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Implementation of clinical practice guidelines in dental settings
Shimae Soheilipour1, Stephen Michael Dunne, Jonathon Timothy Newton
1Department of Oral Health Services Research & Dental Public Health, King's College London, London, United Kingdom. shimae.soheilipour@kcl.ac.uk
Dentists in the UK show better knowledge of antibiotic prophylaxis (AP) for infective endocarditis (IE) than in Iran, though both overprescribe. This overprescription contributes to antimicrobial resistance, highlighting the need for updated educational initiatives.
Area of Science:
- Dentistry
- Infectious Diseases
- Pharmacology
Background:
- Antibiotic prophylaxis (AP) is crucial for preventing infective endocarditis (IE) in at-risk patients.
- Current expert recommendations guide AP prescribing practices for dental procedures.
- Variations in knowledge and application of AP guidelines may exist globally.
Purpose of the Study:
- To assess dentists' knowledge and application of current AP recommendations for IE prevention.
- To compare AP practices between dentists in the United Kingdom (UK) and Iran.
- To identify sources of information influencing AP prescribing habits.
Main Methods:
- A three-part postal questionnaire survey was conducted.
- Participants included 467 dentists from the UK and 200 from Iran.
- The survey covered demographics, prescribing habits, and information sources for AP.
Main Results:
- UK dentists largely followed British National Formulary (BNF) guidelines (87%), while Iranian dentists followed American Heart Association (AHA) guidelines (75%).
- UK dentists demonstrated better compliance with recommended antibiotic regimens compared to Iranian dentists.
- Overprescription of AP was observed in both countries, with dentists prescribing for non-indicated conditions.
Conclusions:
- UK dentists exhibit greater familiarity with AP guidelines than their Iranian counterparts.
- Overprescribing of antibiotics in dental practice is a concern in both nations, potentially fueling antimicrobial resistance.
- Educational programs and continuous practice assessment are recommended to improve AP guideline adherence.
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