Giri Akash Kumar, Chaudhary Manisha, Yadav Amit Kumar, Shrestha Ashish, Bhagat Tarakant, Agrawal Santosh Kumari, Gautam Ujwal
Department of Public Health Dentistry, CODS, BPKIHS, Dharan, Nepal.
BMC Oral Health. 2025 Jun 2;25(1):873. doi: 10.1186/s12903-025-06264-z.
Prescribing medication is an essential part of clinical dentistry, particularly concerning the use of antibiotics for acute odontogenic infections, surgical prophylaxis, and care of medically compromised patients. Research on dental students' knowledge and perception of antimicrobial prophylaxis in dental practice is notably lacking in Nepal. This study aims to bridge that gap by assessing the level of understanding among Nepali dental students.
An online, questionnaire-based cross-sectional study was carried out among dental students all over Nepal. A total of 288 dental students from Nepal took part in the study, comprising 189 undergraduate students, 62 interns, and 37 postgraduate students. A standard structured questionnaire that included 12 clinically relevant and three perception-based questions was distributed online. The results were analyzed via descriptive statistics.
The mean ± SD correct answers were 6.79 ± 2.26. More than three-fourths of the total students (288), i.e., 76.04% (219), answered more than half of the questions correctly. In the dosage and timing scenario, 76.3% of the students answered correctly wherein interns provided the most correct responses (91.0%). In deciding their knowledge of specific scenarios, 73.7% of the students knew when to prescribe correctly in four of five relevant scenarios, with postgraduates performing better (76.1%). Performance declined significantly when it involved evaluating scenarios deemed inappropriate for prophylaxis. Additionally, self-reported perceptions highlighted significant gaps in knowledge (38.6%) and confidence (40.9%). These deficiencies emphasize the strong need for further education, as acknowledged by two-thirds (65.4%) of the students.
While most students demonstrated a basic understanding of antibiotic prophylaxis, significant shortcomings were noted, particularly in avoiding unnecessary prescriptions. To ensure appropriate prescribing practices and reduce antibiotic overuse, the integration of a standardized antimicrobial stewardship (AMS) curriculum in all dental institutions in Nepal is strongly recommended.
开具药物处方是临床牙科的重要组成部分，尤其是在使用抗生素治疗急性牙源性感染、手术预防以及照顾有医疗并发症的患者方面。尼泊尔尤其缺乏关于牙科学生在牙科实践中对抗菌预防知识和认知的研究。本研究旨在通过评估尼泊尔牙科学生的理解水平来填补这一空白。
在尼泊尔各地的牙科学生中开展了一项基于问卷的在线横断面研究。共有288名尼泊尔牙科学生参与了该研究，其中包括189名本科生、62名实习生和37名研究生。通过在线发放一份包含12个临床相关问题和3个基于认知的问题的标准结构化问卷。结果通过描述性统计进行分析。
正确答案的均值±标准差为6.79±2.26。超过四分之三的学生（288名），即76.04%（219名），正确回答了一半以上的问题。在剂量和时间的情景中，76.3%的学生回答正确，其中实习生的正确回答率最高（91.0%）。在判断他们对特定情景的知识时，73.7%的学生在五个相关情景中的四个中知道何时正确开具处方，研究生的表现更好（76.1%）。当涉及评估被认为不适合预防的情景时，表现显著下降。此外，自我报告的认知突出了知识（38.6%）和信心（40.9%）方面的显著差距。三分之二（65.4%）的学生承认这些不足强调了进一步教育的强烈需求。
虽然大多数学生对抗生素预防有基本的理解，但仍存在显著不足，特别是在避免不必要的处方方面。为确保适当的处方做法并减少抗生素的过度使用，强烈建议在尼泊尔所有牙科机构中纳入标准化的抗菌药物管理（AMS）课程。
