Evidence map›Paper›PMID 34815483›Full record

ArticleBritish dental journal2021

'You had to do something': prescribing antibiotics in Scotland during the COVID-19 pandemic restrictions and remobilisation.

Eilidh M Duncan, Beatriz Goulao, Janet Clarkson, Linda Young, Craig R Ramsay

Erratum issuedAbstract read
In one paragraph

Article in British dental journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
–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

15 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  7. How decisions are made: Antibiotic stewardship in dentistry.Infection control and hospital epidemiology · 2023
    Article
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  9. Antibiotics in Dentistry: A Narrative Review of the Evidence beyond the Myth.International journal of environmental research and public health · 2023
    Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Eilidh M DuncanHealth Services Research Unit, Institute of Applied Health Sciences, University of Aberdeen, Aberdeen, UK. e.duncan@abdn.ac.uk.
Beatriz GoulaoHealth Services Research Unit, Institute of Applied Health Sciences, University of Aberdeen, Aberdeen, UK.
Janet ClarksonNHS Education for Scotland, Edinburgh, UK; Dental Health Services Research Unit, School of Dentistry, University of Dundee, Dundee, UK.
Linda YoungNHS Education for Scotland, Edinburgh, UK.
Craig R RamsayHealth Services Research Unit, Institute of Applied Health Sciences, University of Aberdeen, Aberdeen, UK.

Funding

Chief Scientist Office HSRU2
6 · The paper itself

Abstract

Introduction The COVID-19 pandemic brought about seismic change for dentistry including the direction to provide remote advice and prescribe analgesia and antimicrobials. The possibilities for care have widened, but the impact of both restrictions and remobilisation on antibiotic prescribing is not known.Aims To report the impact of COVID-19 restrictions and remobilisation on dental antibiotic prescriptions and explore dentists' intentions and attitudes towards antibiotic prescribing.Design and setting Public Health Scotland national prescribing and claims data are reported alongside an online survey of Scottish general and public health service dentists including closed and open-ended questions.Results Antibiotic prescribing rose by 49% following the suspension of routine dental care, to a peak of 34,993 antibiotics (July 2020). The data also show that since the remobilisation of NHS dental care, antibiotic prescribing remains raised at levels around 28% higher than pre-pandemic. The survey highlights dentists' frustrations and concerns about this increased use of antibiotics. Most dentists intend to reduce their prescribing; however, significant challenges to this being realised were raised.Conclusions The previous success within dentistry to protect against the development of antimicrobial resistance has suffered a knock-back during the pandemic. A renewed focus on reducing unnecessary antibiotics within dentistry is required but, crucially, needs to be approached sensitively alongside the current backdrop of challenges within the service.

Identifiers

PMID34815483
PMCPMC8609985

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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.