Iyer Kiran, Alhababi Jawaher, Aldhafayan Alanoud, Albarrak Amal, Alburidy Faey, Alanazi Fatimah, Albawardi Fatimah, Alfadley Abdulmohsen
Department of Preventive Dental Sciences, College of Dentistry, King Saud bin Abdulaziz University for Health Sciences, Riyadh 11426, Saudi Arabia.
King Abdullah International Medical Research Centre, Ministry of National Guard Health Affairs, Riyadh 11481, Saudi Arabia.
Healthcare (Basel). 2025 May 20;13(10):1198. doi: 10.3390/healthcare13101198.
Prescription challenges in antibiotics contribute to the global prevalence of antimicrobial resistance (AMR). We are rapidly moving into an age of 'resistome', which has grave consequences. Dentists frequently prescribe antibiotics for intraoral infections and as prophylaxis, particularly for immunocompromised patients, although the clinical justification for these prescriptions remains a point of concern. This study aimed to evaluate the knowledge, attitudes, and practices of dental practitioners in Saudi Arabia regarding antibiotic prescription. A cross-sectional survey was conducted from October to November 2024, involving 252 dentists from various regions of Saudi Arabia. Data were gathered through social media. The dentists were likely to agree to prescribe antibiotics post-procedurally to be safe [OR 0.18, = 0.42, CI -0.94]. Contrastingly, the knowledge of less experienced dentists [OR 9.60, = 0.03, CI 1.21-76.15] was updated regarding prescribing penicillin for women in the third trimester of pregnancy than that of experienced dentists (>10 years). Although the knowledge level of practitioners in the public sector is reasonably good, there are concerns about antibiotic prescription practice among private dental practitioners.
抗生素处方方面的挑战导致了抗菌药物耐药性（AMR）在全球的普遍存在。我们正迅速步入一个“耐药基因组”时代，这会带来严重后果。牙医经常为口腔内感染开具抗生素并用作预防措施，尤其是针对免疫功能低下的患者，尽管这些处方的临床合理性仍是一个令人担忧的问题。本研究旨在评估沙特阿拉伯牙科从业者在抗生素处方方面的知识、态度和做法。2024年10月至11月进行了一项横断面调查，涉及来自沙特阿拉伯不同地区的252名牙医。数据通过社交媒体收集。牙医们可能会同意在术后开具抗生素以确保安全[比值比（OR）0.18，P = 0.42，置信区间（CI）-0.94]。相比之下，经验不足的牙医[OR 9.60，P = 0.03，CI 1.21 - 76.15]在为妊娠晚期女性开具青霉素方面的知识更新程度高于经验丰富的牙医（超过10年）。尽管公共部门从业者的知识水平相当不错，但私立牙科从业者的抗生素处方做法仍令人担忧。
