Knowledge, attitudes and behaviors of Tunisian dentists on the prescription of antibiotics

Introduction : The misuse of antibiotics in dentistry contributes to antimicrobial resistance. Understanding dentists' knowledge, attitudes, and behaviors is crucial for promoting rational antibiotic use. Objective: This study aims to assess Tunisian dentists' knowledge levels on antibiotic prescription, as well as their attitudes, behaviors and current practices regarding antibiotic use. Material and Methods: A descriptive cross- sectional KAP study including 16 questions was delivered to Tunisian dentists based on an online questionnaire. The questionnaire is composed of 2 parts, a knowledge assessment based on the indication or not of antibiotics in specific clinical conditions then the respondents were categorized based on the scores they obtained. The second part based on non-clinical situations aims to assess their attitudes regarding the prescription of antibiotics. Results: A total of 258 dentists were included in the study. Most Tunisian dentists (84.5%) showed an average level of knowledge regarding the indications of antibiotic. There is no statistically significant relationship between knowledge levels and their years of experience. For non-clinical factors, the high rate of prescribing antibiotics is only when it is necessary to delay treatment (33.7%). Participants disagreed on prescribing antibiotics when requested by patients and when pressed for time with rates of 83.3% and 55.4% respectively. However, dentists have shown a lack of individual practices aimed at improving the prescription of antibiotics including participation in continuing training on prescription (15.5%). Conclusion: This study highlighted shortcomings in antibiotic prescribing in our dental practice. Targeted action plans for the latter could be a first step in the implementation of a policy on the proper use of antibiotics in dentistry.