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Table 3 Analysis adjusted for the influence exerted by attitudes to and opinions about prescribing-on-prescribing quality

From: Magnitude and determinants of inappropriate prescribing of antibiotics in dentistry: a nation-wide study

Attitudes

Appropiate prescription of antibiotics by dentist***

Percentiles

Overall

In pulp diseases**

In emergency medical visitis**

In prevention of infection*

25

50

75

OR (CI95%)

p- value

OR (CI95%)

p- value

OR (CI95%)

p- value

OR (CI95%)

p- value

Antibiotic resistance is an important public health problem. (Knowledge)

9

10

10

0.88 (0.79–0.97)

0.0141

0.86 (0.77–0.96)

0.0091

0.95 (0.84–1.07)

0.4226

0.89 (0.79–0.99)

0,0358

Dentists play an important role in the rational use of antibiotics. (External responsibility)

8

10

10

0.92 (0.83–1.03)

0.1368

1.03 (0.92–1.14)

0.6307

0.89 (0.78–1.01)

0.0771

0.93 (0.83–1.04)

0,1847

The prescribing of an antibiotic to a patient does not influence the development of resistance. (Knowledge)

0

1

3

1.02 (0.98–1.07)

0.3062

1.04 (0.99–1.09)

0.0876

0.98 (0.93–1.03)

0.4864

1.02 (0.97–1.07)

0,5094

When I doubt whether a patient has a bacterial infection, I prefer to prescribe an antibiotic. (Fear)

2

5

7

1.12 (1.07–1.18)

 < 0.0001

1.09 (1.04–1.14)

0.0006

1.09 (1.04–1.15)

0.0007

1.11 (1.05–1.17)

0,0001

I often prescribe antibiotics because patients demand them from me. (Complacency)

0

1

3

1.02 (0.96–1.08)

0.4691

0.98 (0.93–1.04)

0.5069

1.07 (1.00–1.15)

0.0542

1.05 (0.99–1.12)

0,1230

I sometimes prescribe antibiotics knowing that they are not indicated, due to lack of time during the visit. (Schedule/time)

0

0

2

1.04 (0.98–1.11)

0.1789

1.00 (0.94–1.06)

0.9573

1.03 (0.96–1.10)

0.4009

1.01 (0.95–1.07)

0,8100

I tend to prescribe antibiotics so that my patients trust that I am doing everything possible. (Economic benefit)

0

0

2

1.07 (1.01–1.14)

0.0203

1.03 (0.97–1.09)

0.3084

1.10 (1.03–1.18)

0.0083

1.05 (0.99–1.12)

0,1384

  1. *Adjusted for potentially confounding variables (sex, work setting and years of experience)
  2. **Adjusted for potentially confounding variables (sex and years of experience)
  3. ***Appropriate prescribing cut-off point: the median of correct responses in each of the variables made up of more than 2 items. Overall: ≥ 10 correct responses in 14 questions; pulp diseases and emergency disorders ≥ 4 correct responses in 6 questions; preventive prescription (2 items), a good prescriber was defined as one who responded correctly to both items
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Antimicrobial Resistance & Infection Control

ISSN: 2047-2994

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