic, 69.4% of antifungal, and 57.6% of antiviral preparations met audit standards for dose, frequency, and duration. GDPs identified that failure of previous local measures, patient unwillingness or inability to receive treatment, patient demand, time pressures, and patients' medical history may influence their prescribing behaviours.Conclusions The findings of the audit indicate a need for interventions to support GDPs so that they may make sustainable improvements to their antimicrobial prescribing practices.

Indexed as

Anti-Bacterial AgentsClinical AuditDentistsPractice Patterns, Dentists'Anti-Infective AgentsHumansWalesAnti-Bacterial AgentsAnti-Infective Agents

Identifiers

PMID27388087
OpenAlexW2471158504

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.