系统性抗生素可以减少治疗围植入炎的外科手术的需要吗?
1MClinDent Prosthodontics Specialty Trainee, Eastman Dental Institute, London, United Kingdom. nidhi.parmar.24@ucl.ac.uk.
Evidence-based dentistry
|October 9, 2024
概括
系统性阿莫西西林和甲尼达与非手术周植入炎治疗 (NST) 可能延迟,但不能防止手术的需要. 较深的初始周植入口袋显著预测了未来的手术干预,强调了基线疾病严重程度.
科学领域:
- 牙科植入物学 牙科植入物学
- 牙周病学 牙周病学
- 药理学 药理学是指药理学的学科.
背景情况:
- 牙周植入物炎是植入牙植入物放置后的一个常见并发症.
- 非手术周植入炎治疗 (NST) 旨在控制炎症和感染.
- 辅助性全身抗生素在增强NST结果中的作用受到辩论.
研究的目的:
- 评估系统性阿莫西西林和甲尼达作为NST附加剂的长期临床有效性,用于围植入炎.
- 为了确定这种抗生素治疗方案是否可以防止需要随后的手术干预.
主要方法:
- 一项回顾性队列研究包括45名患有围植入炎的患者,分为带有或没有全身抗生素的NST.
- 数据是在治疗前收集的,3个月后和36个月的长期随访.
- 主要结局:需要额外的手术. 使用卡普兰-梅尔和考克斯回归分析.
主要成果:
- 62.2%的患者避免了手术;抗生素组的73.9%,非抗生素组的50%.
- 两组之间手术需要的差异没有统计学意义 (p=0.110).
- 在基线时更深的周植入口袋显著预测了未来手术的需要 (p=0.031).
结论:
- 辅助性全身性阿莫西西林和甲尼达与NST可能会提供暂时的延迟,但不会统计减少或防止未来手术的需要.
- 观察到短期的炎症改善,但长期有效改变围植入炎进展是有限的.
相关概念视频
Combined Effects of Drugs: Synergism
3.7K
Synergism is a useful mechanism where combining two or more drugs is more effective than each constituent used alone. Such combinations are also called supra-additive interactions. The drugs collectively enhance the final therapeutic effect by acting on different targets. Another advantage is that the low dose of each constituent drug is sufficient to achieve the desired effect. This helps reduce the duration of therapy and lower the adverse effects of these drugs.
Such synergistic combinations...
Such synergistic combinations...
3.7K
Endocarditis III: Medical Management
2
Infective endocarditis management involves a multifaceted approach encompassing infection prevention, lifestyle modifications, pharmacological therapy, and surgical management.Infection Prevention:Hand Hygiene: Thorough handwashing is crucial to prevent the spread of infection. Hand hygiene should be performed regularly, especially before and after using the restroom.Oral Hygiene: Good oral hygiene is essential. It includes brushing teeth immediately after waking up and before bed, flossing...
2
Antimicrobial Effectiveness
2
The effectiveness of antimicrobial agents depends on various factors influencing their ability to eliminate microbial populations. Larger microbial populations require more time for complete eradication, emphasizing the importance of population size analysis when evaluating antimicrobial efficacy.Microbial resistance to antimicrobial agents varies significantly. Highly resilient microorganisms include endospores, gram-negative bacteria, and non-enveloped viruses, while prions are exceptionally...
2
Acute Pyelonephritis II: Diagnostic Studies and Management
2
Introduction:For diagnosing acute pyelonephritis, a comprehensive patient history is collected to identify symptoms such as dysuria, frequent or urgent urination, flank pain, or costovertebral angle (CVA) tenderness that may suggest a kidney infection.Physical ExaminationDuring the physical examination, CVA tenderness is assessed. This involves gentle percussion over the costovertebral angle, where tenderness often indicates a kidney infection.Diagnostic TestsUrinalysis: Used to identify white...
2
Tonsillitis II: Management
103
This lesson will focus on the different treatment options for managing tonsillitis, which typically depend on the cause and severity.
103
Bacterial Signaling
31.6K
Bacterial signaling can occur within bacteria (intracellular) or between bacteria (intercellular). At times, a group of bacteria behaves like a community. To achieve this, they engage in quorum sensing, the perception of higher cell density that causes changes in gene expression. Quorum sensing involves both extracellular and intracellular signaling. The signaling cascade starts with a molecule called an autoinducer (AI). Individual bacteria produce AIs that move out of the bacterial cell...
31.6K


