Antibiotic use and resistance: a nationwide questionnaire survey among French dentists.
Fiche publication
Date publication
février 2020
Journal
European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology
Auteurs
Membres identifiés du Cancéropôle Est :
Pr THILLY Nathalie, Dr GUILLET-THIBAULT Julie
Tous les auteurs :
Baudet A, Kichenbrand C, Pulcini C, Descroix V, Lesclous P, Thilly N, Clément C, Guillet J
Lien Pubmed
Résumé
The aim of this survey was to describe the attitudes and self-reported practices of French dentists towards antibiotic use and resistance and to compare practices with national guidelines. A nationwide cross-sectional internet-based survey was conducted among the 41,800 French dentists. The online questionnaire was distributed through professional networks from April 2017 to April 2018. Seven-hundred seventy-five dentists participated but only 455 questionnaires were complete enough to be included in the analyses. Amoxicillin was the most frequently prescribed antibiotic (65.8%, 1783/2711), followed by spiramycin + metronidazole fixed-dose combination (11.6%, 312/2711) and amoxicillin-clavulanic acid (10.3%, 279/2711). The main indications for use were abscess (349/423, 82.5%), cervicofacial cellulitis (74.2%, 314/423), and pericoronitis (58.6%, 239/408). Most dentists (90.5%, 381/421) considered that antibiotic resistance is of concern but only half of them (56.3%, 238/423) felt adequately informed about antibiotic use. Many dentists did not comply with the national guidelines: the majority of them declared inappropriate antibiotic prescriptions for 11/17 clinical situations. They did not prescribe antibiotics for 5/6 clinical situations requiring prophylaxis. They reported that the publication of clinical guidelines is the main factor influencing their prescriptions (71.0%, 299/421). They wished to receive regular updates of national guidelines in the form of practical sheets (93.0%, 172/185). French dentists should urgently be targeted by antibiotic stewardship initiatives.
Mots clés
Antibiotic, Antibiotic prescription, Antibiotic resistance, Antibiotic stewardship, Dentistry, Survey
Référence
Eur. J. Clin. Microbiol. Infect. Dis.. 2020 Feb 15;: