Unplanned pregnancy among married women: an exploratory study in a rural area of Bengal

Background: Globally unplanned pregnancy has emerged as a major public health problem with its impact on demography and economy. Despite being the first country to initiate a nationwide family planning program, contraceptives access and utilization are low in India. As per a study conducted in 35 low- and middle-income countries, India contributed the largest number of undesired pregnancy. Our current study was aimed at determining the proportion of unplanned pregnancy and examining its predictors among currently married women aged 15-35 years, residing in a rural area. Methods: A facility based, observational, cross-sectional study was conducted in a rural area of Bengal. 158 participants were selected by purposive sampling and face to face interviews were conducted using structured schedule ensuring confidentiality. Statistically data were summarized with descriptive statistics and adjusted with binary logistic regression analysis in SPSS (version 16). Results: The proportion of unplanned pregnancy was found to be 28.5%. On multivariable logistic regression, it was observed that there was significant association between unplanned pregnancy and low SE status AOR (CI) 2.523 (1.074-5.926), lack of women’s empowerment AOR (CI) 2.971 (1.198-7.367), husbands’ lower level of education AOR (CI) 2.673 (1.041-6.866), and no contraception or traditional method of contraception AOR (CI) 2.391 (1.104-5.180). Conclusions: The study revealed alarmingly high proportion of unplanned pregnancy. In addition to the existing strategies of the national program, emphasis should be on IEC activities. All efforts should be made to educate women on hazards of unsafe abortion and unplanned pregnancy.

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MO376CLINICAL OUTCOMES OF ACUTE KIDNEY INJURY FOLLOWING SNAKE BITE INJURIES

Nephrology Dialysis Transplantation ◽

10.1093/ndt/gfab082.0030 ◽

2021 ◽

Vol 36 (Supplement_1) ◽

Author(s):

Weerakit Naweera ◽

Thapat Wannarong

Keyword(s):

Acute Kidney Injury ◽

Logistic Regression ◽

Kidney Injury ◽

Binary Logistic Regression ◽

Cross Sectional Study ◽

Renal Recovery ◽

Binary Logistic Regression Analysis ◽

Cross Sectional ◽

Hospital Arrival ◽

Russell’S Viper

Abstract Background and Aims Snakebite is a common animal bite injury in tropical countries. Acute kidney injury (AKI) is an important complication in snakebite patients. This study aimed to comprehensively investigate the clinical profiles and outcomes of patients following hematotoxin-related snakebite associated with kidney impairment. Method We conducted a hospital-based, cross-sectional study of 238 patients with hematotoxin-related snakebite injuries. Data were retrieved from the King Narai Hospital Registry from October 2014 to August 2020. The prevalence of complications associated with snakebite injuries, including acute kidney injury (AKI) and its severity, was determined. Univariate and Multivariate predictors of AKI diagnosis were evaluated using binary logistic regression analysis Results A total of 238 patients, with 63.4% men, median (IQR) age 49.8 (39-61) years and median duration from injury to a hospital arrival of 1 hour (0.5-2) hours, were injured by Green pit viper (85.7%), Russell’s viper (12.6%) and Malayan pit viper (1.7%). AKI mostly occurred in Russell’s viper group 66.7%. An AKI was reported in thirty (12.6%, 95% CI: 8.7 % - 17.5%) patients, with the severity of 66.7% stage one, 6.7% stage two, 26.6% stage three by KDIGO classifications, and 13.3% requiring hemodialysis. Complete renal recovery was seen in twenty-two patients (73.3%), while partial renal recovery was 23.3%. Other complications included 84.4 % limb cellulitis, 4.6% significantly bleeding, 2.5% hypotension, 25.6% prolonged venous clotting time (VCT), 46.7% prolonged prothrombin time (PT), and 14.3% prolonged partial thromboplastin time (PTT). Of total patients, 60.1% were treated with anti-venom. Mortality was relatively low (0.4%). In multivariable logistic regression analyses, AKI was significantly associated with time to hospital arrival more than 3 hours (p = 0.04), Russell’s viper bitten (p = 0.01), clinical bleeding (p = 0.01), and prolonged PT (p < 0.01). Conclusion The prevalence of AKI in patients bitten by hematotoxin snakes was 12.6%, mostly from Russell’s viper. Factors associated with AKI outcomes were time to hospital arrival more than 3 hours, Russell’s viper bitten, clinical bleeding, and prolonged PT. Besides, one-fourth of AKI patients turned to chronic kidney disease.

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AB0896-HPR THE EVALUATION OF TYPE D PERSONALITY AND SELF-ESTEEM IN PATIENTS WITH FIBROMYALGIA

Annals of the Rheumatic Diseases ◽

10.1136/annrheumdis-2021-eular.3155 ◽

2021 ◽

Vol 80 (Suppl 1) ◽

pp. 1471.2-1472

Author(s):

N. Gokcen ◽

I. Coskun Benlidayi ◽

L. Tamam ◽

M. E. Demirkol ◽

C. Yesiloglu ◽

...

Keyword(s):

Logistic Regression ◽

Regression Analysis ◽

Logistic Regression Analysis ◽

Binary Logistic Regression ◽

Self Esteem ◽

Cross Sectional Study ◽

Type D Personality ◽

Binary Logistic Regression Analysis ◽

Cross Sectional ◽

Type D

Background:Fibromyalgia (FM) is a condition characterized by chronic widespread pain, fatigue, sleep disturbances. Etiopathogenesis remains unclear; however, growing data regarding the effect of psychosocial factors on disease etiopathogenesis have drawn attention. Psychosocial elements such as type D personality and low level of self-esteem might increase disease burden (1). Accordingly, many researchers so far, have examined psychological parameters in FM and a limited number of studies focused on the personality type among patients with FM (2-5).Objectives:The current study aimed to investigate type D personality and self-esteem in patients with FM.Methods:Female patients with fibromyalgia and age-matched healthy controls were enrolled in this cross-sectional study. Type D personality was evaluated by using the type D scale (DS-14). The Rosenberg self-esteem scale (RSES) was used to assess self-esteem and psychosomatic symptoms. Psychological status was evaluated by the Beck Depression and Beck Anxiety Inventories. Fibromyalgia Impact Questionnaire (FIQ) was performed to assess functional impairment and health status in patients with FM. The potential confounders of type D personality were evaluated by binary logistic regression analysis.Results:Seventy patients with FM and 60 controls were included. Type D personality was observed in 58.6% of the patients and in 21.7% of the control group (p<0.001). When compared to patients with non-type D personality, those with type D personality revealed lower self-esteem and poorer health status (p<0.05 for both), higher anxiety and depression scores (p<0.001 for both). According to binary logistic regression analysis, depression (β=1.178, Cl 95% 1.055−1.316, p=0.004) and lower education level (β=0.818, Cl 95% 0.682−0.982, p=0.031) were significantly related to type D personality in FM (Table 1).Conclusion:Type D personality is more common in female patients with FM when compared to healthy women. Patients with type D personality have lower level of self-esteem when compared to those with non-type D personality. Depression and lower education level are potential confounders of type D personality in FM.References:[1]Bazzichi L, Giacomelli C, Consensi A, Giorgi V, Batticciotto A, Di Franco M, Sarzi-Puttini P (2020) One year in review 2020: fibromyalgia. Clin Exp Rheumatol 38 Suppl 123(1):3-8.[2]Conversano C, Marchi L, Ciacchini R, Carmassi C, Contena B, Bazzichi LM, Gemignani A (2018) Personality Traits in Fibromyalgia (FM): Does FM Personality Exists? A Systematic Review. Clin Pract Epidemiol Ment Health 14:263.[3]Türkoğlu G, Selvi Y (2020) The relationship between chronotype, sleep disturbance, severity of fibromyalgia, and quality of life in patients with fibromyalgia. Chronobiol Int 37(1):68-81.[4]Garip Y, Güler T, Bozkurt Tuncer Ö, Önen S (2019) Type D Personality is Associated With Disease Severity and Poor Quality of Life in Turkish Patients With Fibromyalgia Syndrome: A Cross-Sectional Study. Arch Rheumatol 35(1):13-19.[5]Ablin JN, Zohar AH, Zaraya-Blum R, Buskila D (2016) Distinctive personality profiles of fibromyalgia and chronic fatigue syndrome patients. PeerJ 4:e2421.Table 1.Binary logistic regression analysis for the evaluation of potential confounders of type D personality in patients with fibromyalgia.WaldSEβ (95%CI)pEducation (years)4.6640.0930.818 (0.682−0.982)0.031Occupation duration (years)0.1160.0371.013 (0.942−1.089)0.733Self-esteem scale (D1)0.3690.4230.774 (0.338−1.771)0.544BDI8.4460.0561.178 (1.055−1.316)0.004BAI0.7890.0321.029 (0.966−1.095)0.374BDI: Beck Depression Inventory, BAI: Beck Anxiety Inventory, SE: standard error, CI: confidence intervalDisclosure of Interests:None declared

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Elementary school enrolment and its determinants among children with cerebral palsy in Thiruvananthapuram district, Kerala, India

Journal of Neurosciences in Rural Practice ◽

10.4103/0976-3147.116446 ◽

2013 ◽

Vol 04 (S 01) ◽

pp. S40-S44 ◽

Cited By ~ 2

Author(s):

Thekkumkara Surendran Nair Anish ◽

Reshmi Ramachandran ◽

P Sivaram ◽

Seetha Mohandas ◽

Archana Sasidharan ◽

...

Keyword(s):

Logistic Regression ◽

Cerebral Palsy ◽

Formal Education ◽

Binary Logistic Regression ◽

Cross Sectional Study ◽

School Enrollment ◽

Outcome Variable ◽

Binary Logistic Regression Analysis ◽

Cross Sectional ◽

Children With Cerebral Palsy

ABSTRACT Context: There is enough documented evidence to prove the benefits of early and appropriate initiation of education among children with cerebral palsy (CP). Aim: To find out the proportion of children with CP who are enrolled for some kind of formal education and to study the determinants of the same. Setting and Design: This cross sectional study was done among children, attending the special clinics at government medical college, Thiruvananthapuram. Materials and Methods: Children between 3 and 12 years of age diagnosed with CP were subjects for the study. Statistical Analysis Used: Enrollment for any form of formal education was the major outcome variable. The factors associated with initiation of formal education were tested using Chi-square test or Fischer′s exact test. Independent association of each factor was evaluated through binary logistic Regression analysis. Results and Conclusions: The mean (SD) age of the children (n = 86) was 5.7 (2.3) years with forty-six (53.5%) of them being girls. Diplegia was the commonest limb abnormality found. Fifty-two (60.5%) children were undergoing some kind of schooling. Those children who were less dependent physically and those who had achieved better language development were regular school goers. After binary logistic regression the ability of a child to speak in sentences (P = 0.008) and ambulatory level of the child (P = 0.019) were factors which favored, whereas delay in attaining the adaptive developmental milestone of transferring objects from one hand to another (P = 0.014) was found to be detrimental for school enrollment.

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Childhood Injury Pattern During Covid 19 Pandemic: A Population - based Study in Rural Area in Basrah City (Iraq)

International Journal of Early Childhood Special Education ◽

10.9756/int-jecse/v13i2.211139 ◽

2021 ◽

Vol 13 (2) ◽

pp. 959-967

Author(s):

Amall Y. AL-Mulla

Keyword(s):

Incidence Rate ◽

Rural Area ◽

Public Health Problem ◽

Population Based ◽

Cross Sectional Study ◽

Urgent Care ◽

Major Public Health Problem ◽

Sectional Study ◽

Cross Sectional ◽

Childhood Injuries

Background: Children injuries are a major public health problem globally and considered as an important social health issue that needs an urgent care and action, regards as a health consideration in the whole world, influencing both developed and developing countries. The increased exposure to potentially hazardous home environments and activities caused by stay-at-home orders and closures of schools due to COVID-19 pandemic may be responsible for a new spate of injuries among children in 2020. method: population based cross sectional study done in rural area (Al-Jazeera/Shatt Al-Arab). This cross sectional study involved households with at least one child in age group of less than 18 years, in rural area in Basra city (2020). Objectives: To determine the magnitude of childhood injuries during COVID-19 pandemic in terms of incidence, to determine nature and causes of injuries and factors that may affect the incidence of childhood injuries that is associated with quarantine and homestay for long periods during pandemic. A total of 652 children under 18 years of age (according to the definition of WHO) were included in the study, 109 children had injuries during the pandemic year (2020). Result: The incidence rate of injury in the area was 167.1/ 1000 children, males show higher incidence rate of injury rather than females. the effect of child sex, mother education and age on the incidence of injury were highly significant, while age of child and birth order were not significant. Soft tissue injuries and burns were the leading causes of injuries in our household study. General improvement and modification of sociocultural environment are recommended, children and adolescent education about safety and necessary precaution. establishing of injury surveillance system is important for preventing and control of injuries Governments and healthcare authorities should proactively implement appropriate intervention programs and better resources to prevent these home injuries during lockdown.

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Effect Of Maternal Growth Monitoring Knowledge On Stunting, Wasting And Underweight Among Children 0-18 Months In Tamale Metropolis Of Ghana

10.21203/rs.2.16457/v1 ◽

2019 ◽

Author(s):

Mohammed Bukari ◽

Muzamil Mohammed Abubakari ◽

Mohammed Majeed ◽

Abdul-Razak Abizari ◽

Anthony Wemakor ◽

...

Keyword(s):

Logistic Regression ◽

Regression Analysis ◽

Nutritional Status ◽

Logistic Regression Analysis ◽

Binary Logistic Regression ◽

Cross Sectional Study ◽

Binary Logistic Regression Analysis ◽

Growth Monitoring ◽

Cross Sectional ◽

Tamale Metropolis

Abstract Objective: This study sought to assess maternal growth monitoring knowledge and its effect on stunting, wasting and underweight among children 0-18 months in the Tamale Metropolis.An analytical cross-sectional study design, involving 340 mother-child pairs randomly selected from 4 health facilities in the Tamale Metropolis, was used. A structured questionnaire was used to collect information on socio-demographic characteristics and maternal growth monitoring knowledge. Weight and length of children were taken to assess nutritional status (stunting, underweight and wasting). Logistic regression analysis was used to determine the association between maternal growth monitoring knowledge level and child nutritional status. Results: The study revealed that 87.6% of mothers had good knowledge on growth monitoring. The prevalence of stunting, underweight and wasting were 9.4%, 25.9% and 17.9% respectively. A binary logistic regression analysis revealed that there is no association between maternal growth monitoring knowledge and stunting [Adjusted Odds Ratio (AOR) = 0.593; 95% Confidence Interval (CI): 0.170-2.067], underweight (AOR= 1.56; 95% CI: 0.697-3.612) and wasting (OR= 0.881; 95% CI: 0.414-1.876) among children 0-18 months in the Tamale Metropolis.

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Factors Affecting Voluntary HIV Testing among General Adult Population: A Cross-Sectional Study in Sarawak, Malaysia

Journal of Family & Reproductive Health ◽

10.18502/jfrh.v14i1.3787 ◽

2020 ◽

Author(s):

Aren Sinedeh Lemin ◽

Md Mizanur Rahman ◽

Cliffton Akoi Pangarah ◽

Andrew Kiyu

Keyword(s):

Logistic Regression ◽

Regression Analysis ◽

Hiv Testing ◽

Logistic Regression Analysis ◽

Binary Logistic Regression ◽

Cross Sectional Study ◽

Binary Logistic Regression Analysis ◽

Sectional Study ◽

Cross Sectional ◽

Hiv Aids

Objective: Voluntary HIV testing is one of the key strategies in the HIV/AIDS prevention and control program. New National Strategic Plan for 2016-2030 in Malaysia, adapt three zeros viz. ‘zero new infections of HIV/AIDS, zero discrimination and zero AIDS-related deaths’. This study aimed to determine the predictors of voluntary HIV testing in Sarawak. Materials and methods: A cross-sectional study was conducted with a total of 900 respondents (450 males and 450 females) from the state of Sarawak, aged 18 years and above, who were selected by gender-stratified multistage cluster sampling. Data were obtained by face-to-face interview using a pretested questionnaire. Binary logistic regression analysis was done to determine the potential predictors for voluntary HIV testing. Results: The prevalence of HIV testing was higher among female respondents (26%) compared to male respondents (14.2%), and the difference was statistically significant (p < 0.001). Binary logistic regression analysis revealed that household income more than MYR 1501 (p = 0.009), not living with a partner (p < 0.001) and discussion on HIV/AIDS (p = 0.019) appeared to be predictors for the male respondents, while, ethnicity was statistically significant for female respondents (p < 0.001). Conclusion: The utilisation of HIV testing was low in both males and females. Thus, the finding of this study could be considered when designing HIV education and screening program in Sarawak.

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Prevalence and Extrinsic Risk Factors for Dental Erosion in Adolescents

Journal of Clinical Pediatric Dentistry ◽

10.17796/1053-4628-41.2.102 ◽

2017 ◽

Vol 41 (2) ◽

pp. 102-111 ◽

Cited By ~ 11

Author(s):

Ana C Mafla ◽

Ximena A Cerón-Bastidas ◽

Maria E Munoz-Ceballos ◽

Diana C Vallejo-Bravo ◽

Maria C Fajardo-Santacruz

Keyword(s):

Risk Factors ◽

Logistic Regression ◽

Binary Logistic Regression ◽

Dental Erosion ◽

Cross Sectional Study ◽

Binary Logistic Regression Analysis ◽

Cross Sectional ◽

Risks Factors ◽

Middle Adolescence ◽

Extrinsic Risk

Objective: This manuscript examined the prevalence and extrinsic risk factors for dental erosion (DE) in early and middle adolescents in Pasto, Colombia. Study design: Dental erosion was evaluated in a random sample of 384 individuals aged 10–15 years attending three primary and high schools in this cross-sectional study. Clinical dental assessment for DE was done using O'Sullivan index. Data on general sociodemographic variables and extrinsic risks factors were obtained. Descriptive and univariate binary logistic regression analyses were performed. Results: Dental erosion was observed in 57.3% of individuals. The univariate binary logistic regression analysis showed that frequency of drinking natural fruit juices (OR 2.670, 95% CI 1.346 – 5.295, P=0.004) and their pH (OR 2.303, 95% CI 1.292 – 4.107, P=0.004) were more associated with the odd of DE in early adolescence. However, a high SES (OR 10.360, 95% CI 3.700 – 29.010, P<0.001) and frequency of snacks with artificial lemon taste (OR 3.659, 95% CI 1.506 – 8.891, P=0.003) were highly associated with the risk of DE in middle adolescence. Conclusions: The results suggest that DE is a prevalent condition in adolescents living in a city in southern Colombia. The transition from early to middle adolescence implies new bio-psychosocial changes, which increase the risk for DE.

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Lifestyles characteristics and prevalence of anaemia among men living in deprived community, Ghana

Journal of Medical and Biomedical Sciences ◽

10.4314/jmbs.v6i3.2 ◽

2018 ◽

Vol 6 (3) ◽

pp. 7-14

Author(s):

F. Vuvor ◽

M. Steiner-Asiedu ◽

F. K. Saalia

Keyword(s):

Logistic Regression ◽

Odds Ratio ◽

Binary Logistic Regression ◽

Cross Sectional Study ◽

Binary Logistic Regression Analysis ◽

Biomedical Sciences ◽

Cross Sectional ◽

Underdeveloped Countries ◽

Nutrient Adequacy ◽

Scanty Information

Anaemia is a reduction in circulating red blood cells which directly affect the concentrations of haemoglobin. The most common form dietary anaemia is known to be iron deficiency. Many factors such as socioeconomic status, and lifestyles contribute to anaemia. Studies are done on children and women but scanty information aree available on men. It was relevant to find out such information on men. This problem persists in the world especially, in the underdeveloped countries. A cross-sectional study in a peri urban community in Ghana enrolled 1449 healthy men aged ≥18 years. The study assessed their lifestyle, nutrient adequacy ratio (NAR), body mass index (BMI), haemoglobin (Hb) level. risks of developing anaemia and binary logistic regression analysis with significance set at p<0.05. Biochemical and clinical examinations revealed that 18.8% of the participants were anaemic (Hb ≤13b/dL). Their dietary status was below the cutoff of 60% NAR for all nutrients except iron (84%) and protein (55%). The binary logistic regression indicated that participants who used tobacco were about 16 (Odds ratio: 16.39, p<0.01) times more likely to be anaemic compared with nonusers. In the same model men whose intake of protein was (<60% NAR) were 3 (Odds ratio: 3.44, p<0.01) time more likely to be anaemic. In conclusion, tobacco smoking and mainly plant-base sources of protein and iron did not guarantee their availability for optimum utilization for Hb synthesis to lower incidence of high risk of among participating men in the study in Ghana.Journal of Medical and Biomedical Sciences (2017) 6(3), 7 - 14

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Knowledge and attitude regarding tuberculosis in a rural area of eastern Maharashtra: an implication for advocacy and communication strategy planning in the national program

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20201461 ◽

2020 ◽

Vol 7 (4) ◽

pp. 1485

Author(s):

Umakant G. Shidam ◽

Manoj R. Talapalliwar ◽

Subhash B. Thakre

Keyword(s):

Rural Area ◽

Adult Population ◽

Public Health Problem ◽

Cross Sectional Study ◽

Modern Medicine ◽

Communication Strategy ◽

Major Public Health Problem ◽

Health Seeking ◽

Cross Sectional ◽

Knowledge And Attitude

Background: Tuberculosis (TB) is a major public health problem in India. Adequate and timely knowledge about tuberculosis is associated with positive attitude towards tuberculosis, which can improve both health seeking behavior and adherence to treatment. The study was planned with the objective of determining the Knowledge and Attitude regarding tuberculosis among rural population of eastern Maharashtra, India.Methods: A community based cross sectional study was carried in rural area of eastern Maharashtra using a semi structured, pretested interview schedule. A total 225 adult population aged 18 years and above, who are residing in the field practice area were selected from sampled households using systematic random sampling. Data collection was done by house-to-house survey.Results: Out of 225 respondents, 220 (97.8%) had heard about TB. Cough as a major symptom of TB was known to 80.5% of study subjects. Among the subjects surveyed, 84.5% of respondents were aware of the mode of transmission of TB from one person to another. More than half of respondents were aware of sputum examination as a diagnostic investigation. Three fourth of the subjects reported that TB could be treated by modern medicine. However only 22.2% of them were known to BCG immunization as means of prevention for tuberculosis. Tendency to discriminate TB patients was evident as 53% respondents opined to isolate TB patients from the family and 37.7% opined to avoid sharing food with these patients.Conclusions: Although the study revealed adequate knowledge about nearly every aspect of tuberculosis; there are few myths about causes, symptoms, transmission, and TB prevention. There is a great need to improve awareness in illiterate individuals and females.

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The prescription pattern and awareness about antibiotic prophylaxis and resistance among a group of Egyptian pediatric and general dentists: a cross sectional study

BMC Oral Health ◽

10.1186/s12903-021-01685-y ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Mariam Mohsen Aly ◽

Marwa Aly Elchaghaby

Keyword(s):

Antibiotic Resistance ◽

Antibiotic Prophylaxis ◽

Antibiotic Prescription ◽

Public Health Problem ◽

Cross Sectional Study ◽

Major Public Health Problem ◽

Eligibility Criteria ◽

Cross Sectional ◽

Validated Questionnaire ◽

General Dentists

Abstract Background The use of antibiotics in dentistry as prophylaxis and treatment is frequent. Their misuse has led to a major public health problem globally known as antibiotic resistance. This study aimed to assess the pattern of antibiotic prescription and its prophylactic use for systemic conditions. Besides, this study evaluated the awareness and adherence to antibiotic prescription guidelines and antibiotic prophylaxis guidelines along with awareness of antibiotic resistance across pediatric and general dentists. Methods An overall of 378 pediatric and general dentists meeting the required eligibility criteria, fulfilled a pre-designed validated questionnaire. Data were collected, tabulated, and statistically analyzed. Results A significant statistical difference was found among the pediatric and general dentists regarding antibiotics prescription for most of the oral conditions where Amoxicillin with clavulanic acid was the most frequently prescribed antibiotic among the two groups (53% pediatric dentist and 52% general dentist). The majority of pediatric and general dentists, on the other hand, were aware of antibiotic resistance and prescribing recommendations. Conclusions The present study showed a tendency to overprescribe and overuse antibiotics in certain dental conditions among the participants. The vast majority of dentists, especially general dentists do not have adherence to professional guidelines for antibiotics prescription in children despite their awareness of antibiotic resistance and prescription guidelines.

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