在牙科实践中,抗生素对牙周炎的处方过度吗?
1Melbourne Dental School, The University of Melbourne, Carlton, Victoria, Australia. hasmael@student.unimelb.edu.au.
Evidence-based dentistry
|October 30, 2024
概括
牙医经常过度处方抗生素治疗顶疾病,牙内科医生显示出更好的做法. 加强全球对内牙感染的抗生素处方至关重要.
科学领域:
- 牙科医学 牙科医学
- 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:
- 抗生素耐药性是一个日益严重的全球健康问题.
- 在牙科中适当使用抗生素,特别是对于内牙感染,对于有效治疗和预防耐药性至关重要.
- 牙医之间抗生素处方模式的变化需要调查.
研究的目的:
- 分析和综合全球关于牙医对抗生素处方模式的数据,用于治疗尖端内牙疾病.
- 为了比较内牙科医生和一般牙医之间的抗生素处方实践.
- 确定在内牙治疗中改善抗生素管理的领域.
主要方法:
- 在多个数据库 (PubMed-MEDLINE,EMBASE,Scielo,威利在线数据库,科学网,Scopus) 中使用MeSH术语和文本单词进行了系统的文献搜索.
- 根据包含和排除标准,对所选研究的全文文章进行了审查.
- 关于抗生素处方模式,处方者类型和疾病呈现的数据被提取和分析.
主要成果:
- 该分析包括39项横截面研究.
- 抗生素在有症状的牙周炎病例的25.8%和无症状病例的31.5%中被处方.
- 对于急性症状腹而言,抗生素处方率很高 (89%的牙医,几乎100%的内牙医).
结论:
- 与全科医生相比,内牙科医生通常表现出更明智的抗生素处方习惯.
- 全球都有一种趋势,即为牙上角疾病开出过多的抗生素处方.
- 迫切需要旨在改善内牙科护理中的抗生素处方实践的干预措施.
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