COVID-19 疫情是否影响牙医之间的抗生素处方模式?
1Arizona School of Dentistry & Oral Health, A.T. Still University, Mesa, AZ, USA.
Evidence-based dentistry
|November 20, 2024
概括
牙科抗生素处方在COVID-19大流行期间增加,尽管患者访问量减少. 抗生素使用的增加,通常没有明确的临床需要,突出显示了对抗菌素耐药性的日益关注.
科学领域:
- 牙科 牙科 牙科 牙科
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- COVID-19大流行改变了医疗保健的提供,可能会影响抗生素处方模式.
- 滥用抗生素是抗菌素耐药性的重要驱动因素.
研究的目的:
- 为了比较COVID-19大流行之前和期间牙科患者的抗生素处方模式.
- 评估在疫情期间在牙科护理中使用抗生素的适当性.
主要方法:
- 来自威茨口腔卫生中心 (Wits Oral Health Centre) 的698名患者记录的回顾性分析 (2019年3月至2021年3月).
- 系统的随机抽样被用于选择接受抗生素的患者记录.
- 在RStudio.com中,使用描述性统计和推断测试 (chi-squared,z-tests) 分析了处方数据.
主要成果:
- 在COVID-19期间 (1571) 与COVID-19前时期 (1109) 相比,抗生素处方显著增加.
- 氨基西林和甲尼达是最常见的抗生素;它们的联合使用增加了.
- 在这两个时期,超过50%的抗生素处方缺乏明确的临床适应性.
结论:
- 随着COVID-19大流行,牙科抗生素处方显著增加,可能是由于手术干预减少和对抗生素的依赖增加.
- 不适当的抗生素处方做法普遍存在,引发了人们对抗菌素耐药性的担忧.
- 加强抗生素管理计划对于解决牙科中滥用抗生素至关重要.
更多相关视频
06:06Adjunctive Diode Laser Therapy and Probiotic Lactobacillus Therapy in the Treatment of Periodontitis and Peri-Implant Disease
Published on: May 9, 2022
2.4K
08:58Isolation and Identification of Waterborne Antibiotic-Resistant Bacteria and Molecular Characterization of their Antibiotic Resistance Genes
Published on: March 3, 2023
6.3K
相关概念视频
Antibiotic Selection
52.3K
Overview
52.3K
Development of Antibiotic Resistance
Antibiotic resistance is a major public health concern that arises when bacteria evolve mechanisms to withstand the effects of antibiotic treatments. This resistance can be intrinsic, acquired through genetic mutations, or transferred between bacteria via horizontal gene transfer. The development of antibiotic resistance poses significant challenges in treating bacterial infections and necessitates ongoing research to develop new therapeutic strategies.Intrinsic resistance occurs when bacterial...
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
Issues And Trends In Healthcare Delivery System
5.6K
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
5.6K
Prescription, Nonprescription and Orphan Drugs
695
Prescription drugs require a prescription from a medical practitioner and can only be obtained from a pharmacy. They have many applications, including treating pain, anxiety, and hypertension.
The misuse and addiction to prescription drugs is a growing problem that can affect people of all age groups, specifically teenagers. This can happen when prescription medications are used in ways not intended by the prescriber, such as taking someone else's prescription or using medication for...
The misuse and addiction to prescription drugs is a growing problem that can affect people of all age groups, specifically teenagers. This can happen when prescription medications are used in ways not intended by the prescriber, such as taking someone else's prescription or using medication for...
695
Teeth
326
The formation of teeth, also known as odontogenesis, is a complex process that begins in utero, around the sixth week of embryonic development. There are three stages to this process: the bud stage, the cap stage, and the bell stage.
In the bud stage, the tooth germ (an aggregation of cells) starts to form in the developing jawbone. During the cap stage, the tooth germ differentiates into enamel organ, dental papilla, and dental sac, which will later develop into the tooth's enamel, dentin...
In the bud stage, the tooth germ (an aggregation of cells) starts to form in the developing jawbone. During the cap stage, the tooth germ differentiates into enamel organ, dental papilla, and dental sac, which will later develop into the tooth's enamel, dentin...
326
