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268 results

Page 1 of 14

  • How decisions are made: Antibiotic stewardship in dentistry

  • Erika G. Schneider-Smith, Katie J. Suda, Daphne Lew, Susan Rowan, Danny Hanna, Tracey Bach, Neel Shimpi, Randi E. Foraker, Michael J. Durkin
  • Journal:
    Infection Control & Hospital Epidemiology / Volume 44 / Issue 11 / November 2023
    Published online by Cambridge University Press:
    09 August 2023, pp. 1731-1736
    Print publication:
    November 2023
  • Background:

    We performed a preimplementation assessment of workflows, resources, needs, and antibiotic prescribing practices of trainees and practicing dentists to inform the development of an antibiotic-stewardship clinical decision-support tool (CDST) for dentists.

    Methods:

    We used a technology implementation framework to conduct the preimplementation assessment via surveys and focus groups of students, residents, and faculty members. Using Likert scales, the survey assessed baseline knowledge and confidence in dental providers’ antibiotic prescribing. The focus groups gathered information on existing workflows, resources, and needs for end users for our CDST.

    Results:

    Of 355 dental providers recruited to take the survey, 213 (60%) responded: 151 students, 27 residents, and 35 faculty. The average confidence in antibiotic prescribing decisions was 3.2 ± 1.0 on a scale of 1 to 5 (ie, moderate). Dental students were less confident about prescribing antibiotics than residents and faculty (P < .01). However, antibiotic prescribing knowledge was no different between dental students, residents, and faculty. The mean likelihood of prescribing an antibiotic when it was not needed was 2.7 ± 0.6 on a scale of 1 to 5 (unlikely to maybe) and was not meaningfully different across subgroups (P = .10). We had 10 participants across 3 focus groups: 7 students, 2 residents, and 1 faculty member. Four major themes emerged, which indicated that dentists: (1) make antibiotic prescribing decisions based on anecdotal experiences; (2) defer to physicians’ recommendations; (3) have limited access to evidence-based resources; and (4) want CDST for antibiotic prescribing.

    Conclusions:

    Dentists’ confidence in antibiotic prescribing increased by training level, but knowledge did not. Trainees and practicing dentists would benefit from a CDST to improve appropriateness of antibiotic prescribing.

The People of Print

The People of Print
  • Seventeenth-Century England
  • Rachel Stenner, Kaley Kramer, Adam James Smith, Georgina E. M. Wilson, Joe Saunders, William Clayton, Jennifer Young, Alan B. Farmer, Benjamin Woodring, Michael Durrant, Verônica Calsoni Lima, Rosalind Johnson
  • Published online:
    18 May 2023
    Print publication:
    08 June 2023
  • This collection profiles understudied figures in the book and print trades of the seventeenth century. With an equal balance between women and men, it intervenes in the history of the trades, emphasising the broad range of material, cultural, and ideological work these people undertook. It offers a biographical introduction to each figure, placing them in their social, professional, and institutional settings. The collection considers varied print trade roles including that of the printer, publisher, paper-maker, and bookseller, as well as several specific trade networks and numerous textual forms. The biographies draw on extensive new archival research, with details of key sources for further study on each figure. Chronologically organised, this Element offers a primer both on numerous individual figures, and on the tribulations and innovations of the print trade in the century of revolution.

Page 1 of 14