All studies
Active not recruitingNAINTERVENTIONAL

Evaluation of an Educational Intervention on Antibiotics in Dental Care

This study, based in British Columbia, Canada, focuses on how providing dentists with specific information can change the way they prescribe antibiotics, particularly clindamycin, for dental infections. The goal is to see if personalised reports comparing a dentist's prescribing to their colleagues, alongside educational materials, can lead to more appropriate antibiotic use. This is important because overuse of antibiotics can lead to problems like C. diff infections. Dentists in British Columbia were split into groups, receiving different types of information at different times. Researchers will then look at dental records to work out if giving this information helped reduce the prescribing of clindamycin when it might not be needed, ultimately aiming to improve patient safety and reduce risks linked to certain antibiotics.

At a glance

Status
Active not recruiting
Phase
NA
Sponsor
University of British Columbia
Enrolment target
3,498
Start
15 May 2023
Estimated completion
15 May 2027

What is this study about?

This study is looking at how dentists in British Columbia, Canada, prescribe antibiotics, especially one called clindamycin, for dental infections. You might have been prescribed antibiotics by your dentist before to help with an infection, but sometimes these medicines are prescribed when they might not be strictly necessary, or a different antibiotic could be a safer choice.

Clindamycin, while useful for some infections, can sometimes cause serious side effects, such as a severe bowel infection called C. diff. This happens when clindamycin disrupts the natural healthy bacteria in your gut, allowing harmful C. diff bacteria to grow. The researchers want to help dentists make the best choices when prescribing antibiotics to avoid these kinds of risks for patients.

To do this, they’re giving dentists different types of information. This includes personal reports showing them how their prescribing habits compare to their peers, along with educational booklets. They want to see if providing this information helps dentists prescribe antibiotics more carefully, reducing the use of drugs like clindamycin when other options might be better or safer. By understanding this, the research hopes to improve how antibiotics are used in dental care, keeping patients safer in the long run.

Key takeaways

  • This study aims to improve how dentists prescribe antibiotics.
  • It focuses on reducing the use of clindamycin when it might not be the safest choice.
  • Information is given to dentists to help them make better prescribing decisions.
  • The goal is to enhance patient safety and reduce antibiotic-related side effects.
  • Patients are not directly involved in the study; it looks at general prescribing patterns.

Who may be eligible?

This study involves dentists and looks at existing health records. If you are a patient, you are not directly involved in the study itself, and you won't need to do anything or attend any appointments.

However, the study will be looking at information from health records of patients who were prescribed antibiotics by dentists in British Columbia, Canada. This includes patients aged 16 and over who had an antibiotic prescription from a BC dentist and were enrolled in a health insurance plan called MSP for at least one month before their prescription.

The study will not look at records for patients who had already taken antibiotics in the 14 days before their dental prescription, or for certain groups of people whose health data the researchers were not allowed to use.

Could this study suit you?

Answer these quick questions to see if you may be eligible. This is a guide only — the research team makes the final call.

  1. I am not a dentist in British Columbia, Canada.
  2. I am a patient whose medical records might be included.
  3. I was 16 years old or older when I received an antibiotic prescription.
  4. My antibiotic was prescribed by a dentist in British Columbia.
  5. I haven't taken other antibiotics within 14 days before my dental prescription.
Answer every question to see your result.

What does participation involve?

As a patient, you would not be directly taking part in this study. This research is focused on dentists in British Columbia, Canada, and how information given to them might change their prescribing habits. The researchers are looking at existing anonymised health records, which means they are not identifying individual patients or contacting them. Therefore, there are no visits, assessments, medications, or follow-up appointments required from individual patients.

Potential risks and benefits

Since this study focuses on dentists and analyses existing health data, there are no direct risks or benefits to individual patients because you are not actively participating. The potential benefit is that if the study successfully helps dentists prescribe antibiotics more thoughtfully, it could lead to better patient safety and fewer side effects from antibiotics in the future. As patients are not directly involved, there is no right to withdraw from the study.

Locations (1)

  • Therapeutics Initiative - Dept of Anesthesiology, Pharmacology & Therapeutics, Faculty of Medicine, University of British Columbia
    Verified postcode
    Vancouver, Canada

Common questions

What is this study trying to find out?

It's trying to see if giving dentists special information helps them make better choices about prescribing antibiotics, especially clindamycin, for dental infections.

Why is it important to prescribe antibiotics carefully?

Using antibiotics too much or when they're not needed can lead to serious side effects, like severe tummy infections (e.g., C. diff), and can also make antibiotics less effective in the future.

Will I be contacted or asked to do anything for this study?

No, if you are a patient, you won't be contacted or asked to do anything. The study is about dentists and uses health information that's already collected.

What is clindamycin?

Clindamycin is a type of antibiotic sometimes used for dental infections, but it carries a higher risk of certain side effects like tummy upsets compared to some other antibiotics.

Where is this study taking place?

This study is happening in British Columbia, Canada, and involves dentists practicing there.

How to find out more

Always speak to your GP or specialist before deciding to take part in a study.

Discussion

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