A virtual learning environment to improve antibiotic stewardship in Dentistry

Abstract

Optimizing usage of antibiotics is one of the most effective measures that minimize the emergence of antibiotic resistance. This study aimed to develop, implement, and measure the impact of a Virtual Learning Environment (VLE) on Awareness, Attitudes and Intentions to practice (AAIs) regarding antibiotic prescription in Colombian dentists. A VLE on antibiotic prescription in dentistry using multimedia resources and an animated character which challenged the participant through different learning moments, was designed. Then, a quasi-experimental multicenter study approved by the ethics subcommittee from the leader University (015-2018), with the participation of 206 dentists from 7 Colombian cities, was performed. To measure the VLE impact, AAIs were compared before and immediately after intervention through a validated questionnaire. Knowledge retention 6 months post-intervention was also assessed. A significantly positive impact on the median of correct answers on AAIs and the level of knowledge (p<0.01, p<0.05) was found. At 6 months, the impact on the median of correct answers on awareness and intentions to practice remained high (p<0.01, p<0.05), however this was not the case for attitudes. The VLE improved awareness and intentions to practice regarding antibiotic stewardship in dentistry; however, more strategies that positively impact attitudes and consciousness on prophylactic use of antibiotics are urgently needed.