Evidence map›Paper›PMID 31376156›Full record

ArticleInternational dental journal2019

Antimicrobial prescribing by Belgian dentists in ambulatory care, from 2010 to 2016.

Thomas Struyf, Eline Vandael, Roos Leroy, Karl Mertens, Boudewijn Catry

Open access · greenAbstract read
In one paragraph

Article in International dental journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
1.5field-weighted citation impact, top 17% 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

16 citing papers in PubMed, 19 citations in OpenAlex.

  1. Article
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  4. Stewardship of Antibiotics Prescribing in Belgian Dental Practice: A National Survey.International journal of environmental research and public health · 2026
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  7. Antibiotic consumption patterns in older adults: a comparative study of people 65 years and older in and outside nursing homes, Belgium, 2016 to 2022.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2024
    Article
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  15. Article
  16. COVID-19: Present and Future Challenges for Dental Practice.International journal of environmental research and public health · 2020
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

Thomas StruyfDepartment of Public Health and Primary Care, KU Leuven, Leuven, Belgium.ORCID https://orcid.org/0000-0002-7261-7398
Eline VandaelSciensano, Healthcare-associated Infections & Antimicrobial Resistance, Brussels, Belgium.
Roos LeroyBelgian Health Care Knowledge Centre (KCE), Brussels, Belgium.
Karl MertensSciensano, Healthcare-associated Infections & Antimicrobial Resistance, Brussels, Belgium.
Boudewijn CatrySciensano, Healthcare-associated Infections & Antimicrobial Resistance, Brussels, Belgium.
Sciensano (Belgium) · BEBelgian Health Care Knowledge Centre (KCE) · BEUniversité Libre de Bruxelles · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo describe antimicrobial prescribing by Belgian dentists in ambulatory care, from 2010 until 2016. MATERIALS AND

methodsReimbursement data from the Belgian National Institute for Health and Disability Insurance were analysed to evaluate antimicrobial prescribing (WHO ATC-codes J01/P01AB). Utilisation was expressed in defined daily doses (DDDs), and in DDDs and packages per 1000 inhabitants per day (DID and PID, respectively). Additionally, the number of DDD and packages per prescriber was calculated.

resultsIn 2016, the dentistry-related prescribing rate of 'Antibacterials for systemic use' (J01) and 'Antiprotozoals' (P01AB) was 1.607 and 0.014 DID, respectively. From 2010 to 2016, the DID rate of J01 increased by 6.3%, while the PID rate declined by 6.7%. Amoxicillin and amoxicillin with an enzyme inhibitor were the most often prescribed products, followed by clindamycin, clarithromycin, doxycycline, azithromycin and metronidazole. The proportion of amoxicillin relative to amoxicillin with an enzyme inhibitor was low. The narrow-spectrum antibiotic penicillin V was almost never prescribed.

conclusionsAntibiotics typically classified as broad- or extended-spectrum were prescribed most often by Belgian dentists during the period 2000-2016. Although the DID rate of all 'Antibacterials for systemic use' (J01) increased over the years, the number of prescriptions per dentist decreased since 2013. The high prescription level of amoxicillin with an enzyme inhibitor is particularly worrying. It indicates that there is a need for comprehensive clinical practice guidelines for Belgian dentists.

Indexed as

Anti-Infective AgentsAmbulatory CareAnti-Bacterial AgentsBelgiumDentistsHumansAnti-Bacterial AgentsAnti-Infective AgentsAntibioticsantimicrobial utilisationconsumptiondentistryodontogenic infection

Identifiers

PMID31376156
PMCPMC9379087
OpenAlexW2965060991

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.