ArticleAntibiotics (Basel, Switzerland)2020
Clinician and Patient Factors Influencing Treatment Decisions: Ethnographic Study of Antibiotic Prescribing and Operative Procedures in Out-of-Hours and General Dental Practices.
Article in Antibiotics (Basel, Switzerland), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 3 of them syntheses that pooled 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.
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.
Who cites it
24 citing papers in PubMed, 3 syntheses or guidelines pooled it, 34 citations in OpenAlex.
- Decision-making regarding dental treatments - What factors matter from patients' perspective? A systematic review.BMC oral health · 2025Pooled it
- A Systematic Review of Dental Antibiotic Stewardship Interventions.Community dentistry and oral epidemiology · 2025Pooled it
- Synthesizing evidence to guide the design and implementation of effective strategies for discontinuing postoperative antibiotic prophylaxis in surgical settings: an umbrella review post-WHO 2018 recommendations.Systematic reviews · 2025Pooled it
- Article
- De-Implementing Low-Value Care in Dentistry: The Case for Choosing Wisely Campaigns.Community dentistry and oral epidemiology · 2026Article
- Evaluation of factors influencing parental treatment preferences for first permanent molars requiring endodontic retreatment in adolescents.BMC oral health · 2026Article
- Reducing inappropriate antibiotic prescribing behaviour among dental practitioners in a south Indian City through an educational intervention- a mixed methods feasibility study.BMC public health · 2026Article
- Antimicrobial resistance and stewardship in a dental curriculum in South Africa: a single-site curriculum mapping study.BMC medical education · 2025Article
- Understanding dentists' antibiotic prescribing behaviour in Spain: a focus group study.JAC-antimicrobial resistance · 2025Article
- Dentists' Awareness of Antibiotic Stewardship and Their Willingness to Support Its Implementation: A Cross-Sectional Survey in a Dental School.Journal of evaluation in clinical practice · 2025Article
- Barriers and facilitators to guideline concordant dental antibiotic prescribing in the United States: A qualitative study of the National Dental PBRN.Journal of public health dentistry · 2024Article
- Dental antimicrobial stewardship: a qualitative study of perspectives among Canadian dentistry sector leaders and experts in antimicrobial stewardship.JAC-antimicrobial resistance · 2024Article
- The burden of acute eye conditions on different healthcare providers: a retrospective population-based study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2024Article
- Fully Characterized Effective Bacteriophages Specific against Antibiotic-ResistantMedicina (Kaunas, Lithuania) · 2024Article
- Magnitude and determinants of inappropriate prescribing of antibiotics in dentistry: a nation-wide study.Antimicrobial resistance and infection control · 2023Article
- Exploring the Use of Antibiotics for Dental Patients in a Middle-Income Country: Interviews with Clinicians in Two Ghanaian Hospitals.Antibiotics (Basel, Switzerland) · 2022Article
- Private Practice Dentists Improve Antibiotic Use After Dental Antibiotic Stewardship Education From Infectious Diseases Experts.Open forum infectious diseases · 2022Article
- Tackling antimicrobial resistance in practice: dental students' evaluation of university teaching supplemented by an online course.JAC-antimicrobial resistance · 2022Article
- Tackling Antibiotic Resistance: Why Dentistry Matters.International dental journal · 2021Article
- 'You had to do something': prescribing antibiotics in Scotland during the COVID-19 pandemic restrictions and remobilisation.British dental journal · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 2 institutions in 1 country.
Funding
Abstract
Operative treatment is indicated for most toothache/dental abscesses, yet antibiotics instead of procedures are often prescribed. This ethnographic study aimed to identify clinician and patient factors influencing urgent dental care for adults during actual appointments; and to identify elements sensitive to context. Appointments were observed in out-of-hours and general dental practices. Follow-up interviews took place with dentists, dental nurses, and patients. Dentist and patient factors were identified through thematic analysis of observation records and appointment/interview transcripts. Dentist factors were based on a published list of factors influencing antibiotic prescribing for adults with acute conditions across primary health care and presented within the Capability-Opportunity-Motivation-Behaviour model. Contextually sensitive elements were revealed by comparing the factors between settings. In total, thirty-one dentist factors and nineteen patient factors were identified. Beliefs about antibiotics, goals for the appointment and access to dental services were important for both dentists and patients. Dentist factors included beliefs about the lifetime impact of urgent dental procedures on patients. Patient factors included their communication and negotiation skills. Contextual elements included dentists' concerns about inflicting pain on regular patients in general dental practice; and patients' difficulties accessing care to complete temporary treatment provided out of hours. This improved understanding of factors influencing shared decisions about treatments presents significant opportunity for new, evidence-based, contextually sensitive antibiotic stewardship interventions.
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What OpenQuestion holds
Registered trials
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.