Evidence map›Paper›PMID 34439037›Full record

ArticleAntibiotics (Basel, Switzerland)2021

Factors, Perceptions and Beliefs Associated with Inappropriate Antibiotic Prescribing in German Primary Dental Care: A Qualitative Study.

Femke Böhmer, Anne Hornung, Ulrike Burmeister, Anna Köchling, Attila Altiner, Hermann Lang, Christin Löffler

Abstract read
In one paragraph

Article in Antibiotics (Basel, Switzerland), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–field-weighted citation impact
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

13 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Antibiotic Resistance in Dentistry: A Review.Antibiotics (Basel, Switzerland) · 2025
    Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. A qualitative approach to examining antimicrobial prescribing in the outpatient dental setting.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2022
    Article
  13. 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

7 authors.

Femke BöhmerInstitute of General Practice, Rostock University Medical Center, 18057 Rostock, Germany.
Anne HornungRostock University Library, Rostock University Medical Center, 18059 Rostock, Germany.ORCID 0000-0002-2261-9643
Ulrike BurmeisterDepartment of Operative Dentistry and Periodontology, Rostock University Medical Center, 18057 Rostock, Germany.
Anna KöchlingClinic for Psychosomatic Medicine and Psychotherapy, Rostock University Medical Center, 18147 Rostock, Germany.
Attila AltinerInstitute of General Practice, Rostock University Medical Center, 18057 Rostock, Germany.
Hermann LangDepartment of Operative Dentistry and Periodontology, Rostock University Medical Center, 18057 Rostock, Germany.
Christin LöfflerInstitute of General Practice, Rostock University Medical Center, 18057 Rostock, Germany.ORCID 0000-0001-5763-7588

Funding

Bundesministerium für Gesundheit Infekt-12
6 · The paper itself

Abstract

Dentists account for up to 10% of all prescribed antibiotics in primary care, with up to 80% being inappropriate. Targeted approaches to change prescription behavior are scarce. This study aimed at identifying specific barriers and facilitators for prudent antibiotic use in German dentistry by using qualitative methods. Nine in-depth interviews and two focus group discussions with another nine dentists were conducted and analyzed thematically. Dentists described being conflicted by the discordance of available treatment time and the necessity of thorough therapy. Lacking the opportunity of follow-up led to uncertainty. Dentists felt a lack of medical competency concerning prophylaxis for infectious endocarditis. A lack of empowerment to make therapeutic decisions interfered with guideline-conformity. The communication with fellow physicians is conflictual and improvement was wished for. In consequence, dentists felt pressure by potential medico-legal liability. Patients demanding quick and easy pain relief put extra strain on the interviewed dentists. Our hypotheses concord with preliminary data, mainly from the UK, but highlighted specifically medico-legal concerns and interprofessional communication as even greater barriers as described before. Tailored interventional concepts based on our findings may have the potential to lower antibiotic prescriptions in German primary dental care.

Indexed as

anti-bacterial agentsantimicrobial resistancedentistryinappropriate prescribingqualitative research

Identifiers

PMID34439037
PMCPMC8389002

What OpenQuestion holds

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Registered trials

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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.