ArticleAntimicrobial resistance and infection control2023
Magnitude and determinants of inappropriate prescribing of antibiotics in dentistry: a nation-wide study.
Article in Antimicrobial resistance and infection control, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.
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Who cites it
24 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Systemic antibiotics for symptomatic apical periodontitis and acute apical abscess in adults.The Cochrane database of systematic reviews · 2024Pooled it
- Knowledge, Attitudes, and Practices of Antibiotic Prescribing Among Arab Dental Students: A Cross-Sectional Study.International dental journal · 2026Article
- Antibiotic Prescribing in Dental Practice: A Cross-sectional Survey in Trinidad and Tobago.International dental journal · 2026Article
- Article
- Antibiotic Prescribing Patterns for Pulpitis in Pediatric Dentistry: A Systematic Review and Meta-Analysis.Antibiotics (Basel, Switzerland) · 2026Review
- Evaluation of Knowledge and Performance of General Dentists in Shiraz, Iran, Regarding Antibiotic Prescription in Endodontic Treatments (2024).Journal of dentistry (Shiraz, Iran) · 2026Article
- Antibiotic Prescribing Practices for Apical Periodontitis and Acute Periapical Abscess in Children: A Systematic Review and Meta-Analysis.Journal of clinical medicine · 2026Review
- Prevalence and Predictors of Inappropriate Antibiotic Prescriptions Among Dentists in Muscat Governorate, Oman.Sultan Qaboos University medical journal · 2026Article
- From prescription to resistance: integrating one health perspectives into dental antibiotic stewardship in Saudi Arabia.Frontiers in cellular and infection microbiology · 2026Article
- Over-Prescription of Antibiotics for Pulpitis: A Systematic Review and Meta-Analysis of Cross-Sectional Surveys.Antibiotics (Basel, Switzerland) · 2025Review
- A Cross-Sectional Survey of Dentists on Antibiotic Prescribing and Allergy Management in Oral Surgery.Oral health & preventive dentistry · 2025Article
- Antibiotic Resistance in Dentistry: A Review.Antibiotics (Basel, Switzerland) · 2025Review
- Antibiotic prophylaxis in dental implant surgery - A qualitative study on the attitudes and routines of Swedish dentists.BMC oral health · 2025Article
- Understanding dentists' antibiotic prescribing behaviour in Spain: a focus group study.JAC-antimicrobial resistance · 2025Article
- Factors influencing inappropriate antibiotic prescription in respiratory tract infections in general practice.Scientific reports · 2025Article
- A Comprehensive Review of Antibiotic Resistance in the Oral Microbiota: Mechanisms, Drivers, and Emerging Therapeutic Strategies.Antibiotics (Basel, Switzerland) · 2025Review
- Use of antibiotic prophylaxis in conjunction with dental implant surgery in Sweden- A cross-sectional study.BMC oral health · 2025Observational
- Knowledge, Attitude, and Practice Regarding Antibiotic Prescription Among Dentists in Saudi Arabia-A Cross-Sectional Survey.Healthcare (Basel, Switzerland) · 2025Article
- Insights Into Antimicrobial Resistance From Dental Students in the Asia-Pacific Region.International dental journal · 2025Article
- Veterinarians' attitudes, knowledge, and practices about antibiotic use in animals: questionnaire design and reliability.Frontiers in veterinary science · 2025Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDentist play an important role in misuse of antibiotics. Identification of the dental activities linked to the misuse of antibiotics is important for improving dentists' prescribing quality. The aim of the study was to quantify the magnitude of inappropriate antibiotic prescribing by dentists in Spain and identify the characteristics, knowledge and attitudes that influence prescribing quality. MATERIAL AND
methodsWe conducted a cross-sectional, questionnaire-based study on dentists in Spain, assessing prescribing quality (dependent variable) on the basis of their responses about the prescription of antibiotics in 14 clinical situations. As the independent variables, we assessed professional characteristics and attitudes (lack of knowledge, fear, complacency, scheduling problems, and economic benefit) measured on a Likert scale. Odds Ratios (OR) (95%CI) were calculated using logistic regression.
resultsA total of 878 participants were included in the analysis. Half of all dentists displayed inappropriate antibiotic prescribing habits in more than 28.6% (10/14) of the clinical situations posed (interquartile range 57-79%). Prescribing quality increased when resistance was perceived as a public health problem (OR 0.88, 95% CI: 0.79-0.97), and decreased in response to fear (OR 1.12, 95% CI:1.07-1.18) or the pursuit of economic benefit (OR 1.07, 95% CI 1.01-1.14). Having over 30 years' experience (OR 4.58, 95% CI:1.80-12.48) and/or practising in the field of prosthodontics as opposed to endodontics (OR 2.65, 95% CI:1.26-5.71) were associated with worse prescribing quality.
conclusionsAntibiotics are the most commonly prescribed drugs in dentistry, and in many cases this prescription is inappropriate. Our findings shows that modifiable factors influence prescribing quality among dentists in Spain. These may be use for designing educational and training programmes for dentists.
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