Volume 16, Issue 8 (November 2022)
Qom Univ Med Sci J 2022, 16(8): 628-639 |
Back to browse issues page
Mohammad Mehdizadeh1 
, Yasamin Barakian2 , Sayedeh Zeinab Sadat Rasool3 , Abolfazl Mohammad Beigi4 , Mohammad Aligol * 5, Hamid Oureie6
, Yasamin Barakian2 , Sayedeh Zeinab Sadat Rasool3 , Abolfazl Mohammad Beigi4 , Mohammad Aligol * 5, Hamid Oureie6
1- Department of Oral, Maxillofacial Surgery, Dental and Oral Diseases Research Center, Faculty of Dentistry, Qom University of Medical Sciences, Qom, Iran.
2- Department of Oral, Maxillofacial Diseases, Faculty of Dentistry, Qom University of Medical Sciences, Qom, Iran.
3- Department of Oral, Maxillofacial Surgery, Faculty of Dentistry, Qom University of Medical Sciences, Qom, Iran.
4- Environmental Pollutants Research Center, Department of Epidemiology and Biostatistics, Faculty of Health, Qom University of Medical Sciences, Qom, Iran.
5- Department of Public Health, Faculty of Health, Qom University of Medical Sciences, Qom, Iran. ,aligol1389@gmail.com
6- Medicine Supervision Management, Qom University of Medical Sciences, Qom, Iran.
2- Department of Oral, Maxillofacial Diseases, Faculty of Dentistry, Qom University of Medical Sciences, Qom, Iran.
3- Department of Oral, Maxillofacial Surgery, Faculty of Dentistry, Qom University of Medical Sciences, Qom, Iran.
4- Environmental Pollutants Research Center, Department of Epidemiology and Biostatistics, Faculty of Health, Qom University of Medical Sciences, Qom, Iran.
5- Department of Public Health, Faculty of Health, Qom University of Medical Sciences, Qom, Iran. ,
6- Medicine Supervision Management, Qom University of Medical Sciences, Qom, Iran.
Abstract: (491 Views)
Background and Objectives: Irrational use of antibiotics is one of the concerns in dentistry due to causing antimicrobial resistance and imposing cost burden on the patients. This study aims to evaluate the effect of educational intervention on prescription of antibiotics by general dentists in Qom, Iran.
Methods: This study was conducted for three months on 134 general dentists in Qom province in two groups of intervention (n=67) and control (n=67). The intervention group participated in a seminar as a retraining course. Descriptive statistics including mean, standard deviation, percentage, and frequency were used to describe the data, and chi-square test was used to compare the two groups.
Results: The data of 22418 prescriptions containing antibiotics were evaluated. The mean number of prescriptions in the intervention group before and after retraining was 62.73 and 72.92, respectively (P= 0.043), indicating a significant increase after retraining. The mean number of prescriptions in the control group before and after retraining was 96.88 and 100.06, respectively but there was no significant difference (P= 0.57). There was no significant difference in the number of prescriptions between the two groups after retraining (P=0.09).
Conclusion: The educational intervention is relatively unsuccessful may be due to lack of motivation, lack of useful and effective teaching methods, and lack of participation in group discussions.
Methods: This study was conducted for three months on 134 general dentists in Qom province in two groups of intervention (n=67) and control (n=67). The intervention group participated in a seminar as a retraining course. Descriptive statistics including mean, standard deviation, percentage, and frequency were used to describe the data, and chi-square test was used to compare the two groups.
Results: The data of 22418 prescriptions containing antibiotics were evaluated. The mean number of prescriptions in the intervention group before and after retraining was 62.73 and 72.92, respectively (P= 0.043), indicating a significant increase after retraining. The mean number of prescriptions in the control group before and after retraining was 96.88 and 100.06, respectively but there was no significant difference (P= 0.57). There was no significant difference in the number of prescriptions between the two groups after retraining (P=0.09).
Conclusion: The educational intervention is relatively unsuccessful may be due to lack of motivation, lack of useful and effective teaching methods, and lack of participation in group discussions.
Type of Study: Original Article |
Subject:
دندانپزشکی
Received: 2022/08/2 | Accepted: 2022/09/14 | Published: 2022/11/1
Received: 2022/08/2 | Accepted: 2022/09/14 | Published: 2022/11/1
References
1. Potluri RS, Ravoori S, Pachava S, Myla R, Yaddanapalli SC. A qualitative systematic review on antibiotic usage in dentistry in India. Sci Arch Dent Sci. 2022; 5(6):11-8. [Link]
2. Dar-Odeh NS, Abu-Hammad OA, Al-Omiri MK, Khraisat AS, Shehabi AA. Antibiotic prescribing practices by dentists: A review. Ther Clin Risk Manag. 2010; 6:301-6. [DOI:10.2147/TCRM.S9736] [PMID] [PMCID] [DOI:10.2147/TCRM.S9736]
3. Salako NO, Rotimi VO, Adib SM, Al-Mutawa S. Pattern of antibiotic prescription in the management of oral diseases among dentists in Kuwai. J Dent. 2004; 32(7):503-9. [DOI:10.1016/j.jdent.2004.04.001] [PMID] [DOI:10.1016/j.jdent.2004.04.001]
4. Rodriguez-Núñez A, Cisneros-Cabello R, Velasco-Ortega E, Llamas-Carreras JM, Tórres-Lagares D, Segura-Egea JJ. Antibiotic use by members of the Spanish Endodontic Societ. J Endod. 2009; 35(9):1198-203. [DOI:10.1016/j.joen.2009.05.031] [PMID] [DOI:10.1016/j.joen.2009.05.031]
5. Yingling NM, Byrne BE, Hartwell GR. Antibiotic use by members of the American Association of Endodontists in the year 2000: Report of a national survey. J Endod. 2002; 28(5):396-404. [DOI:10.1097/00004770-200205000-00012] [PMID] [DOI:10.1097/00004770-200205000-00012]
6. Harrison JW, Svec TA. The beginning of the end of the antibiotic era? Part I. The problem: Abuse of the "miracle drugs. Quintessence Int. 1998; 29(3):151-62. [PMID]
7. Guzmán-Álvarez R, Medeiros M, Lagunes LR, Campos-Sepúlveda A. Knowledge of drug prescription in dentistry students. Drug Healthc Patient Saf. 2012; 4:55-9. [DOI:10.2147/DHPS.S30984] [PMID] [PMCID] [DOI:10.2147/DHPS.S30984]
8. Kia S J, Behravesh M, Khalighi Sigaroudi A. Evaluation of drug prescription pattern among general dental practitioners in Rasht, Iran. J Dentomaxill Radiol Pathol Surg. 2012; 1(2):18-23. [DOI:10.18869/acadpub.3dj.1.2.18] [DOI:10.18869/acadpub.3dj.1.2.18]
9. Sadeghi M, Rasti A, Salmani A, Naseri N , Kiani Z. [Drug prescription patterns of physicians in Souh Khorasan Province in 2014 (Persian)]. Birjand Univ Med Sci. 2018; 25(1):72-80. [Link]
10. Amir Chaghmaghi M, Sarabadi J, Shojaei M, Gol Mohammad Zadeh S, Taherzadeh Z, Ghazi A. [Dentists' prescription behavior in Razavi Khorasan province (Persian)]. Isfahan Dent Sch J. 2018; 14(3):294-304. [Link]
11. Poveda Roda R, Bagan JV, Sanchis Bielsa JM, Carbonell Pastor E. Antibiotic use in dental practice. A review. Med Oral Patol Oral Cir Bucal. 2007; 12(3):E186-92. [PMID]
12. Oberoi SS, Dhingra C, Sharma G, Sardana D. Antibiotics in dental practice: How justified are we. Int Dent J. 2015; 65(1):4-10. [PMID] [DOI:10.1111/idj.12146]
13. Löffler C, Böhmer F. The effect of interventions aiming to optimise the prescription of antibiotics in dental care-A systematic review. Plos One. 2017; 12(11):e0188061. [PMID] [PMCID] [DOI:10.1371/journal.pone.0188061]
14. Ocek Z, Sahin H, Baksi G, Apaydin S. Development of a rational antibiotic usage course for dentists. Eur J Dent Educ. 2008; 12(1):41-7. [DOI:10.1111/j.1600-0579.2007.00491.x] [PMID] [DOI:10.1111/j.1600-0579.2007.00491.x]
15. Demirbas F, Gjermo PE, Preus HR. Antibiotic prescribing practices among Norwegian dentists. Acta Odontol Scand. 2006; 64(6):355-9. [PMID] [DOI:10.1080/00016350600844394]
16. Apisarnthanarak A, Danchaivijitr S, Khawcharoenporn T, Limsrivilai J, Warachan B, Bailey TC, et al. Effectiveness of education and an antibiotic-control program in a tertiary care hospital in Thailand. Clin Infect Dis. 2006; 42(6):768-75. [DOI:10.1086/500325] [PMID] [DOI:10.1086/500325]
17. Cope AL, Chestnutt IG. Inappropriate prescribing of antibiotics in primary dental care: Reasons and resolutions. Prim Dent J. 2014; 3(4):33-7. [DOI:10.1308/205016814813877333] [PMID] [DOI:10.1308/205016814813877333]
18. Durkin MJ, Feng Q, Warren K, Lockhart PB, Thornhill MH, Munshi KD, et al. Assessment of inappropriate antibiotic prescribing among a large cohort of general dentists in the United States. J Am Dent Assoc. 2018; 149(5):372-381.e1. [DOI:10.1016/j.adaj.2017.11.034] [PMID] [PMCID] [DOI:10.1016/j.adaj.2017.11.034]
19. Elouafkaoui P, Young L, Newlands R, Duncan EM, Elders A, Clarkson JE, et al. An audit and feedback intervention for reducing antibiotic prescribing in general dental practice: The RAPiD cluster randomised controlled trial. PLoS Med. 2016; 13(8):e1002115. [DOI:10.1371/journal.pmed.1002115] [PMID] [PMCID] [DOI:10.1371/journal.pmed.1002115]
20. Atayei M, Rahimi V, Rezaei M, Koohboomi J, Zobeiri M. [The effect of a training workshop on the rational prescription of antibiotics on their prescribing pattern in the prescriptions of general practitioners in Kermanshah (Persian)]. J Kermanshah Uni Med Sci. 2010; 14(45). [Link]
21. Memari M, Nooshyar E, RezaeiBana M, Farrokhi S, Rasooladeh B. [Investigating the effect of the educational activities of the committee on rational drug prescription and consumption of Ardabil Province on the prescription indicators of general practitioners of the province (Persian)]. Iran J Med Edu. 2005; 5(14). [Link]
22. Motaleb Nejad M, Isapour R, Heidari B. [A KAP study in the general dental practitioners about antibacterial treatment of odontogenic infections in five cities of Mazandaran (Persia)]. J Babol Uni Med Sci. 2004; 6(5):29-34. [Link]
23. Ahmadi-Motamayel F, Vaziri S, Roshanaei G. Knowledge of general dentists and senior dental students in Iran about prevention of infective endocarditis. Chonnam Med J. 2012; 48(1):15-20. [DOI:10.4068/cmj.2012.48.1.15] [PMID] [PMCID] [DOI:10.4068/cmj.2012.48.1.15]
24. Mainjot A, D'Hoore W, Vanheusden A, Van Nieuwenhuysen JP. Antibiotic prescribing in dental practice in Belgium. Int Endod J. 2009; 42(12):1112-7. [PMID] [DOI:10.1111/j.1365-2591.2009.01642.x]
25. Lewis MA. Why we must reduce dental prescription of antibiotics: European :union: Antibiotic Awareness Day. Br Dent J. 2008; 205(10):537-8. [DOI:10.1038/sj.bdj.2008.984] [PMID] [DOI:10.1038/sj.bdj.2008.984]
26. Segura-Egea JJ, Martín-González J, Jiménez-Sánchez MDC, Crespo-Gallardo I, Saúco-Márquez JJ, Velasco-Ortega E. Worldwide pattern of antibiotic prescription in endodontic infections. Int Dent J. 2017; 67(4):197-205. [PMID] [PMCID] [DOI:10.1111/idj.12287]
27. Saatchi M, Arefi A, Navaei H. [A survey of antibiotic prescription pattern during endodontic treatment by general dental practitioners in Isfahan in 2011 (Persian)]. J Isfahan Dent School. 2012; 8(5):444-52. [Link]
28. Lauber C, Lalh SS, Grace M, Smith MH, MacDougall K, West P, et al. Antibiotic prophylaxis practices in dentistry: A survey of dentists and physicians. J Can Dent Assoc. 2007; 73(3):245. [PMID]
29. Murti A, Morse Z. Dental antibiotic prescription in Fijian adults. Int Dent J. 2007; 57(2):65-70. [DOI:10.1111/j.1875-595X.2007.tb00440.x] [PMID] [DOI:10.1111/j.1875-595X.2007.tb00440.x]
30. Sepehri Gh, Dadelahi Y. [Evaluation of Kerman University Dentists dental pattern in 2006 (Persian)]. Shahid Beheshti Med Sci J. 2006; 24(1):94-101. [Link]
31. Mukhtari M, Moghadamnia D, Salehi S. [The effect of co-trimoxazole on blood biochemical factors in preterm rats (Persian)]. Lorestan Uni Med Sci. 2010; 11(2):37-46. [Link]
| Rights and permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |