Abstract

Background: Antibiotic resistance is a global health crisis. The aim of this study was to explore dentists’ perceptions of antibiotic resistance. Methods: A qualitative method was used. Seventeen dentists practising in the Nancy (Lorraine, France) region were surveyed. They were general practitioners or specialised in oral surgery, implantology, or periodontology. The practitioners took part in semi-structured interviews between September 2019 and July 2020. All of the interviews were transcribed in full and analysed thematically. Results: Four major themes have been selected: attitudes of the dentists in regard to the guidelines, clinical factors that influence prescriptions, non-clinical factors that influence prescriptions, and the perception of antibiotic resistance. The dentists stated that they were very concerned regarding the public health issue of antibiotic resistance. However, they often prescribe according to their own interests and habits rather than according to the relevant guidelines. Conclusions: Although dentists are generally well aware of antibiotic resistance, they often do not adequately appreciate the link between their prescribing habits and the phenomenon of antibiotic resistance. Regular updating of practitioners’ knowledge in this regard is necessary, but patients and the general public should also be made more aware of the issue.

Highlights

  • IntroductionIn France, antibiotics are mainly prescribed for outpatients (93%), and general practitioners are responsible for 70% of all antibiotic prescriptions [5]

  • Antibiotic resistance represents a global public health crisis that has the potential to lead to numerous morbidities and increased mortality in the 10 years due to the emergence of multi-resistant strains [1,2]

  • In France, antibiotics are mainly prescribed for outpatients (93%), and general practitioners are responsible for 70% of all antibiotic prescriptions [5]

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Summary

Introduction

In France, antibiotics are mainly prescribed for outpatients (93%), and general practitioners are responsible for 70% of all antibiotic prescriptions [5]. Dentists generate a significant proportion of these prescriptions, estimated at 12.1% of all antibiotic prescriptions in France [6] and approximately 10% worldwide [7]. Seventeen dentists practising in the Nancy (Lorraine, France) region were surveyed. They were general practitioners or specialised in oral surgery, implantology, or periodontology. Results: Four major themes have been selected: attitudes of the dentists in regard to the guidelines, clinical factors that influence prescriptions, non-clinical factors that influence prescriptions, and the perception of antibiotic resistance. The dentists stated that they were very concerned regarding the public health issue of antibiotic resistance

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