Knowledge and practices of Dentists who prescribe in specialized centers of the public health system: a cross-sectional study

Authors

DOI:

https://doi.org/10.33448/rsd-v10i14.22058

Keywords:

Drug Prescriptions; Dentists; Public Health Dentistry.

Abstract

The aim of this study was to analyze the profile of prescribing dentists, the factors that influence prescriptions and the most frequently prescribed medications in Dental Specialty Centers. A cross-sectional study was carried out, where dentists working in specialty centers answered a structured questionnaire, anonymously. The questionnaire consisted of demographic data, levels of professional training, sources of knowledge and information on the subject, frequency of prescription and indication of the most prescribed drugs. Thirty-four professionals (73.9%) agreed to participate in the study. Scientific articles, participation in scientific events and contact with other professionals represent the main source of information reported by prescribers. Paracetamol (60.4%) was the most prescribed drug for mild pain and ibuprofen (71.4%) to control severe pain. Amoxicillin (55.2%) was the most prescribed antimicrobial by dentists. The overall average of correct answers, associated with categorized data, was 68%. Positive correlations were found between time since graduation and the concept of rational use of medications. While, for knowledge about antimicrobial prophylaxis, a negative correlation was identified. There was no statistical difference between the mean scores of professionals trained in public and private institutions, as well as for the levels of professional training. The academic and continuing education of the prescriber is crucial for the rational prescription of drugs in Dentistry.

References

Abushaheen, M. A., Muzaheed, Fatani, A. J., Alosaimi, M., Mansy, W., George, M., Acharya, S., Rathod, S., Divakar, D. D., Jhugroo, C., Vellappally, S., Khan, A. A., Shaik, J., & Jhugroo, P. (2020). Antimicrobial resistance, mechanisms and its clinical significance. Disease-a-month: DM, 66(6), 100971.

Ahsan, S., Hydrie, M., Hyder Naqvi, S., Shaikh, M. A., Shah, M. Z., & Jafry, S. (2020). Antibiotic prescription patterns for treating dental infections in children among general and pediatric dentists in teaching institutions of Karachi, Pakistan. PloS one, 15(7), e0235671.

Al-Haroni, M., & Skaug, N. (2007). Incidence of antibiotic prescribing in dental practice in Norway and its contribution to national consumption. The Journal of antimicrobial chemotherapy, 59(6), 1161–1166.

AlSarhan M. A. (2020). Knowledge and prescription habits toward preoperative antibiotics in implant dentistry: A survey analysis in a subset of dentists in Saudi Arabia. The journal of contemporary dental practice, 21(5), 568–574.

Aquino, D. S. (2008). Por que o uso racional de medicamentos deve ser uma prioridade? Ciência & Saúde Coletiva, 3 (n. suppl), 733-736.

Brasil. Conselho Nacional de Secretários de Saúde. (2007). Assistência Farmacêutica no SUS / Conselho Nacional de Secretários de Saúde. https://bvsms.saude.gov.br/bvs/publicacoes/colec_progestores_livro7.pdf

Brasil. Ministério da Educação. (2021). Diretrizes Curriculares Nacionais do curso de graduação em Odontologia. Conselho Nacional de Educação. Câmara de Educação Superior. http://portal.mec.gov.br/index.php?option=com_docman&view=download&alias=191741-rces003-21&category_slug=junho-2021-pdf&Itemid=30192

Brasil. Ministério da Saúde. Secretaria de Ciência, Tecnologia, Inovação e Insumos Estratégicos em Saúde. Departamento de Assistência Farmacêutica e Insumos Estratégicos. (2020). Relação Nacional de Medicamentos Essenciais: Rename 2020. http://portalms.saude.gov.br/assistencia-farmaceutica/medicamentos-rename

Brasil. Ministério da Saúde. Secretaria de Políticas de Saúde, Departamento de Atenção Básica. (2001). Política Nacional de Medicamentos. https://bvsms.saude.gov.br/bvs/publicacoes/politica_medicamentos.pdf

Carvalho, V. A., Borgatto, A. F., & Lopes, L. C. (2010). Nível de conhecimento dos cirurgiões-dentistas de São José dos Campos sobre o uso de anti-inflamatórios não esteróides [Knowledge level for prescription of nonsteroidal anti-inflammatory by dentists in São José dos Campos, São Paulo State, Brazil]. Ciência & saúde coletiva, 15 Suppl 1, 1773–1782.

Castilho, L. S., Paixão, H. H., & Perini, E. (1999). Prescrição de medicamentos de uso sistêmico por cirurgiões-dentistas, clínicos gerais [Prescription of drugs of systemic use by dentists]. Revista de saúde pública, 33(3), 287–294.

Chate, R. A., White, S., Hale, L. R., Howat, A. P., Bottomley, J., Barnet-Lamb, J., Lindsay, J., Davies, T. I., & Heath, J. M. (2006). The impact of clinical audit on antibiotic prescribing in general dental practice. British dental journal, 201(10), 635–641.

Cope, A. L., Francis, N. A., Wood, F., & Chestnutt, I. G. (2016). Antibiotic prescribing in UK general dental practice: a cross-sectional study. Community dentistry and oral epidemiology, 44(2), 145–153.

Delbet-Dupas, C., Devoize, L., Mulliez, A., Barthélémy, I., & Pham Dang, N. (2021). Does anti-inflammatory drugs modify the severe odontogenic infection prognosis? A 10-year's experience. Medicina oral, patologia oral y cirugia bucal, 26(1), e28–e35.

Epstein, J. B., Chong, S., & Le, N. D. (2000). A survey of antibiotic use in dentistry. Journal of the American Dental Association (1939), 131(11), 1600–1609.

Estrela, C. (2018). Metodologia científica: Ciência, ensino e pesquisa. Arte Med.

Goff, D. A., Mangino, J. E., Glassman, A. H., Goff, D., Larsen, P., & Scheetz, R. (2020). Review of Guidelines for Dental Antibiotic Prophylaxis for Prevention of Endocarditis and Prosthetic Joint Infections and Need for Dental Stewardship. Clinical infectious diseases: an official publication of the Infectious Diseases Society of America, 71(2), 455–462.

Hochscheidt, G. L., Silva, M. M., Ferreira, M. B. C., Quevedo, A. S., & Ponzoni, D. (2021). Padrão de prescrição em centros especializados de atendimento odontológico no Brasil. Research, Society and Development, [S. l.], 10(12), e554101220732.

Jaccottet, C. M. G., Barros, A. J. D., Camargo, M. B. J., & Cascaes, A. M. (2012). Avaliação das necessidades de tratamento odontológico e da capacidade produtiva da rede de atenção básica em saúde bucal no município de Pelotas, estado do Rio Grande do Sul, Brasil, 2009. Epidemiologia e Serviços de Saúde, 21(2), 333-340.

Jayadev, M., Karunakar, P., Vishwanath, B., Chinmayi, S. S., Siddhartha, P., & Chaitanya, B. (2014). Knowledge and pattern of antibiotic and non-narcotic analgesic prescription for pulpal and periapical pathologies - A Survey among dentists. Journal of clinical and diagnostic research: JCDR, 8(7), ZC10–ZC14.

Jones, E., & Cope, A. (2018). Knowledge and attitudes of recently qualified dentists working in Wales towards antimicrobial prescribing and resistance. European journal of dental education: official journal of the Association for Dental Education in Europe, 22(4), e730–e736.

Levrini, L., Carraro, M., Rizzo, S., Salgarello, S., Bertelli, E., Pelliccioni, G. A., Garau, V., Bandettini, M., Caputi, S., Lörincz, A., & Szûcs, A. (2008). Prescriptions of NSAIDs to patients undergoing third molar surgery: an observational, prospective, multicentre survey. Clinical drug investigation, 28(10), 657–668.

Lisboa, S. M., Martins, M. A., Castilho, L. S., Souza e Silva, M. E., & Abreu, M. H. (2015). Prescribing errors in antibiotic prophylaxis by dentists in a large Brazilian city. American journal of infection control, 43(7), 767–768.

Okunseri, C., Okunseri, E., Thorpe, J. M., Xiang, Q., & Szabo, A. (2012). Medications prescribed in emergency departments for nontraumatic dental condition visits in the United States. Medical care, 50(6), 508–512.

Palmer, N. A., Pealing, R., Ireland, R. S., & Martin, M. V. (2000). A study of prophylactic antibiotic prescribing in National Health Service general dental practice in England. British dental journal, 189(1), 43–46.

Palmer, N. O., Martin, M. V., Pealing, R., & Ireland, R. S. (2000). An analysis of antibiotic prescriptions from general dental practitioners in England. The Journal of antimicrobial chemotherapy, 46(6), 1033–1035.

Puricelli, E. (2014). Técnica anestésica, exodontia e cirurgia dentoalveolar. São Paulo: Artes Médicas.

Sarkar, C., Das, B., & Baral, P. (2004). Analgesic use in dentistry in a tertiary hospital in western Nepal. Pharmacoepidemiology and drug safety, 13(10), 729–733.

Seager, J. M., Howell-Jones, R. S., Dunstan, F. D., Lewis, M. A., Richmond, S., & Thomas, D. W. (2006). A randomised controlled trial of clinical outreach education to rationalise antibiotic prescribing for acute dental pain in the primary care setting. British dental journal, 201(4), 217–216.

Segura-Egea, J. J., Velasco-Ortega, E., Torres-Lagares, D., Velasco-Ponferrada, M. C., Monsalve-Guil, L., & Llamas-Carreras, J. M. (2010). Pattern of antibiotic prescription in the management of endodontic infections amongst Spanish oral surgeons. International endodontic journal, 43(4), 342–350.

Spittle, L. S., Muzzin, K. B., Campbell, P. R., DeWald, J. P., & Rivera-Hidalgo, F. (2017). Current prescribing Practices for Antibiotic Prophylaxis: A Survey of Dental Practitioners. The journal of contemporary dental practice, 18(7), 559–566.

Stein, K., Farmer, J., Singhal, S., Marra, F., Sutherland, S., & Quiñonez, C. (2018). The use and misuse of antibiotics in dentistry: A scoping review. Journal of the American Dental Association (1939), 149(10), 869–884.e5.

Thompson, W., Rios, L. E., Fedorowicz, Z., Dailey, Y., & Douglas, G. (2018). I've got Toothache, I need Antibiotics: a UK Perspective on Rational Antibiotic Prescribing by Dentists. Brazilian dental journal, 29(4), 395–399.

Tomczyk, S., Whitten, T., Holzbauer, S. M., & Lynfield, R. (2018). Combating antibiotic resistance: a survey on the antibiotic-prescribing habits of dentists. General dentistry, 66(5), 61–68.

Wannmacher, L., & Ferreira, M. B. C. (2007). Farmacologia clínica para dentistas (3. ed.). Rio de Janeiro: Guanabara Koogan.

Wilson, W., Taubert, K. A., Gewitz, M., Lockhart, P. B., Baddour, L. M., Levison, M., Bolger, A., Cabell, C. H., Takahashi, M., Baltimore, R. S., Newburger, J. W., Strom, B. L., Tani, L. Y., Gerber, M., Bonow, R. O., Pallasch, T., Shulman, S. T., Rowley, A. H., Burns, J. C., Ferrieri, P., … American Heart Association (2008). Prevention of infective endocarditis: guidelines from the American Heart Association: a guideline from the American Heart Association Rheumatic Fever, Endocarditis and Kawasaki Disease Committee, Council on Cardiovascular Disease in the Young, and the Council on Clinical Cardiology, Council on Cardiovascular Surgery and Anesthesia, and the Quality of Care and Outcomes Research Interdisciplinary Working Group. Journal of the American Dental Association (1939), 139 Suppl, 3S–24S.

World Health Organization. (‎2002)‎. Promoting rational use of medicines: core components. World Health Organization. https://apps.who.int/iris/handle/10665/67438

World Health Organization. (2015). Data Global Action Plan on Antimicrobial Resistance. https://www.who.int/publications/i/item/9789241509763

World Health Organization. (2018). Report on surveillance of antibiotic consumption: 2016-2018 early implementation. https://apps.who.int/iris/bitstream/handle/10665/277359/9789241514880-eng.pdf

Published

01/11/2021

How to Cite

HOCHSCHEIDT, G. L.; FERREIRA, M. B. C.; QUEVEDO, A. S. de .; PONZONI, D. Knowledge and practices of Dentists who prescribe in specialized centers of the public health system: a cross-sectional study. Research, Society and Development, [S. l.], v. 10, n. 14, p. e264101422058, 2021. DOI: 10.33448/rsd-v10i14.22058. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/22058. Acesso em: 19 apr. 2024.

Issue

Section

Health Sciences