Evidence map›Paper›PMID 37553682›Full record

ArticleInfection control and hospital epidemiology2023

How decisions are made: Antibiotic stewardship in dentistry.

Erika G Schneider-Smith, Katie J Suda, Daphne Lew, Susan Rowan, Danny Hanna, Tracey Bach, Neel Shimpi, Randi E Foraker, Michael J Durkin

Abstract read
In one paragraph

Article in Infection control and hospital epidemiology, 2023. 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.

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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

9 authors.

Erika G Schneider-SmithDivision of Medical Education, Washington University School of Medicine, St. Louis, Missouri.
Katie J SudaCenter for Health Equity Research and Promotion, VA Pittsburgh Healthcare System and the University of Pittsburgh, School of Medicine, Division of General Internal Medicine, Pittsburgh, Pennsylvania.
Daphne LewDivision of Biostatistics, Washington University School of Medicine, St. Louis, Missouri.ORCID 0000-0001-5433-2367
Susan RowanDivision of General Dentistry, University of Illinois College of Dentistry, Chicago, Illinois.
Danny HannaDivision of General Dentistry, University of Illinois College of Dentistry, Chicago, Illinois.
Tracey BachDivision of Infectious Diseases, Washington University School of Medicine, St. Louis, Missouri.
Neel ShimpiCenter for Clinical Epidemiology and Population Health, Marshfield Clinic Research Institute, Marshfield, Wisconsin.
Randi E ForakerDivision of General Medical Sciences, Washington University School of Medicine, St. Louis, Missouri.
Michael J DurkinDivision of Infectious Diseases, Washington University School of Medicine, St. Louis, Missouri.ORCID 0000-0003-4652-7089

Funding

The National Dental PBRN - Administrative CoreU19DE028717 · NIDCR · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI GILBERT, GREGG H · 2019 to 2025
$23.5M
NDPBRN Opioid SurveyU01DE028727 · NIDCR · KAISER FOUNDATION RESEARCH INSTITUTE · PI CARMIT Kurn MCMULLEN · 2019 to 2026
$16.0M
Using Implementation Science and Informatics to Develop and Pilot Test Antibiotic Stewardship Clinical Decision SupportK23DE029514 · NIDCR · WASHINGTON UNIVERSITY · PI DURKIN, MICHAEL JOSEPH · 2021 to 2025
$632k
Implementation of a Shared Decision-Making Aid for Reducing Stigma against Drug Use and HIV Harm Reduction in a Rural SettingR21DA053710 · NIDA · WASHINGTON UNIVERSITY · PI DURKIN, MICHAEL JOSEPH · 2021 to 2022
$433k
NIDA NIH HHS R21 DA053710NIDCR NIH HHS K23 DE029514NIDCR NIH HHS L30 DE031146NIDCR NIH HHS U01 DE028727NIDCR NIH HHS U19 DE028717
6 · The paper itself

Abstract

backgroundWe performed a preimplementation assessment of workflows, resources, needs, and antibiotic prescribing practices of trainees and practicing dentists to inform the development of an antibiotic-stewardship clinical decision-support tool (CDST) for dentists.

methodsWe used a technology implementation framework to conduct the preimplementation assessment via surveys and focus groups of students, residents, and faculty members. Using Likert scales, the survey assessed baseline knowledge and confidence in dental providers' antibiotic prescribing. The focus groups gathered information on existing workflows, resources, and needs for end users for our CDST.

resultsOf 355 dental providers recruited to take the survey, 213 (60%) responded: 151 students, 27 residents, and 35 faculty. The average confidence in antibiotic prescribing decisions was 3.2 ± 1.0 on a scale of 1 to 5 (ie, moderate). Dental students were less confident about prescribing antibiotics than residents and faculty (

conclusionsDentists' confidence in antibiotic prescribing increased by training level, but knowledge did not. Trainees and practicing dentists would benefit from a CDST to improve appropriateness of antibiotic prescribing.

Indexed as

Antimicrobial StewardshipDecision Support Systems, ClinicalAnti-Bacterial AgentsDentistryDentistsHumansAnti-Bacterial Agents

Identifiers

PMID37553682
PMCPMC10782556

What OpenQuestion holds

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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.