Antibiotic Resistance - Knowledge, Attitude And Practice Based Survey Amongst Dental Health Care Providers In An Institution​

Gaur Shivangi, Marimuthu Madhulaxmi
 
Department of Oral & Maxillofacial Surgery, Saveetha Dental College and Hospitals, Saveetha Institute of Medical And Technical Science, Saveetha University, Chennai- 600077, India

Hellenic Archives of Oral & Maxillofacial Surgery (2021) 2,  101-108

SUMMARY: Introduction: Antibiotic resistance is definitely one of the most dreaded outcomes of injudicious use of antibiotics in a developing country like India. The prevalence of Over the counter (OTC) availability of antibiotics has also contributed to this bane and burden of antibiotic resistance in our country.
Aim: The aim of this survey based study was to examine the knowledge on antibiotic usage, resistance, attitudes, perceptions and practices among dental health care providers using an online survey.
Methods and Methodology: An Eighteen point online close ended questionnaire based survey was conducted amongst 100 randomly selected postgraduate stu- dents in various dental specialities from our institution, whereby their Knowledge, attitude and Practice regard- ing antibiotic resistance and usage was assessed. The questionnaire was designed to include demographic information of the participants along with questions based on frequency of antibiotic usage, resistance and interest of participants to attend educational seminars as a part of continuing education.
Results: 76.47% participants agreed that antibiotic resis- tance is a major public health burden in India and glob- ally. Participants who had never attended seminars on antibiotic resistance were 82.35% and 89.41% were willing to attend seminars. Conclusions: Our survey showed few mis-prescriptions of antibiotics in cases of resistance to penicillin groups of drugs and use of broad versus narrow spectrum antibiotics. However, the overall awareness and prescription protocols were appropriate, thereby concluding that post graduates had a good knowledge of antibiotics, their use and risks involved.
 
KEY WORDS: Antibiotics; Antibiotic resistance; Educational interventions; Dental healthcare providers; Survey; Prescription antibiotics


REFERENCES
  1. LaPlante K, Cunha C, Morrill H, Rice L, Mylonakis E. Antimicro- bial Stewardship: Principles and Practice. CABI; 2016. 449 p.
  2. Mthembu L. Surgery:The way of the future. S Afr J Surg. 2018 Jun;56(2):4–6.
  3. Podolsky SH. The Antibiotic Era: Reform, Resistance, and the Pursuit of a Rational Therapeutics. JHU Press; 2014. 328 p.
  4. Leptihn S. Welcome Back to the Pre-Penicillin Era. Why We Desperately Need New Strategies in the Battle Against Bac- terial Pathogens [Internet]. Vol. 1, Infectious Microbes & Dis- eases. 2019. p. 33.
  5. Shah NJ. Reversing resistance: The next generation antibacteri- als. Indian J Pharmacol. 2015 May;47(3):248–55.
  6. Stefanopoulos PK, Kolokotronis AE. The clinical significance of anaerobic bacteria in acute orofacial odontogenic infections. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2004 Oct;98(4):398–408.
  7. Murni IK, Duke T, Kinney S, Daley AJ, Laksanawati IS, Nur- naningsih, et al. Multifaceted interventions for healthcare- associated infections and rational use of antibiotics in a low- to-middle-income country: Can they be sustained? PLoS One. 2020 Jun 16;15(6):e0234233.
  8. Huang Y, Gu J, Zhang M, Ren Z, Yang W, Chen Y, et al. Knowledge, attitude and practice of antibiotics: a question- naire study among 2500 Chinese students. BMC Med Educ. 2013 Dec 9;13:163.
  9. Dr.M.Ganesh, M Ganesh Dr, Professor A, dept. of physiology, ACS medical college and hospital, S.A.Sridevi Dr.S.A.Sridevi, et al. Antibiotic use Among Medical and Para Medical Stu- dents: Knowledge, Attitude and its Practice in a Tertiary Health Care Centre in Chennai- a Scientific Insight [Internet]. Vol. 3, International Journal of Scientific Research. 2012. p. 332–5. Available from: http://dx.doi.org/10.15373/22778179/ july2014/98
  10. Cunha CB. Antimicrobial Stewardship, An Issue of Medical Clinics of North America. Elsevier Health Sciences; 2018.
  11. Malla B. Assessment of Knowledge, Perception and Attitude of Antibiotics Use and Resistance Among the Medical and Paramedical Undergraduate Students of Gandaki Medical Col- lege Nepal [Internet]. Vol. 21, Value in Health. 2018. p. S66. Available from: http://dx.doi.org/10.1016/j.jval.2018.07.497
  12. Rattanaumpawan P, Chuenchom N, Thamlikitkul V. Per- ception, attitude, knowledge and learning style preference on challenges of antimicrobial resistance and antimicrobial overuse among first year doctors in training and final year medical students. Antimicrob Resist Infect Control. 2019 Aug 23;8:142.
  13. Meher BR, Srinivasan A, Vighnesh CS, Padhy BM, Mohanty RR. Factors most influencing antibiotic stewardship program and comparison of pre final- and final-year undergraduate medical students. Perspect Clin Res. 2020 Jan;11(1):18–23.
  14. Wun YT, Lam TP, Lam KF, Ho PL, Yung WHR. The pub- lic’s perspectives on antibiotic resistance and abuse among Chinese in Hong Kong. Pharmacoepidemiol Drug Saf. 2013 Mar;22(3):241–9.
  15. Barone A, Chatelain S, Derchi G, Di Spirito F, Martuscelli R, Porzio M, et al. Antibiotic’s effectiveness after erupted tooth extractions: A retrospective study. Oral Dis. 2020 Jul;26(5):967–73.
  16. Posnick JC, Choi E, Chavda A. Surgical Site Infections Fol- lowing Bimaxillary Orthognathic, Osseous Genioplasty, and Intranasal Surgery: A Retrospective Cohort Study. J Oral Max- illofac Surg. 2017 Mar;75(3):584–95.
  17. Ghantous Y, Araidy S, Yaffe V, Mirochnik R, El-Raziq MA, El- Naaj IA. The efficiency of extended postoperative antibiotic prophylaxis in orthognathic surgery: A prospective, randomized, double-blind, placebo-controlled clinical trial. J Crani- omaxillofac Surg. 2019 Feb;47(2):228–32.
  18. Al Harbi MJ, Alomaym MAA, Mohammed Aldohan MF, Fahad Alkurdi I. Necessity of Antibiotics to Reduce Inflammatory Complications after Third Molar Extractions: A Prospective Study. J Pharm Bioallied Sci. 2019 Feb;11(Suppl 1):S13–7.
  19. Cervino G, Cicciù M, Biondi A, Bocchieri S, Herford AS, Laino L, et al. Antibiotic Prophylaxis on Third Molar Extraction: Sys- tematic Review of Recent Data. Antibiotics (Basel) [Internet]. 2019 May 2;8(2). Available from: http://dx.doi.org/10.3390/ antibiotics8020053
  20. Boamah MO, Saheeb BD, Parkins GE, Nuamah I, Ndanu TA, Blankson P-K. A comparative study of the efficacy of intrave- nous benzylpenicillin and intravenous augmentin in the em- pirical management of Ludwig’s angina. Ann Afr Med. 2019 Apr;18(2):65–9.
  21. He C, Song Y, Chang XK. [Pathogenicity and drug-resistance analysis of in patients with oral candidiasis]. Zhonghua Yi Xue Za Zhi. 2020 Jun 16;100(23):1778–82.
  22. Sebastian A, Antony PG, Jose M, Babu A, Sebastian J, Kun- nilathu A. Institutional microbial analysis of odontogenic in- fections and their empirical antibiotic sensitivity. J Oral Biol Craniofac Res. 2019 Apr;9(2):133–8.
  23. Limbhore MV, Ramanojam S, Rathi P, Sane V, Mevawala A. ORAL CANDIDIASIS: AN OVERVIEW AND CASE RE- PORT [Internet]. Vol. 6, Era’s Journal of Medical Research. 2019. p. 160–6. Available from: http://dx.doi.org/10.24041/ ejmr2019.147
  24. Syed S, Viazmina L, Mager R, Meri S, Haapasalo K. Strepto- cocci and the complement system: interplay during infec- tion, inflammation and autoimmunity. FEBS Lett [Internet]. 2020 Jun 28; Available from: http://dx.doi.org/10.1002/1873- 3468.13872
  25. Tent PA, Juncar RI, Onisor F, Bran S, Harangus A, Juncar M. The pathogenic microbial flora and its antibiotic susceptibil- ity pattern in odontogenic infections. Drug Metab Rev. 2019 Aug;51(3):340–55.
  26. Adamson OO, Adeyemi MO, Gbotolorun OM, Oduyebo OO, Odeniyi O, Adeyemo WL. Comparison of sensitivity of bacteria isolated in odontogenic infections to ceftriaxone and amoxicillin-clavulanate. Afr Health Sci. 2019 Sep;19(3):2414– 20.
  27. Snape MD, Kelly DF. Fine with five? Shorter antibiotic courses for childhood meningitis [Internet]. Vol. 377, The Lancet. 2011. p. 1809–10. Available from: http://dx.doi.org/10.1016/ s0140-6736(11)60762-9
  28. Hudson W, Wilson H. Letter to the Editor: Shorter antibiotic courses, but why? [Internet]. Vol. 42, Australian Prescriber. 2019. p. 120. Available from: http://dx.doi.org/10.18773/ austprescr.2019.041
  29. David DB, Ben David D, Regev-Yochay G, Rubinstein E. Ab- breviated Courses of Antibacterial Therapy [Internet]. Anti- biotic Optimization. 2004. p. 491–518. Available from: http:// dx.doi.org/10.3109/9780203996928-16
  30. Beltran RJ, Kako H, Chovanec T, Ramesh A, Bissonnette B, Tobias JD. Penicillin allergy and surgical prophylaxis: Ce- phalosporin cross-reactivity risk in a pediatric tertiary care center [Internet]. Vol. 50, Journal of Pediatric Surgery. 2015. p. 856–9. Available from: http://dx.doi.org/10.1016/j. jpedsurg.2014.10.048
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Triannual medical Journal - The official publication of the Hellenic Association of Oral and Maxillofacial Surgery. ISSN 1108-829​X, ISSN (electronic) 2241-5939
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