Awareness regarding antimicrobial resistance and confidence to prescribe antibiotics in dentistry: a cross-continental student survey.

Aya Bajalan, Tiina Bui, Gabriela Salvadori, Dalton Marques, Alison Schumacher, Cassiano Kuchenbecker R��sing, Ulf Reidar Dahle, Fernanda Cristina Petersen, Ant��nio Pedro Ricomini-Filho, Belinda Farias Nicolau, Roger Junges
Author Information
  1. Aya Bajalan: Institute of Oral Biology, Faculty of Dentistry, University of Oslo, Oslo, Norway.
  2. Tiina Bui: Institute of Oral Biology, Faculty of Dentistry, University of Oslo, Oslo, Norway.
  3. Gabriela Salvadori: Institute of Oral Biology, Faculty of Dentistry, University of Oslo, Oslo, Norway. ORCID
  4. Dalton Marques: Piracicaba Dental School, University of Campinas, Piracicaba, Brazil.
  5. Alison Schumacher: Faculty of Dentistry, University of Toronto, Toronto, ON, Canada.
  6. Cassiano Kuchenbecker R��sing: Faculty of Dentistry, Federal University of Rio Grande do Sul, Porto Alegre, Brazil. ORCID
  7. Ulf Reidar Dahle: Centre for Antimicrobial Resistance, Norwegian Institute of Public Health, Oslo, Norway. ORCID
  8. Fernanda Cristina Petersen: Institute of Oral Biology, Faculty of Dentistry, University of Oslo, Oslo, Norway. ORCID
  9. Ant��nio Pedro Ricomini-Filho: Piracicaba Dental School, University of Campinas, Piracicaba, Brazil. ORCID
  10. Belinda Farias Nicolau: Faculty of Dental Medicine and Oral Health Sciences, McGill University, Montreal, Canada. ORCID
  11. Roger Junges: Institute of Oral Biology, Faculty of Dentistry, University of Oslo, Oslo, Norway. roger.junges@odont.uio.no. ORCID

Abstract

BACKGROUND: The antimicrobial resistance (AMR) crisis is a major global threat and one of its biggest drivers is the overuse of antibiotics in humans. Dentists are responsible for 5-10% antibiotic prescriptions worldwide and recent data suggest that knowledge and prescribing practices need improvement.
METHODS: A cross-sectional web-survey was sent to dental students from six universities in Norway, Canada, and Brazil. Topics addressed covered awareness, confidence to prescribe antibiotics, and education needs. Data were presented descriptively and statistical testing was employed to compare group means when applicable.
RESULTS: In total, 562 responses were collected across the three countries with a response rate of 28.6%. 'Antibiotic resistance' was among the highest priorities (scale 1-10) with an average of 8.86 (SEM��������0.05), together with 'Gender inequality' (8.68��������0.07) and 'Climate change' (8.68��������0.07). Only 28.8% thought that Dentistry was engaged in national/international campaigns promoting awareness on the topic and 8.9% stated to have heard about the 'One Health' concept. Final year dental students showed an average confidence to prescribe antibiotics of 7.59 (�����0.14). Most students demonstrated interest in receiving additional education on all topics listed, with the three most pressing being 'antibiotic prescription for treatment of infections' (82.9%), 'drug interactions' (80.9%), and 'spread of antibiotic resistance' (79.6%). A trend was observed between higher awareness regarding the topic and higher confidence to prescribe.
CONCLUSIONS: There is a need to revisit dental education on antibiotic resistance with a global perspective and to create more stewardship initiatives that promote awareness on the topic.

Keywords

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MeSH Term

Humans
Anti-Bacterial Agents
Drug Resistance, Bacterial
Cross-Sectional Studies
Surveys and Questionnaires
Prescriptions

Chemicals

Anti-Bacterial Agents

Word Cloud

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