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Exploring dentist's engagement with antibiotic stewardship programs: a multicenter qualitative study in Pakistan.

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Dental practitioners in Pakistan lack awareness of antibiotic stewardship programs (ASPs), contributing to antibiotic resistance. Implementing ASPs in dental education and practice is crucial for appropriate antimicrobial prescribing and combating resistance.

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Area of Science:

  • Public Health
  • Infectious Diseases
  • Dental Practice

Background:

  • Antibiotic resistance is a significant global health threat, exacerbated by inappropriate antimicrobial use.
  • Dental practices in Pakistan are identified as a major contributor to the unnecessary use of antibiotics.
  • Antibiotic stewardship programs (ASPs) offer a framework to guide appropriate prescribing and enhance patient education.

Purpose of the Study:

  • To assess the current antimicrobial prescribing habits of dentists in Pakistan.
  • To evaluate the level of engagement and awareness regarding ASPs among dental practitioners.

Main Methods:

  • Semi-structured interviews were conducted with 13 dental practitioners from various dental hospitals in Punjab, Pakistan.
  • Interviews were audio-recorded, transcribed, and analyzed using thematic analysis.
  • Convenient sampling was employed, with sample size determined by data saturation.

Main Results:

  • A significant lack of awareness regarding ASPs was observed among dental practitioners.
  • Misinformation regarding antibiotic prescription practices was prevalent among both dentists and patients.
  • Participants generally expressed a positive attitude towards ASPs and recognized the need for institutional support and integration into dental curricula.

Conclusions:

  • Insufficient knowledge of ASPs among dental practitioners, stemming from a lack of institutional policies and awareness, fuels antibiotic resistance in Pakistan.
  • Addressing misinformation and enhancing ASP implementation in dental settings are critical steps to mitigate the growing threat of antibiotic resistance.