Antibiotic Prescription Knowledge of Dentists in Kingdom of Saudi Arabia: An Online, Country-wide Survey

ABSTRACT Aim Dentists are probably contributing to the development of bacterial resistance to certain antibiotics. Campaigns to promote prudent use of antibiotics in dentistry are, thus, needed but require proper identification of dentists’ knowledge gaps. The objective here was to comprehensively evaluate antibiotic prescription knowledge of dentists in Saudi Arabia. Material and methods A link to an online, previously validated questionnaire was emailed to 5199 dentists registered with the Saudi Dental Society. The questionnaire comprised 42 scorable items measuring antibiotics prescription knowledge in five different domains in addition to nonscorable questions regarding first-choice antibiotics and previous attendance of a course/workshop about antibiotic prescription. Each correct answer was given one mark. Mean scores were calculated as percentages and categorized as good (> 80%), intermediate (60–80%), or poor (< 60%). Results The response rate was 9.4%; however, only 373 (7.2%) fully completed the questionnaire. Around half of the participants (52%) reported prescribing amoxicillin/clavulanate as the firstchoice antibiotic; 62% reported attending a course/workshop in the last 5 years. The average knowledge score was 69%, being highest for nonclinical indications (79%) and lowest for prophylactic use (56%). The worst per-item scores were noted for rheumatic heart disease (19%), trismus (28%), surgical extraction (30%), apicectomy (31%), and periodontal abscess (33%). Female dentists, dentists in governmental sector, and those with higher qualifications had significantly better knowledge. Conclusion The level of knowledge was hardly intermediate and several deficits were identified, indicating an urgent need for educational campaigns and provision of guidelines promoting rational use of antibiotics by dentists. Clinical Significance Irrational use of antibiotics by dentists can contribute to the problem of antibacterial resistance. How to cite this article Halboub E, Alzaili A, Quadri MFA, Al-Haroni M, Al-Obaida MI, Al-hebshi NN. Antibiotic Prescription Knowledge of Dentists in Kingdom of Saudi Arabia: An Online, Country-wide Survey. J Contemp Dent Pract 2016;17(3): 198-204. Conflicts of interest There are no conflicts of interest to declare.

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Lack of regulation over antibiotic prescription and dispensation: A prospective cohort in a community setting

Journal of Infection Prevention ◽

10.1177/17571774211033347 ◽

2021 ◽

pp. 175717742110333

Author(s):

Jacques Choucair ◽

Elie Haddad ◽

Gebrael Saliba ◽

Nabil Chehata ◽

Jennifer Makhoul

Keyword(s):

Bacterial Resistance ◽

Antibiotic Prescription ◽

Community Setting ◽

Care Physician ◽

Middle Income ◽

Middle Income Countries ◽

Health Authorities ◽

Amoxicillin Clavulanate ◽

Infectious Diseases Consultation ◽

Antibiotic Courses

Background: The emergence of bacterial resistance caused health authorities to attempt to implement strict regulations for rational antibiotic prescription. However, supervision is often neglected in low- and middle-income countries, leading to inappropriate administration of antibiotics. The objective of our study is to highlight the lack of monitoring in the community setting of a middle-income country. Material and methods: We asked 68 patients presenting to an infectious diseases consultation office to report the antibiotic courses they had taken in the three months preceding their visit. We assessed for treatment indication, molecule choice, dosing and duration, as well as microbial cultures, demographics and specialty of the prescriber. Results: Among the 68 patients included in our study, we counted a total of 95 outpatient antibiotic courses, mostly composed of quinolones (36%), followed by amoxicillin-clavulanate (21%). The prescriber was most commonly a primary care physician, but we reported several cases of auto-medication and dispensation of antibiotics by pharmacists. Only 30% of cases had true indications for antibiotics. Conclusion: In sum, our results indicate an evident lack of regulation over the administration of antibiotics. This easy accessibility needs to be promptly addressed as we run the risk of inevitable bacterial resistance.

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Attitudes and Barriers to Breastfeeding among Mothers in Princess Nourah Bint Abdulrahman University, Riyadh, Kingdom of Saudi Arabia

The Scientific World JOURNAL ◽

10.1155/2021/5585849 ◽

2021 ◽

Vol 2021 ◽

pp. 1-9

Author(s):

Razan Yasser Abulreesh ◽

Ibtihaj Abdullah Alqahtani ◽

Zainah Yahya Alshehri ◽

Maha Ali Alsubaie ◽

Shatha Nasser Alburayh ◽

...

Keyword(s):

Saudi Arabia ◽

Negative Attitude ◽

Cross Sectional Study ◽

Bachelor's Degree ◽

Sectional Study ◽

Kingdom Of Saudi Arabia ◽

Cross Sectional ◽

Negative Attitudes ◽

Validated Questionnaire ◽

Breastfeeding Attitude

Background. Breastfeeding provides unsurpassed natural nutrition to the newborn and infant. It has a nearly perfect mix of food elements and vitamins that infants need to grow up. Nonetheless, the tendency for breastfeeding remains below the expected levels. Objectives. To explore the attitudes and barriers to breastfeeding among mothers in Princess Nourah Abdulrahman University (PNU), Riyadh, Saudi Arabia. Methods. A cross-sectional study was conducted, from January to April 2019; 399 PNU students, employees, and faculty mothers aged 18 years and above with experience of childbirth and breastfeeding were included in the study using a predesigned validated questionnaire. The questionnaire consisted of four scales: sociodemographic, attitude toward breastfeeding, barriers to breastfeeding, and induced lactation knowledge. Results. The participants’ mean age was 34.1 ± 10.4 years; most (87.8%) were Saudi; 92.8% were married; 62% had a bachelor’s degree; and 43% had “enough income.” While 40% of the mothers reported >6 months “exclusive breastfeeding” for the first baby, only 34.8% did so for the last baby, and 54.5% did so for most of all babies altogether. The mothers’ parity ranged between 1 birth and 4 births in 23.5% and 17.5% of the participants, respectively. An overall score of breastfeeding attitude averaged 59.6 ± 7.3. The tendency for scoring a negative attitude to breastfeeding was significantly reported ( p < 0.5 ) among 127 (31.8%) 31- to 40-year-old mothers; 153 (38.3%) bachelor’s degree holders; and 157 (39.3%) employees (χ2 (4) 14.6, p = 0.006; χ2 (4) 10.4, p = 0.034; and χ2 (4) 20.4, p < 0.001, respectively). “Mother’s illness” was the most commonly (63%) reported barrier to “not to breastfeed,” followed by “work” (45.5%) and “father not supporting breastfeeding” (14.8%). Conclusions. An overall negative attitude toward breastfeeding among PNU mothers was noted. Barriers included mother’s sickness and work. Efforts to minimize such negative attitudes and barriers among susceptible mothers are warranted.

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The treatment of venous leg ulcers with a specifically designed compression stocking kit

Phlebologie ◽

10.1055/s-0037-1622230 ◽

2008 ◽

Vol 37 (04) ◽

pp. 191-197 ◽

Cited By ~ 13

Author(s):

V. Mattaliano ◽

G. Mosti ◽

V. Gasbarro ◽

M. Bucalossi ◽

W. Blättler ◽

...

Keyword(s):

Patient Characteristics ◽

Compression Stocking ◽

Leg Ulcers ◽

Compression Stockings ◽

Venous Leg Ulcers ◽

Venous Ulcers ◽

Time To Completion ◽

Validated Questionnaire ◽

First Choice ◽

Ankle Movement

SummaryTraditionally, venous leg ulcers are treated with firm nonelastic bandages. Medical compression stockings are not the first choice although comparative studies found them equally effective or superior to bandages. Patients, methods: We report on a multi-center randomized trial with 60 patients treated with either short stretch multi-layer bandages or a two-stocking system (Sigvaris® Ulcer X® kit). Three patients have been excluded because their ankle movement was restricted to the extent that they could not put on the stockings and 1 patient withdrew consent. Patient characteristics and ulcer features were evenly distributed. The proportion of ulcers healed within 4 months and the time to completion of healing were recorded. Subjective appraisal was assessed with a validated questionnaire. Results: Complete wound closure was achieved in 70.0% (21 of 30) with bandages and in 96.2% (25 of 26) with the ulcer X kit (p = 0.011). Ulcers with a diameter of up to about 4cm healed twice as rapidly, the larger ones as fast with the stocking kit as with bandages. The sum of problems encountered with bandages was significantly greater than that observed with the stocking kit (p < 0.0001). Pain at night and in the morning was absent with stockings but reported by 40% and 20% in the bandage group, respectively. The cardinal features associated with delayed or absent healing were ulcer size and pain. Conclusions: Common venous ulcers can readily be treated with the ulcer X compression kit provided the ankle movement allow its painless donning. Bandages, even when applied by the most experienced staff are less effective and cause more problems.

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Pediatrics’ Total Parenteral Nutrition: Initiative and implementation of standardized formulation in Saudi Arabia

Research in Pharmacy and Health Sciences ◽

10.32463/rphs.2018.v04i03.16 ◽

2018 ◽

Vol 4 (3) ◽

pp. 492-496

Author(s):

Yousef Ahmed Alomi ◽

Hussam Saad Almalki ◽

Aisha Omar Fallatah ◽

Awatif Faraj Alshammari ◽

Nesreen Al-Shubbar

Keyword(s):

Saudi Arabia ◽

Clinical Outcome ◽

Parenteral Nutrition ◽

Drug Related Problems ◽

Kingdom Of Saudi Arabia ◽

Parental Nutrition ◽

Management Project ◽

Improve Patient ◽

New System

The national total parental nutrition program with an emphasis on pediatrics started before several ago at Ministry of health hospitals In Kingdom of Saudi Arabia. The program covered several regions and consisted from the foundation of Intravenous Admixture and preparation of pediatric parenteral nutrition to administration and follow up of patients outcomes. In addition to the prior system, the new initiative project with the standardized formulation of pediatric’s parenteral nutrition is the complementary project of the parental nutrition for pediatrics. The project initiated to prevent drug-related problems of parental nutrition, improve patient clinical outcome and reduce the unnecessary economic burden on the healthcare system. It is the new system in the Middle East and Gulf counties in additional to Saudi Arabia. The initiatives are the systemic implementation of standardized pediatrics formulation using management project tools of starting new idea until finding in the ground.

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Adult’s Total Parenteral Nutrition: Initiative and Implementation of Standardized Formulation in Saudi Arabia

Research in Pharmacy and Health Sciences ◽

10.32463/rphs.2018.v04i03.14 ◽

2018 ◽

Vol 4 (3) ◽

pp. 483-487

Author(s):

Yousef Ahmed Alomi ◽

Hussam Saad Almalki ◽

Aisha Omar Fallatah ◽

Awatif Faraj Alshammari ◽

Nahedh Rashed Alotaibi

Keyword(s):

Saudi Arabia ◽

Parenteral Nutrition ◽

Pharmacy Practice ◽

International Standards ◽

Kingdom Of Saudi Arabia ◽

Parental Nutrition ◽

International Regulations ◽

One Year ◽

New Formulation ◽

New System

The general administration of pharmaceutical care started potential pharmacy practice program. The program is part of accreditation professional’s process of national and international regulations. The adult’s parenteral nutrition was one of the critical programs. The most healthcare professionals are not familiar with the new system. The new initiatives system adult’s standardized concentration formulation of total parental nutrition as complementary to the previous one. The new formulation consisted of all parental nutrition requirements based on national and international standards. The new system can be converted as computerized physician orders. The new initiatives may implement as project management model over one year or less than that’s. The new system prevents nutrition-related problems, and medication errors, and improve clinical outcomes of the adults’ population in the Kingdom of Saudi Arabia.

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Filipino Guest Workers, Gender Segregation, and the Changing Social/Labor-Scape in the Kingdom of Saudi Arabia

MIGRATION LETTERS ◽

10.33182/ml.v16i4.796 ◽

2019 ◽

Vol 16 (4) ◽

pp. 503-512

Author(s):

Simeon S. Magliveras

Keyword(s):

Saudi Arabia ◽

Migrant Workers ◽

Major Part ◽

Gender Segregation ◽

Guest Workers ◽

Kingdom Of Saudi Arabia ◽

Gcc Countries ◽

Overseas Filipino Workers ◽

Dress Codes ◽

Social Labor

Filipinos are a major part of the workforce in the Kingdom of Saudi Arabia with a population of almost one million. This article investigates the effects of gender segregation on Filipino workers and how they navigate their lives through systems imposed on them. In particular, it examines the Kafala system (administrative sponsoring system) used for recruiting migrant workers for GCC countries. This article suggests that contrary beliefs about gender segregation and dress codes, Filipinas found it empowering. However, this article also concludes that gender segregation and dress codes also lead to isolation and loneliness. In addition, it is concluded that the fate and contentment of the overseas Filipino workers are directly dependent on who sponsors them.

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Critical Analysis of Patient and Family Rights in JCI Accreditation and Cbahi Standards for Hospitals

International Journal of Emerging Research in Management and Technology ◽

10.23956/ijermt.v6i7.234 ◽

2018 ◽

Vol 6 (7) ◽

pp. 324

Author(s):

Zuber Mujeeb Shaikh

Keyword(s):

Health Care ◽

Saudi Arabia ◽

Critical Analysis ◽

Secondary Data ◽

Joint Commission ◽

Primary Data ◽

Kingdom Of Saudi Arabia ◽

Accreditation Standards ◽

Joint Commission International ◽

Central Board

Patient and Family Rights (PFR) is a common chapter available in the Joint Commission International (JCI) Accreditation[i] (fifth edition) and Central Board for Accreditation of Healthcare Institutions (CBAHI) Standards for hospitals (second edition)[ii]. JCI Accreditation is a USA based international healthcare accrediting organization, whereas CBAHI is the Kingdom of Saudi Arabia based national health care accrediting organization. However, both these standards are accredited by Ireland based International Society for Quality in Health Care (ISQua), which is the only accrediting organization who “accredit the accreditors' in the world. In Patient and Family Rights (PFR) chapter of JCI Accreditation for hospitals, there are nineteen (19) standards and seventy-seven (77) measurable elements (ME) whereas in CBAHI Accreditation there are thirty one (31) standards, ninety nine (99) sub-standards and fifty (50) evidence(s) of compliance (EC). The scoring mechanism is totally different in both these accrediting organizations. The researcher has identified thirty two (32) common parameters from JCI Accreditation and CBAHI standards, intent statement, measurable elements, sub-standard and evidence of compliance. On the basis of these identified common parameters, the researcher has compared the Patient and Family Rights chapter in JCI Accreditation and CBAHI Standards. Methods: This is a comparison study (normative comparison) in which the researcher has critically analyzed and compared the Patient and Family Rights (PFR) standards of JCI (Joint Commission International) Accreditation of USA (United States of America) and CBAHI (Central Board for Accreditation of Healthcare Institutions) of the Kingdom of Saudi Arabia. Data Collection: Primary data are collected from the JCI Accreditation Standards for hospitals, fifth edition, 2013 and CBAHI Standards for hospitals of Kingdom of Saudi Arabia, second edition, 2011. Secondary data are collected from relevant published journals, articles, research papers, academic literature and web portals. Objectives of the Study: The aim of this study is to analyze critically Patient and Family Rights (PFR) Standards in JCI Accreditation and CBAHI Standards to point out the best in among both these standards. Conclusion: This critical analysis of Patient and Family Rights (PFR) Standards in JCI Accreditation and CBAHI Standards for hospitals clearly show that the PFR Standards in CBAHI Standards are very comprehensive than the JCI Accreditation standards.

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