系统性抗生素治疗症状的牙周炎和成年人急性牙周
Anwen L Cope1, Nick Francis2, Fiona Wood3
1Dental Public Health, School of Dentistry, Cardiff University, Cardiff, UK.
The Cochrane database of systematic reviews
|May 7, 2024
概括
系统性抗生素在与外科手术相结合时,在减少牙感染的疼痛或胀方面没有显著差异. 对于没有手术的病例,需要进一步研究.
科学领域:
- 牙科 牙科是指牙科的专业.
- 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:
- 有症状的牙周炎和急性牙周留会引起严重的牙痛.
- 临床指南建议作为一线治疗,采取局部行动措施,为扩散或全身感染预留全身抗生素.
- 过度处方抗生素可能会导致抗生素耐药性.
研究的目的:
- 评估系统性抗生素的有效性,有或没有手术和止痛药,用于治疗症状的牙周炎和成人急性牙周.
主要方法:
- 随机对照试验的系统审查和元分析.
- 搜索了多个数据库,包括Cochrane口腔健康,CENTRAL,MEDLINE,Embase和CINAHL.
- 包括134名参与者的三项试验,评估疼痛,胀和不良影响.
主要成果:
- 一项试验发现克林达米辛与安慰剂之间在疼痛或胀方面没有差异,当它与症状牙牙周节炎的内牙治疗一起使用时 (低确定性证据).
- 两项试验发现,在经过内牙治疗 (非常低确定性证据) 的急性尖端或死牙中,甲和安慰剂之间疼痛或胀没有差异.
- 没有研究将系统性抗生素与安慰剂进行比较,用于这些疾病,而无需手术干预.
结论:
- 系统性抗生素在与内牙治疗相结合时,对症状性牙周炎的疼痛或胀几乎没有益处.
- 关于在没有手术的情况下治疗急性腹的氧甲基尼西林的证据非常不确定.
- 在没有手术干预的情况下,没有研究评估了这些疾病的抗生素.
相关概念视频
01:26Tonsillitis II: Management
110
This lesson will focus on the different treatment options for managing tonsillitis, which typically depend on the cause and severity.
110
01:30Acute Pharyngitis
597
Introduction
Acute pharyngitis is the inflammation of the back of the throat (pharynx), commonly resulting in a sore throat. It is a frequently encountered condition that prompts individuals to seek medical advice.
Classification
Acute pharyngitis can be categorized based on its underlying cause:
Acute pharyngitis is the inflammation of the back of the throat (pharynx), commonly resulting in a sore throat. It is a frequently encountered condition that prompts individuals to seek medical advice.
Classification
Acute pharyngitis can be categorized based on its underlying cause:
597
01:28Pneumonia IV: Management
323
The treatment of pneumonia varies based on its severity and the causative pathogen. Here is a structured approach to managing pneumonia, integrating pharmaceutical and supportive care strategies.
Bacterial Pneumonia Treatment
For bacterial pneumonia, antibiotics serve as the cornerstone of therapy. Initial treatment often begins with empirical antibiotics, tailored to the anticipated causative organism and adjusted based on culture results. Key antibiotic choices include:
Bacterial Pneumonia Treatment
For bacterial pneumonia, antibiotics serve as the cornerstone of therapy. Initial treatment often begins with empirical antibiotics, tailored to the anticipated causative organism and adjusted based on culture results. Key antibiotic choices include:
323
01:23Chronic Pharyngitis
1.9K
Chronic pharyngitis refers to persistent inflammation of the pharyngial mucosa.
Etiology
It often arises from persistent viral or bacterial infections affecting sinuses and tonsils.
Additional contributing factors include inadequate dental hygiene, mouth breathing, recurring tonsillitis, allergic rhinitis, laryngopharyngeal reflux, and exposure to smoke, chemicals, and other environmental pollutants. Allergic reactions to pollen, mold, and pet dander, chronic cough, excessive voice usage,...
Etiology
It often arises from persistent viral or bacterial infections affecting sinuses and tonsils.
Additional contributing factors include inadequate dental hygiene, mouth breathing, recurring tonsillitis, allergic rhinitis, laryngopharyngeal reflux, and exposure to smoke, chemicals, and other environmental pollutants. Allergic reactions to pollen, mold, and pet dander, chronic cough, excessive voice usage,...
1.9K
01:23Hand hygiene
3.2K
Asepsis is the practice of preventing or breaking the chain of infection. The nurse employs aseptic techniques to prevent the spread of microorganisms and reduce the risk of diseases. Hand hygiene is the cornerstone of aseptic techniques and is classified into medical and surgical asepsis. Medical asepsis includes hand hygiene and the use of gloves. Surgical asepsis, or the sterile technique, refers to practices that render and keep objects and areas free of microorganisms.
Hand washing...
Hand washing...
3.2K