Efficiency of software for personalized antibiotic prescription in surgical dentistry

Cover Page

Cite item

Full Text

Open Access Open Access
Restricted Access Access granted
Restricted Access Subscription Access

Abstract

A prospective randomized controlled study was conducted to evaluate the effectiveness of specialized software for personalizing antibiotic therapy in dental practice. The study involved 35 specialists (20 practicing dentists and 15 residents), divided into the main (n=20) and control (n=15) groups. The main group received access to the Sanford Guide software and completed a master class on its use, the control group received standard training. The assessment was carried out before and 3 months after the intervention using the KAP questionnaire, clinical scenario analysis, and the antibiotic therapy personalization index (IP). The results showed a significant superiority of the main group over the control group in all parameters: the total CAP score increased by 7.8±2.0 against 3.4±1.4 (p < 0.001), the IP increased from 3.8±1.1 to 8.7±0.9 in the main group and from 3.6±1.2 to 5.4±1.0 in the control group (p < 0.001). The greatest differences were found in the components of individualization of dosages and accounting for drug interactions. A strong positive correlation was established between the IP and the quality of solving clinical scenarios (r = 0.78, p < 0.001). The participants highly rated the use of the program (4.6 points on a 5-point scale), 95% noted its significant help in making effective decisions, 85% expressed the intention to continue using it. The results of the study confirm that the use of specialized software significantly improves the quality of personalization of antibiotic therapy in dentists and can serve as an effective tool for containing antibiotic resistance.

About the authors

D. V. Kvashnin

N.N. Burdenko Voronezh State Medical University Ministry of Health of Russia

Author for correspondence.
Email: stomdk@yandex.ru
Russian Federation, Voronezh

D. Yu. Kharitonov

N.N. Burdenko Voronezh State Medical University Ministry of Health of Russia

Email: stomdk@yandex.ru
ORCID iD: 0000-0002-6649-0562
SPIN-code: 4266-4181

MD, Professor

Russian Federation, Voronezh

O. A. Kumirova

N.N. Burdenko Voronezh State Medical University Ministry of Health of Russia

Email: stomdk@yandex.ru
SPIN-code: 9207-6779

Candidate of Medical Sciences

Russian Federation, Voronezh

A. S. Shcherbinin

N.N. Burdenko Voronezh State Medical University Ministry of Health of Russia

Email: stomdk@yandex.ru
ORCID iD: 0000-0002-6733-2726
SPIN-code: 9923-1025

Candidate of Medical Sciences

Russian Federation, Voronezh

References

  1. Намазова-Баранова Л.С., Баранов А.А. Антибиотикорезистентность в современном мире. Педиатрическая фармакология. 2017; 14 (5): 341–54 [Namazova-Baranova L.S., Baranov A.A. Antibiotic Resistance in Modern World. Pediatric pharmacology. 2017; 14 (5): 341–54 (in Russ.)]. doi: 10.15690/pf.v14i5.1782
  2. Dhole S., Mahakalkar C., Kshirsagaret S. al. Antibiotic Prophylaxis in Surgery: Current Insights and Future Directions for Surgical Site Infection Prevention. Cureus. 2023; 15 (10): e47858. doi: 10.7759/cureus.47858
  3. Федорова О.С., Федосенко С.В., Федотова М.М. и др. Антибактериальная терапия и отношение к проблеме антибиотикорезистентности во врачебной практике. Профилактическая медицина. 2021; 24 (10): 106–18 [Fedorova O.S., Fedosenko S.V., Fedotova M.M. et al. Antibiotic therapy and awareness of antibiotic resistance problem in medical practice. Russian Journal of Preventive Medicine. 2021; 24 (10): 106–18 (in Russ.)]. doi: 10.17116/profmed202124101106
  4. Thompson W., Williams D., Pulcini C. et al. Tackling Antibiotic Resistance: Why Dentistry Matters. Int Dent J. 2021; 71 (6): 450–3. doi: 10.1016/j.identj.2020.12.023
  5. Bernabeu-Mira J.C., Peñarrocha-Diago M., Peñarrocha-Oltra D. Prescription of Antibiotic Prophylaxis for Dental Implant Surgery in Healthy Patients: A Systematic Review of Survey-Based Studies. Front Pharmacol. 2021; 11: 588333. doi: 10.3389/fphar.2020.588333
  6. Torof E., Newton E., Morrissey H. et al. A survey of dental professionals' opinions around the use of antibiotics in molar 3 extractions and dental implant placement. Med Pharm Rep. 2024; 97 (1): 84–94. doi: 10.15386/mpr-2634
  7. Muteeb G., Rehman M.T., Shahwan M. et al. Origin of Antibiotics and Antibiotic Resistance, and Their Impacts on Drug Development: A Narrative Review. Pharmaceuticals (Basel). 2023; 16 (11): 1615. doi: 10.3390/ph16111615
  8. Harandi H., Shafaati M., Salehi M. et al. Artificial intelligence-driven approaches in antibiotic stewardship programs and optimizing prescription practices: A systematic review. Artif Intell Med. 2025; 162: 103089. doi: 10.1016/j.artmed.2025.103089
  9. Mudenda S., Daka V., Matafwali S.K. World Health Organization AWaRe framework for antibiotic stewardship: Where are we now and where do we need to go? An expert viewpoint. Antimicrob Steward Healthc Epidemiol. 2023; 3 (1): e84. doi: 10.1017/ash.2023.164
  10. Roganović J., Djordjević S., Barać M. et al. Dental Antimicrobial Stewardship: Developing a Mobile Application for Rational Antibiotic Prescribing to Tackle Misdiagnosis. Antibiotics (Basel). 2024; 13 (12): 1135. doi: 10.3390/antibiotics13121135

Supplementary files

Supplementary Files
Action
1. JATS XML

Согласие на обработку персональных данных

 

Используя сайт https://journals.rcsi.science, я (далее – «Пользователь» или «Субъект персональных данных») даю согласие на обработку персональных данных на этом сайте (текст Согласия) и на обработку персональных данных с помощью сервиса «Яндекс.Метрика» (текст Согласия).