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Objectives: While factors contributing to dental antibiotic overprescribing have previously been described, previous work has lacked any theoretical behavior change framework that could guide future intervention development. The purpose of this study was to use an evidence-based conceptual model to identify barriers and facilitators of appropriate antibiotic prescribing by dentists as a guide for future interventions aimed at modifying antibiotic prescribing.

Methods: Semi-structured interviews were conducted with dentists from the National Dental Practice Based Research Network (PBRN) exploring patient and practice factors perceived to impact antibiotic prescribing. Audio-recorded telephone interviews were transcribed and independently coded by three researchers. Themes were organized around the COM-B model to inform prospective interventions.

Results: 73 of 104 dentists (70.1%) were interviewed. Most were general dentists (86.3%), male (65.7%), and white (69.9%). Coding identified three broad targets to support appropriate dental antibiotic prescribing among dentists: (1) increasing visibility and accessibility of guidelines, (2) providing additional guidance on antibiotic prescribing in dental scenarios without clear guidelines, and (3) education and communication skills-building focused on discussing appropriate antibiotic use with patients and physicians.

Conclusions: The findings from our study are consistent with other studies focusing on antibiotic prescribing behavior in dentists. Understanding facilitators and barriers to dental antibiotic prescribing is necessary to inform targeted interventions to improve appropriate antibiotic prescribing. Future interventions should focus on implementing multimodal strategies to provide the necessary support for dentists to judiciously prescribe antibiotics.

Titel:	Barriers and facilitators to guideline concordant dental antibiotic prescribing in the United States: A qualitative study of the National Dental PBRN.
Autor/in / Beteiligte Person:	Ramanathan, S ; Yan, C ; Suda, KJ ; Evans, CT ; Khouja, T ; Hershow, RC ; Rowan, SA ; Gross, AE ; Sharp, LK
Link:	Full Text Finder (Volltext)
Zeitschrift:	Journal of public health dentistry, Jg. 84 (2024-06-01), Heft 2, S. 163-174
Veröffentlichung:	Raleigh, NC : American Association of Public Health Dentists, 2024
Medientyp:	academicJournal
ISSN:	1752-7325 (electronic)
DOI:	10.1111/jphd.12611
Schlagwort:	Humans United States Male Female Guideline Adherence Adult Practice Guidelines as Topic Interviews as Topic Middle Aged Anti-Bacterial Agents therapeutic use Practice Patterns, Dentists' Qualitative Research
Sonstiges:	Nachgewiesen in: MEDLINE Sprachen: English Corporate Authors: National Dental PBRN Collaborative Group Publication Type: Journal Article Language: English [J Public Health Dent] 2024 Jun; Vol. 84 (2), pp. 163-174. <i>Date of Electronic Publication: </i>2024 Apr 01. MeSH Terms: Anti-Bacterial Agents* / therapeutic use ; Practice Patterns, Dentists'* ; Qualitative Research* ; Humans ; United States ; Male ; Female ; Guideline Adherence ; Adult ; Practice Guidelines as Topic ; Interviews as Topic ; Middle Aged References: King LM, Lovegrove MC, Shehab N, Tsay S, Budnitz DS, Geller AI, et al. Trends in US outpatient antibiotic prescriptions during the coronavirus disease 2019 pandemic. Clin Infect Dis Off Publ Infect Dis Soc Am. 2021;73(3):e652–e660. https://doi.org/10.1093/cid/ciaa1896. ; Hicks LA, Bartoces MG, Roberts RM, Suda KJ, Hunkler RJ, Schrag SJ. US outpatient antibiotic prescribing variation according to geography, patient population, and provider specialty in 2011. 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Implement Sci Commun. 2023;4:115. https://doi.org/10.1186/s43058-023-00498-0. ; 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. https://doi.org/10.1371/journal.pone.0188061. Grant Information: U19-DE-22516 United States NH NIH HHS; U19-DE-28717 United States NH NIH HHS; R01 HS25177 Agency for Healthcare Research and Quality; U19-DE-22516 United States NH NIH HHS; U19-DE-28717 United States NH NIH HHS Contributed Indexing: Keywords: antimicrobial stewardship; anti‐bacterial agents; appropriate prescribing; barriers; dentistry; facilitators; interventions; qualitative Substance Nomenclature: 0 (Anti-Bacterial Agents) Entry Date(s): Date Created: 20240401 Date Completed: 20240612 Latest Revision: 20240612 Update Code: 20240612

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Barriers and facilitators to guideline concordant dental antibiotic prescribing in the United States: A qualitative study of the National Dental PBRN.