{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T20:44:33Z","timestamp":1790282673619,"version":"4.1.0"},"reference-count":38,"publisher":"MDPI AG","issue":"8","license":[{"start":{"date-parts":[[2022,8,9]],"date-time":"2022-08-09T00:00:00Z","timestamp":1660003200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Official Development Assistance (ODA)"},{"name":"Department of Health and Social Care\u2019s Fleming Fund"},{"name":"National Institute for Health and Care Research (NIHR) Clinical Lectureship"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Antibiotics"],"abstract":"<jats:p>Background: Antimicrobial resistance is a global problem driven by the overuse of antibiotics. Dentists are responsible for about 10% of antibiotics usage across healthcare worldwide. Factors influencing dental antibiotic prescribing are numerous, with some differences in low- and middle-income countries compared with high-income countries. This study aimed to explore the antibiotic prescribing behaviour and knowledge of teams treating dental patients in two Ghanaian hospitals. Methods: Qualitative interviews were undertaken with dentists, pharmacists, and other healthcare team members at two hospitals in urban and rural locations. Thematic and behaviour analyses using the Actor, Action, Context, Target, Time framework were undertaken. Results: Knowledge about \u2018antimicrobial resistance and antibiotic stewardship\u2019 and \u2018people and places\u2019 were identified themes. Influences on dental prescribing decisions related to the organisational context (such as the hierarchical influence of colleagues and availability of specific antibiotics in the hospital setting), clinical issues (such as therapeutic versus prophylactic indications and availability of sterile dental instruments), and patient issues such as hygiene in the home environment, delays in seeking professional help, ability to access antibiotics in the community without a prescription and patient\u2019s ability to pay for the complete prescription. Conclusions: This work provides new evidence on behavioural factors influencing dental antibiotic prescribing, including resource constraints which affect the availability of certain antibiotics and diagnostic tests. Further research is required to fully understand their influence and inform the development of new approaches to optimising antibiotic use by dentists in Ghana and potentially other low- and middle-income countries.<\/jats:p>","DOI":"10.3390\/antibiotics11081081","type":"journal-article","created":{"date-parts":[[2022,8,10]],"date-time":"2022-08-10T02:42:53Z","timestamp":1660099373000},"page":"1081","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Exploring the Use of Antibiotics for Dental Patients in a Middle-Income Country: Interviews with Clinicians in Two Ghanaian Hospitals"],"prefix":"10.3390","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1926-9491","authenticated-orcid":false,"given":"Jacqueline","family":"Sneddon","sequence":"first","affiliation":[{"name":"Healthcare Improvement Scotland, Glasgow G1 2NP, UK"},{"name":"British Society for Antimicrobial Chemotherapy, Birmingham B1 3NJ, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6799-4087","authenticated-orcid":false,"given":"Wendy","family":"Thompson","sequence":"additional","affiliation":[{"name":"Division of Dentistry, University of Manchester, Manchester M13 9PL, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lily N. A.","family":"Kpobi","sequence":"additional","affiliation":[{"name":"Regional Institute for Population Studies, University of Ghana, Legon, Accra P.O. Box LG25, Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diana Abena","family":"Ade","sequence":"additional","affiliation":[{"name":"Regional Institute for Population Studies, University of Ghana, Legon, Accra P.O. Box LG25, Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6963-0519","authenticated-orcid":false,"given":"Israel Abebrese","family":"Sefah","sequence":"additional","affiliation":[{"name":"Pharmacy Practice Department, School of Pharmacy, University of Health and Allied Sciences, Ho P.O. Box PMB31, Ghana"},{"name":"Keta Municipal Hospital, Keta-Dzelukope P.O. Box WT82, Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8859-3565","authenticated-orcid":false,"given":"Daniel","family":"Afriyie","sequence":"additional","affiliation":[{"name":"Ghana Police Hospital, Accra P.O. Box CT104, Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joanna","family":"Goldthorpe","sequence":"additional","affiliation":[{"name":"Division of Medical Education, University of Manchester, Manchester M13 9PL, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebecca","family":"Turner","sequence":"additional","affiliation":[{"name":"Division of Medical Education, University of Manchester, Manchester M13 9PL, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saher","family":"Nawaz","sequence":"additional","affiliation":[{"name":"Division of Medical Education, University of Manchester, Manchester M13 9PL, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shona","family":"Wilson","sequence":"additional","affiliation":[{"name":"Division of Medical Education, University of Manchester, Manchester M13 9PL, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jo","family":"Hart","sequence":"additional","affiliation":[{"name":"Division of Medical Education, University of Manchester, Manchester M13 9PL, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9658-5394","authenticated-orcid":false,"given":"Lucie","family":"Byrne-Davis","sequence":"additional","affiliation":[{"name":"Division of Medical Education, University of Manchester, Manchester M13 9PL, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2022,8,9]]},"reference":[{"key":"ref_1","unstructured":"O\u2019Neill, J. 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