Evidence map›Paper›PMID 40064619›Full record

ArticleCommunity dentistry and oral epidemiology2025

Impact of the COVID-19 Pandemic on Antibiotic Prescribing by Dental Practitioners Across the United Kingdom's Four Countries: A Pharmacoepidemiological Study of Population-Level Dispensing Data, 2016-2023.

Jonathan Bowman-Newmark, Amin Vahdati, Anup Karki, Linda Young, Gerry Cleary, Wendy Thompson

Abstract read
In one paragraph

Article in Community dentistry and oral epidemiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
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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

6 authors.

Jonathan Bowman-NewmarkInstitute of Education in Healthcare and Medical Sciences, University of Aberdeen, Aberdeen, UK.ORCID 0000-0001-8322-3223
Amin VahdatiCentre for Biostatistics, University of Manchester, Manchester, UK.ORCID 0000-0002-3736-2561
Anup KarkiPrimary Care Division, Public Health Wales, Cardiff, UK.
Linda YoungDundee Dental Education Centre, NHS Education for Scotland, Dundee, UK.ORCID 0000-0002-6004-3374
Gerry ClearyStrategic Planning and Performance Group, Department of Health, Derry, UK.
Wendy ThompsonDivision of Dentistry, University of Manchester, Manchester, UK.ORCID 0000-0001-6799-4087

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo evaluate and compare the rates of antibiotic prescribing by dental practitioners across the constituent countries of the United Kingdom between March 2020 and August 2023 and to estimate the total 'excess' prescribing that occurred during this interval beyond the rates predicted based upon trends between March 2016 and February 2020.

methodsRetrospective pharmacoepidemiological study of dental practitioners' antibiotic prescribing, by secondary analysis of population-level National Health Service dispensing data from England, Scotland, Wales and Health and Social Care dispensing data from Northern Ireland.

resultsEffective August 2023, the antibiotic items dispensed rate for each country remained in excess of that predicted based upon pre-pandemic trends. Between March 2020 and August 2023, those rates were 175.6, 227.2, 195.0 and 321.8 antibiotic items per 1000 population for England, Scotland, Wales and Northern Ireland, respectively. Those represented estimated total 'excesses' of 27.7% (95% confidence limit [CL], 14.8, 43.7), 43.3% (95% CL, 29.9, 60.0), 33.2% (95% CL, 20.4, 49.0) and 42.9% (95% CL, 27.6, 62.3). Pairwise comparisons showed statistically significant differences between England and Scotland, England and Northern Ireland, and Wales and Northern Ireland (p < 0.001), Scotland and Wales (p = 0.001), and Scotland and Northern Ireland (p = 0.009). There was no statistically significant difference between England and Wales.

conclusionsWith shared prescribing guidelines and a single professional regulatory framework, it was unsurprising that similar antibiotic prescribing trends were found across the United Kingdom. Further research is required to investigate the reasons for the differences.

Indexed as

Anti-Bacterial AgentsCOVID-19Drug PrescriptionsPractice Patterns, Dentists'HumansNorthern IrelandPandemicsPharmacoepidemiologyRetrospective StudiesSARS-CoV-2United KingdomAnti-Bacterial Agentsantibiotic prescribingantimicrobial stewardshipCOVID‐19dentistryhealth services researchpharmacoepidemiological study

Identifiers

PMID40064619
PMCPMC12238736

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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.