Affiliation:
1. Universidad Espíritu Santo
2. Universidad Católica de Santiago de Guayaquil Carrera de Odontología
3. Universidad Regional Autónoma de Los Andes UNIANDES
4. Fatima Jinnah Medical University
5. Aga Khan University
6. Respiralab Research Group
Abstract
Abstract
Objectives: This study aims to assess Latin American dentists' knowledge, preparedness, and competency in managing anaphylactic reactions to LAs.
Materials and Methods: A cross-sectional study was conducted using a web-based survey from November 2021 to February 2022 targeting board-certified dentists in various Latin American countries. The survey comprised 26 structured questions focused on demographic information, knowledge, and attitudes toward anaphylaxis. Chi-square tests and logistic regression models were performed in Stata 17.0.
Results: The majority of respondents (81.9%) were from Ecuador with a mean age of 35 years and an average of 10 years of professional experience. Lidocaine was the most frequently used local anesthetic (88.1%). While 85.2% could identify dyspnea as a symptom of anaphylaxis, only 50.1% knew the correct route for epinephrine administration, and just 43.5% had epinephrine in their emergency kits. Confidence in managing anaphylactic reactions was low (9.6%). Regional comparisons indicated no significant differences in knowledge and attitudes, except professionals from Ecuador displayed more confidence in managing anaphylaxis (P=0.002). In multivariate regression, older age was inversely related to both knowledge of anaphylaxis management and the possession of epinephrine (P=0.003 and P=0.0001, respectively).
Conclusion: There is a significant gap in the knowledge and preparedness of Latin American dentists concerning anaphylaxis management.
Clinical Relevance: The study's findings underscore the need for educational interventions to improve the understanding and readiness of dental professionals in handling anaphylactic emergencies and ultimately improving patient safety in dental practice.
Publisher
Research Square Platform LLC
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