Evidence map›Paper›PMID 39370344›Full record

ArticleInternational dental journal2025

Insights Into Antimicrobial Resistance From Dental Students in the Asia-Pacific Region.

Saba Ghafoor, Gabriela Salvadori, Shiho Kino, Vy Thi Nhat Nguyen, Tam Thi-Thanh Nguyen, Miho Ishimaru, Antônio Pedro Ricomini-Filho, Cassiano Kuchenbecker Rösing, Dileep De Silva, Jun Aida and 3 more

Abstract read
In one paragraph

Article in International dental journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 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

13 authors.

Saba GhafoorInstitute of Oral Biology, Faculty of Dentistry, University of Oslo, Oslo, Norway.
Gabriela SalvadoriInstitute of Oral Biology, Faculty of Dentistry, University of Oslo, Oslo, Norway.
Shiho KinoDepartment of Oral Health Promotion, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan.
Vy Thi Nhat NguyenFaculty of Odonto-Stomatology, Hue University of Medicine and Pharmacy, Hue University, Hue, Vietnam.
Tam Thi-Thanh NguyenFaculty of Odonto-Stomatology, The University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam.
Miho IshimaruThe Institute of Education, Tokyo Medical and Dental University, Tokyo, Japan.
Antônio Pedro Ricomini-FilhoPiracicaba Dental School, University of Campinas, Piracicaba, Brazil.
Cassiano Kuchenbecker RösingFaculty of Dentistry, Federal University of Rio Grande do Sul, Porto Alegre, Brazil.
Dileep De SilvaFaculty of Dental Sciences, University of Peradeniya, Peradeniya, Sri Lanka.
Jun AidaDepartment of Oral Health Promotion, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan.
Belinda Farias NicolauFaculty of Dental Medicine and Oral Health Sciences, McGill University, Montreal, Québec, Canada.
Ratilal LallooThe University of Queensland, School of Dentistry, Brisbane, Australia.
Roger JungesInstitute of Oral Biology, Faculty of Dentistry, University of Oslo, Oslo, Norway. Electronic address: roger.junges@odont.uio.no.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDentists, as prominent prescribers, are key stakeholders in addressing the antimicrobial resistance (AMR) crisis. Dental students' perceptions about the topic have been underexplored in the Asia-Pacific region, a key location for the development and spread of AMR. Thus, the aim of this study was to evaluate the awareness and confidence to prescribe antimicrobials amongst dental students studying in the region.

methodsStudents from 15 dental schools in 4 countries were invited to participate in a cross-sectional online survey during 2022-2023. A previously validated and standardised 14-item instrument was utilised.

resultsIn all, 1413 responses were collected from Australia (n = 165), Sri Lanka (n = 112), Japan (n = 173), and Vietnam (n = 963). Of those, 201 were from final-year students (14.2%). On a scale from 1 to 10, awareness on AMR was placed at a mean (SEM) priority of 8.09 (0.05). With regards to target areas to address for mitigation of the AMR crisis, participants placed general public awareness at the top (mean [SEM] 8.53 [0.05]). Final-year students presented a mean (SEM) level of confidence to prescribe antibiotics of 6.01 (0.14) on a scale from 1 to 10, whilst 59.7% and 56.8% indicated feeling pressured to prescribe by patients or when lacking time, respectively. Final-year students participating in research activities assigned a higher priority to AMR compared to their peers not involved in research (mean [SEM] 8.6 [0.19] vs 7.81 [0.16]; P = .01).

conclusionsThis study highlights a need for increased awareness and confidence to prescribe amongst dental students in the Asia-Pacific region, an understudied population thus far. To mitigate this issue, the implementation (followed by assessment) of local educational and antibiotic stewardship initiatives is warranted.

Indexed as

Drug Resistance, MicrobialHealth Knowledge, Attitudes, PracticeStudents, DentalAdultAnti-Bacterial AgentsAustraliaCross-Sectional StudiesFemaleHumansJapanMaleSri LankaSurveys and QuestionnairesVietnamYoung AdultAnti-Bacterial AgentsAntimicrobial resistanceAntimicrobial stewardshipDental educationDrug prescriptionsMicrobiologyOne Health

Identifiers

PMID39370344
PMCPMC11806321

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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.