Insights Into Antimicrobial Resistance From Dental Students in the Asia–Pacific Region
Background: Dentists, as prominent prescribers, are key stakeholders in addressing the antimicrobial resistance (AMR) crisis. Dental students’ perceptions about the topic have been underexplored in the Asia–Pacific region, a key location for the development and spread of AMR. Thus, the aim of this s...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-02-01
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| Series: | International Dental Journal |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S0020653924015296 |
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| author | Saba Ghafoor Gabriela Salvadori Shiho Kino Vy Thi Nhat Nguyen Tam Thi-Thanh Nguyen Miho Ishimaru Antônio Pedro Ricomini-Filho Cassiano Kuchenbecker Rösing Dileep De Silva Jun Aida Belinda Farias Nicolau Ratilal Lalloo Roger Junges |
| author_facet | Saba Ghafoor Gabriela Salvadori Shiho Kino Vy Thi Nhat Nguyen Tam Thi-Thanh Nguyen Miho Ishimaru Antônio Pedro Ricomini-Filho Cassiano Kuchenbecker Rösing Dileep De Silva Jun Aida Belinda Farias Nicolau Ratilal Lalloo Roger Junges |
| author_sort | Saba Ghafoor |
| collection | DOAJ |
| description | Background: Dentists, as prominent prescribers, are key stakeholders in addressing the antimicrobial resistance (AMR) crisis. Dental students’ perceptions about the topic have been underexplored in the Asia–Pacific region, a key location for the development and spread of AMR. Thus, the aim of this study was to evaluate the awareness and confidence to prescribe antimicrobials amongst dental students studying in the region. Methods: Students from 15 dental schools in 4 countries were invited to participate in a cross-sectional online survey during 2022–2023. A previously validated and standardised 14-item instrument was utilised. Results: In all, 1413 responses were collected from Australia (n = 165), Sri Lanka (n = 112), Japan (n = 173), and Vietnam (n = 963). Of those, 201 were from final-year students (14.2%). On a scale from 1 to 10, awareness on AMR was placed at a mean (SEM) priority of 8.09 (0.05). With regards to target areas to address for mitigation of the AMR crisis, participants placed general public awareness at the top (mean [SEM] 8.53 [0.05]). Final-year students presented a mean (SEM) level of confidence to prescribe antibiotics of 6.01 (0.14) on a scale from 1 to 10, whilst 59.7% and 56.8% indicated feeling pressured to prescribe by patients or when lacking time, respectively. Final-year students participating in research activities assigned a higher priority to AMR compared to their peers not involved in research (mean [SEM] 8.6 [0.19] vs 7.81 [0.16]; P = .01). Conclusions: This study highlights a need for increased awareness and confidence to prescribe amongst dental students in the Asia–Pacific region, an understudied population thus far. To mitigate this issue, the implementation (followed by assessment) of local educational and antibiotic stewardship initiatives is warranted. |
| format | Article |
| id | doaj-art-f98ece374fec4f2ba986da1482ee8874 |
| institution | Kabale University |
| issn | 0020-6539 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | Elsevier |
| record_format | Article |
| series | International Dental Journal |
| spelling | doaj-art-f98ece374fec4f2ba986da1482ee88742025-01-21T04:12:45ZengElsevierInternational Dental Journal0020-65392025-02-01751263272Insights Into Antimicrobial Resistance From Dental Students in the Asia–Pacific RegionSaba Ghafoor0Gabriela Salvadori1Shiho Kino2Vy Thi Nhat Nguyen3Tam Thi-Thanh Nguyen4Miho Ishimaru5Antônio Pedro Ricomini-Filho6Cassiano Kuchenbecker Rösing7Dileep De Silva8Jun Aida9Belinda Farias Nicolau10Ratilal Lalloo11Roger Junges12Institute of Oral Biology, Faculty of Dentistry, University of Oslo, Oslo, NorwayInstitute of Oral Biology, Faculty of Dentistry, University of Oslo, Oslo, NorwayDepartment of Oral Health Promotion, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, JapanFaculty of Odonto-Stomatology, Hue University of Medicine and Pharmacy, Hue University, Hue, VietnamFaculty of Odonto-Stomatology, The University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, VietnamThe Institute of Education, Tokyo Medical and Dental University, Tokyo, JapanPiracicaba Dental School, University of Campinas, Piracicaba, BrazilFaculty of Dentistry, Federal University of Rio Grande do Sul, Porto Alegre, BrazilFaculty of Dental Sciences, University of Peradeniya, Peradeniya, Sri LankaDepartment of Oral Health Promotion, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, JapanFaculty of Dental Medicine and Oral Health Sciences, McGill University, Montreal, Québec, CanadaThe University of Queensland, School of Dentistry, Brisbane, AustraliaInstitute of Oral Biology, Faculty of Dentistry, University of Oslo, Oslo, Norway; Corresponding author. Institute of Oral Biology, Faculty of Dentistry, University of Oslo, Postboks 1052 Blindern 0316 Oslo, Norway.Background: Dentists, as prominent prescribers, are key stakeholders in addressing the antimicrobial resistance (AMR) crisis. Dental students’ perceptions about the topic have been underexplored in the Asia–Pacific region, a key location for the development and spread of AMR. Thus, the aim of this study was to evaluate the awareness and confidence to prescribe antimicrobials amongst dental students studying in the region. Methods: Students from 15 dental schools in 4 countries were invited to participate in a cross-sectional online survey during 2022–2023. A previously validated and standardised 14-item instrument was utilised. Results: In all, 1413 responses were collected from Australia (n = 165), Sri Lanka (n = 112), Japan (n = 173), and Vietnam (n = 963). Of those, 201 were from final-year students (14.2%). On a scale from 1 to 10, awareness on AMR was placed at a mean (SEM) priority of 8.09 (0.05). With regards to target areas to address for mitigation of the AMR crisis, participants placed general public awareness at the top (mean [SEM] 8.53 [0.05]). Final-year students presented a mean (SEM) level of confidence to prescribe antibiotics of 6.01 (0.14) on a scale from 1 to 10, whilst 59.7% and 56.8% indicated feeling pressured to prescribe by patients or when lacking time, respectively. Final-year students participating in research activities assigned a higher priority to AMR compared to their peers not involved in research (mean [SEM] 8.6 [0.19] vs 7.81 [0.16]; P = .01). Conclusions: This study highlights a need for increased awareness and confidence to prescribe amongst dental students in the Asia–Pacific region, an understudied population thus far. To mitigate this issue, the implementation (followed by assessment) of local educational and antibiotic stewardship initiatives is warranted.http://www.sciencedirect.com/science/article/pii/S0020653924015296Dental educationOne HealthAntimicrobial resistanceMicrobiologyAntimicrobial stewardshipDrug prescriptions |
| spellingShingle | Saba Ghafoor Gabriela Salvadori Shiho Kino Vy Thi Nhat Nguyen Tam Thi-Thanh Nguyen Miho Ishimaru Antônio Pedro Ricomini-Filho Cassiano Kuchenbecker Rösing Dileep De Silva Jun Aida Belinda Farias Nicolau Ratilal Lalloo Roger Junges Insights Into Antimicrobial Resistance From Dental Students in the Asia–Pacific Region International Dental Journal Dental education One Health Antimicrobial resistance Microbiology Antimicrobial stewardship Drug prescriptions |
| title | Insights Into Antimicrobial Resistance From Dental Students in the Asia–Pacific Region |
| title_full | Insights Into Antimicrobial Resistance From Dental Students in the Asia–Pacific Region |
| title_fullStr | Insights Into Antimicrobial Resistance From Dental Students in the Asia–Pacific Region |
| title_full_unstemmed | Insights Into Antimicrobial Resistance From Dental Students in the Asia–Pacific Region |
| title_short | Insights Into Antimicrobial Resistance From Dental Students in the Asia–Pacific Region |
| title_sort | insights into antimicrobial resistance from dental students in the asia pacific region |
| topic | Dental education One Health Antimicrobial resistance Microbiology Antimicrobial stewardship Drug prescriptions |
| url | http://www.sciencedirect.com/science/article/pii/S0020653924015296 |
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