在牙科诊所中不必要的抗生素处方的普遍性,2019年
Ashlee M Murphy1, Ursula C Patel2, Geneva M Wilson3,4
1Department of Veterans' Affairs, Edward Hines Jr Veterans' Affairs (VA) Hospital, Hines, Illinois.
Infection control and hospital epidemiology
|February 20, 2024
概括
牙医经常不必要地处方抗生素,超过一半的牙医缺乏指导方针支持. 这凸显了改善牙科抗生素处方的必要性,以实现减少门诊抗生素使用的国家目标.
科学领域:
- 牙科医学 牙科医学
- 传染性疾病传染性疾病.
- 公共卫生 公共卫生
背景情况:
- 美国打击抗生素耐药细菌的国家行动计划旨在将不必要的门诊抗生素使用量减少一半.
- 目前关于抗生素处方的数据主要集中在医疗环境中,不包括牙科诊所.
- 了解牙科抗生素处方模式对于有效的管理工作至关重要.
研究的目的:
- 为了确定牙医不适当处方的抗生素的比例.
- 通过分析牙科处方数据,为门诊抗生素管理计划提供信息.
主要方法:
- 2019年退伍军人事务国家电子健康记录数据的横截面分析.
- 使用基于共识的指导方针和基于文献的定义,评估抗生素的适当性.
- 后勤回归用于识别与不适当的牙科抗生素处方相关的因素.
主要成果:
- 分析了近89000次牙医诊所的92,000多份抗生素处方.
- 在医学上受损的患者 (30.9%) 中,抗生素最常用于预防 (30.9%).
- 只有17.5%的处方符合基于共识的适当性标准,而64.3%的处方符合非共识标准.
结论:
- 牙医处方的抗生素中很大一部分缺乏指导方针支持.
- 在牙科设置中处方的抗生素通常是不必要的,无论使用的定义如何.
- 改善牙科抗生素处方实践对于实现国家减少抗菌素耐药性的目标至关重要.
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