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ePaper created 2016-10-07, 10:41:07 | version 1.38.0
02 Dental Tribune United Kingdom Edition | 8/2016 UK NEWS Individualised feedback reduces prescription of antibiotics By DTI CAMBRIDGE, UK: While dentists only prescribe 10 per cent of all antibiotics in the UK, they often prescribe them inappropriately. Over-prescription of antibiotics could be reduced to some extent if practitioners receive individ- ualised feedback about their prescription practices the results of a trial, published in the PLOS Medicine journal, among NHS dentists in Scotland have indi- cated. In a study involving all 795 antibiotic-prescribing general den- tistry practices in the country, a group of researchers from Dun- dee, Aberdeen and Glasgow sent out graphic plots of the monthly prescription rates of each dentist at the respective practices, which were randomly selected. Some of these practices were also sent a written behaviour change mes- sage reiterating national recom- mendations. After 12 months, the rate of prescriptions was compared to those of practices that had re- ceived neither graphs nor mes- sages. The researchers found an overall reduction of 5 per cent in the group that had received the feedback. Although the intervention achieved a slight reduction, the researchers suggested that multi- faceted measures like audit and feedback intervention might offer no advantage over single measures because of their com- plexity and the overall costs in- volved. They, however, empha- sised the need to develop new strategies to change health pro- fessionals’ prescribing behaviour. Previous studies have found that, despite clinical guidelines, antibiotic prescriptions are often given by dentists without clinical need. Last year, medical bodies in the UK, including the British Dental Association,joinedtheOneHealth initiative in order to promote re- sponsible use of antibiotics in den- tistry and other fields of medicine. The study, titled “An audit and feedback intervention for reducing antibiotic prescribing in general dental practice: The RAPiD cluster randomised con- trolled trial”, was published on 30 August in PLOS Medicine. IMPRINT PUBLISHER: Torsten OEMUS GROUP EDITOR/MANAGING EDITOR DT AP & UK: Daniel ZIMMERMANN newsroom@dental-tribune.com CLINICAL EDITOR: Magda WOJTKIEWICZ ONLINE EDITOR: Claudia DUSCHEK EDITOR: Anne FAULMANN ASSISTENT EDITOR: Kristin HÜBNER COPY EDITORS: Sabrina RAAFF, Hans MOTSCHMANN PRESIDENT/CEO: Torsten OEMUS CFO/COO: Dan WUNDERLICH MEDIA SALES MANAGERS: Matthias DIESSNER Peter WITTECZEK Maria KAISER Melissa BROWN Weridiana MAGESWKI Hélène CARPENTIER Antje KAHNT INTERNATIONAL PR & PROJECT MANAGER: Marc CHALUPSKY MARKETING & SALES SERVICES: Nicole ANDRAE ACCOUNTING: Karen HAMATSCHEK BUSINESS DEVELOPMENT: Claudia SALWICZEK-MAJONEK EXECUTIVE PRODUCER: Gernot MEYER AD PRODUCTION: Marius MEZGER DESIGNER: Franziska DACHSEL INTERNATIONAL EDITORIAL BOARD: Dr Nasser Barghi, Ceramics, USA Dr Karl Behr, Endodontics, Germany Dr George Freedman, Esthetics, Canada Dr Howard Glazer, Cariology, USA Prof. Dr I. Krejci, Conservative Dentistry, Switzerland Dr Edward Lynch, Restorative, Ireland Dr Ziv Mazor, Implantology, Israel Prof. Dr Georg Meyer, Restorative, Germany Prof. Dr Rudolph Slavicek, Function, Austria Dr Marius Steigmann, Implantology, Germany Published by DTI DENTAL TRIBUNE INTERNATIONAL Holbeinstr. 29, 04229, Leipzig, Germany Tel.: +49 341 48474-302 Fax: +49 341 48474-173 info@dental-tribune.com www.dental-tribune.com Regional Offices: DT ASIA PACIFIC LTD. c/o Yonto Risio Communications Ltd, 20A, Harvard Commercial Building, 105–111 Thomson Road, Wanchai Hong Kong Tel.: +852 3113 6177 Fax: +852 3113 6199 UNITED KINGDOM 535, Stillwater Drive 5 Manchester M11 4TF Tel.: +44 161 223 1830 www.dental-tribune.co.uk DENTAL TRIBUNE AMERICA, LLC 116 West 23rd Street, Suite 500, New York, NY 10001, USA Tel.: +1 212 244 7181 Fax: +1 212 224 7185 © 2016, Dental Tribune International GmbH All rights reserved. Dental Tribune makes every effort to report clinical information and manufacturer’s product news accurately, but cannot assume respon- sibility for the validity of product claims, or for typo- graphical errors. The publishers also do not assume responsibility for product names or claims, or state- ments made by advertisers. Opinions expressed by authors are their own and may not reflect those of Dental Tribune International. Scan this code to subscribe our weekly Dental Tribune UK e-newsletter. “When I will be your age…”—“When I was your age…” Infection scare dentist struck off By DTI LONDON, UK: The General Dental Council (GDC) has struck off a Nottingham dentist responsible for the largest recall of patients in the history of the NHS from its register last month. Desmond D’Mello was re- moved for reasons of misconduct owing to 55 allegations of failure to maintain basic standards of infection control or prescribe antibiotics without a thorough assessment of patients’ needs. As a result, more than 22,000 patients were offered a recall for blood tests owing to the risk of exposure to infection in 2014. His actions were revealed by a whistle-blower, who recorded some of the failings on video. The film- ings showed that he did not change his gloves or surgical mask and wiped his hands on his trousers instead of washing them, among other gravely hazardous practices. In connection with D’Mello, the GDC also subjected one of his co-workers, a dental nurse who worked in the same practice, to conditional registration for a pe- riod of 12 months. She has admit- ted to 27 of the allegations, the council said. “Mr D’Mello has abused the trust of his patients in exposing them to serious risk of harm and subjected those patients affected to an appalling and agonising ordeal as they undergo invasive blood-testing,” commented the chairperson of the GDC’s Profes- sional Conduct Committee, Gavin Scott, on the decision. “His be- haviour is fundamentally incom- patible with being a dental pro- fessional, and his behaviour is so damaging to public confidence in the dental profession.” D’Mello did not attend any of the hearings or have legal rep- resentation. In a letter to the GDC last year, he applied for voluntary erasure from the GDC register. He stated too that he had no intention of ever practising den- tistry again. Tel.: +4934148474-302 Fax: +4934148474-173 Tel.: +85231136177 Fax: +85231136199 Tel.: +441612231830 Tel.: +12122447181 Fax: +12122247185