美国牙医处方抗生素的变化,2012-2019年
Swetha Ramanathan1, Connie H Yan2, Colin Hubbard3
1School of Public Health, University of Illinois at Chicago, Chicago, Illinois.
牙医抗生素处方率从2012年至2019年保持稳定,但处方的持续时间减少. 一些牙科专家,如口腔外科医生,随着时间的推移,显示抗生素处方增加.
科学领域:
- 牙科公共卫生 牙科公共卫生
- 传染性疾病 传染性疾病
- 药理学 药理学是指药理学的学科.
背景情况:
- 牙医是美国门诊抗生素的重要处方者.
- 目前关于牙科抗生素处方趋势的数据有限.
- 抗生素耐药性需要监控处方模式.
研究的目的:
- 评估2012-2019年美国牙医抗生素处方率的趋势.
- 根据抗生素剂,牙科专业和患者特征来评估这些趋势的差异.
主要方法:
- 对IQVIA长度处方数据集 (2012-2019) 的回顾性分析.
- 线性回归模型被用来评估处方率和平均日供应的变化.
- 每1000名牙医的处方率被分析出来.
主要成果:
- 在2012年至2019年期间,牙医发出了超过2.16亿份抗生素处方.
- 全年牙科抗生素处方率总体保持稳定.
- 对特定专业 (口腔外科医生,假牙医,内牙医,牙周医生) 和阿莫西西林的处方率有所增加. 平均日供应量大幅下降.
结论:
- 尽管国家趋势和指导方针发生了变化,但整体牙科抗生素处方率在2012-2019年期间保持不变.
- 观察到牙医处方的抗生素平均日供应量显著下降.
- 针对牙科专业的针对性抗生素管理干预措施可能是必要的,以减少整体处方.
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