抗生素处方在牙科医学-成功实施的最佳实践
Oana Săndulescu1,2, Liliana Lucia Preoțescu1,2, Adrian Streinu-Cercel1,2
1Department of Infectious Diseases I, Faculty of Medicine, Carol Davila University of Medicine and Pharmacy, 050474 Bucharest, Romania.
Tropical medicine and infectious disease
|February 23, 2024
概括
抗生素耐药性需要改变牙科抗生素处方. 本次审查确定了七个不适当处方的驱动因素,并提出了一个为牙科合理使用抗生素的四大支柱框架.
科学领域:
- 牙科 牙科是指牙科的专业.
- 微生物学 微生物学
- 公共卫生 公共卫生
背景情况:
- 全球抗菌素耐药性 (AMR) 的上升需要对抗生素处方进行干预.
- 牙科占所有抗微生物药物处方的高达15%,这突显了牙科对抗药物耐药管理的重要性.
- 关于在牙科中使用抗微生物药物的当前知识,态度和实践需要进行评估.
研究的目的:
- 分析牙科专业人员对抗微生物药物使用的知识,态度和实践的现状.
- 确定导致牙科医学中不适当的抗生素处方的反复出现的主题.
- 提出一个针对性干预的框架,以促进牙科中合理的抗菌素处方.
主要方法:
- 关于在牙科中使用抗微生物药物的现有文献的叙述性综述.
- 分析了七个反复出现的主题,这些主题导致了不适当的抗生素处方.
- 根据确定的主题,制定一个基于四个支柱的干预框架.
主要成果:
- 确定了七个关键主题,推动了不适当的抗生素处方:延迟治疗,忽视"5D" (牙科治疗,条件,药物,剂量,持续时间),过时的教育,指南异质性,对指南的访问有限,心理因素和对责任的外部化.
- 拟议的框架包括四个支柱:教育,内化责任,识别反生产性做法和解决反生产性做法.
- 该框架旨在指导各种牙科环境中的干预措施.
结论:
- 解决牙科不适当的抗生素处方问题对于打击抗菌素耐药性至关重要.
- 一个结构化的,四个支柱的干预框架可以指导牙科专业人员朝着合理的抗菌素处方.
- 实施这一框架可以改善牙科实践中的抗生素管理.
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