ArticleInternational dental journal2026
Antibiotic Prescribing in Dental Practice: A Cross-sectional Survey in Trinidad and Tobago.
Article in International dental journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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6 authors.
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Abstract
backgroundAntimicrobial resistance (AMR) is a global threat. Trinidad and Tobago used the World Health Organisation's Global Action Plan to develop its National Action Plan (NAP) against AMR. A review of the NAP showed the need for use-based studies to direct interventions against AMR. This study was designed to provide evidence on dental prescribing habits, to support interventions against the emergence of antibiotic-resistant strains.
methodsA cross-sectional study. A consent letter and questionnaire were developed in REDCap®, a link to which was sent to registered dentists. The questionnaire collected demographic information, knowledge of antibiotics and dental practice. SPSS version 22 was used for analysis: significance at a P-value <0.05 and the confidence interval at 95%.
findingsSeventy-two dentists participated. For penicillin-allergic patients, 38.6% (24/62) reported prescribing clindamycin, and 4.8% (3/62) reported prescribing amoxicillin. A total of 9.8% (6/61) avoided antibiotic prescription in pregnancy. Actions taken for patients already on antibiotics varied greatly - assess, discontinue, continue and switch. Satisfactory individual-level compliance with prophylaxis guidelines was observed in 29.8% (17/56), 47% (21/45), and 20% (9/48) of participants for dental procedures, prosthetic joints, and cardiac conditions, respectively. Satisfactory individual-level compliance with guidelines on the therapeutic use of antibiotics for dental infections was observed in 74.1% (40/54). Satisfactory group-level compliance with prophylaxis guidelines was observed in 8/19 dental procedures and 2/14 cardiac conditions. Satisfactory compliance with guidelines on the therapeutic prescription of antibiotics was observed in 6/10 dental infections. No variable predicted compliance.
conclusionThe variability in compliance highlights a need for improved education and awareness. CLINICAL RELEVANCE: may impact antimicrobial stewardship activities, including production of training materials and development of local treatment recommendations.
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