biostudies-literatureLockhart PBNIDCR NIH HHSNational Institutes of Health770-781.e6https://www.ebi.ac.uk/biostudies/studies/S-EPMC7583674biostudies-literatureUnknown151(10)<h4>Background</h4>Little is known about antibiotic prescribing practices of dentists. The objective of this study was to gain a better understanding of dentists' beliefs and behaviors regarding the use of antibiotic prophylaxis (AP) before invasive dental procedures.<h4>Methods</h4>A multidisciplinary team developed and disseminated a questionnaire to 3,584 dentist members of the National Dental Practice-Based Research Network.<h4>Results</h4>Overall, 2,169 network dentists (61%) responded. Respondents saw patients at risk of developing infective endocarditis (IE) and prosthetic joint infection (PJI) at least once per week (35% and 65%, respectively). Although 78% of dentists agreed that the 2007 American Heart Association guidelines for the prevention of IE are well-defined and clear, only 49% agreed concerning PJI guidelines. Differences for the IE and PJI patient populations also existed for questions regarding dentists' understanding of the specific patient groups at risk, the recommended antibiotic regimens, and the need to consult with a patient's cardiologist or orthopedic surgeon.<h4>Conclusions</h4>The survey results indicate that decision making regarding the use of AP occurs frequently among dentists. Moreover, dentists reported uncertainty about the appropriate use of AP as defined by both IE and PJI guidelines, which may have resulted in a lack of concordance between dentists' beliefs and their practice behaviors.<h4>Practical implications</h4>The results reported by the authors highlight the need to develop better educational programs that address antimicrobial stewardship in AP for patients at risk of developing IE and PJI and target the dental profession.Journal of the American Dental Association (1939)Prophylactic antibiotic prescribing in dental practice: Findings from a National Dental Practice-Based Research Network questionnaire.PMC7583674U19 DE028717R01 DE013559U19 DE022516R01 DE023375R13 DE016480R01 DE027917R13 DE027613Davis JBaddour LMGilbert GHMougeot JLLockhart PBMcKnight PEThornhill MHZhao JNational Dental PBRN Collaborative GroupMungia RfalseProphylactic antibiotic prescribing in dental practice: Findings from a National Dental Practice-Based Research Network questionnaire.<h4>Background</h4>Little is known about antibiotic prescribing practices of dentists. The objective of this study was to gain a better understanding of dentists' beliefs and behaviors regarding the use of antibiotic prophylaxis (AP) before invasive dental procedures.<h4>Methods</h4>A multidisciplinary team developed and disseminated a questionnaire to 3,584 dentist members of the National Dental Practice-Based Research Network.<h4>Results</h4>Overall, 2,169 network dentists (61%) responded. Respondents saw patients at risk of developing infective endocarditis (IE) and prosthetic joint infection (PJI) at least once per week (35% and 65%, respectively). Although 78% of dentists agreed that the 2007 American Heart Association guidelines for the prevention of IE are well-defined and clear, only 49% agreed concerning PJI guidelines. Differences for the IE and PJI patient populations also existed for questions regarding dentists' understanding of the specific patient groups at risk, the recommended antibiotic regimens, and the need to consult with a patient's cardiologist or orthopedic surgeon.<h4>Conclusions</h4>The survey results indicate that decision making regarding the use of AP occurs frequently among dentists. Moreover, dentists reported uncertainty about the appropriate use of AP as defined by both IE and PJI guidelines, which may have resulted in a lack of concordance between dentists' beliefs and their practice behaviors.<h4>Practical implications</h4>The results reported by the authors highlight the need to develop better educational programs that address antimicrobial stewardship in AP for patients at risk of developing IE and PJI and target the dental profession.2020-01-01T00:00:00Z2020 Oct2024-11-20T02:34:00.602Z2022-02-11T11:31:40.61ZS-EPMC75836743297995610.1016/j.adaj.2020.04.027