评估在英国的抗菌素处方和植入物的行为:一个试点研究
Sami Stagnell1,2, Alaa Aldaadaa1,2
1Sami Stagnell BDS MFDS (RCSEd|RCSEng) MSc AKC MOralSurg MSc PGCert AFFMLM MSc AFCGD Senior Clinical Lecturer, Brighton and Sussex Medical School, University of Sussex, Brighton, UK.
Primary dental journal
|May 13, 2025
概括
英国牙医经常为牙科植入程序开处方抗生素,但在英国,牙科植入程序通常需要抗生素.
科学领域:
- 牙科植入物学 牙科植入物学
- 基于证据的牙科.
- 药理学 药理学是指药理学的学科.
背景情况:
- 植牙牙科日益普及,需要基于证据的处方指南.
- 在植入物学中使用抗生素是有争议的,因为人们担心感染和潜在的诉讼.
- 在牙科植入物程序中需要安全的处方习惯.
研究的目的:
- 评估英国牙医进行植入程序的当前抗生素处方行为.
- 为了确定简单与复杂的植入物病例的处方实践的差异.
主要方法:
- 试点研究使用11项调查问卷.
- 通过学习俱乐部和社交媒体,通过电子方式向英国牙医分发调查.
- 在植入式牙科中评估了抗生素和止痛药的处方模式.
主要成果:
- 抗生素处方率很高:手术前89%,手术后85% (阿莫西西林是首选).
- 可变的治疗持续时间 (1-7+天).
- 常见的止痛药使用 (易布洛芬,);使用德克萨米他7%.
结论:
- 在英国植入式牙科中显著缺乏国家抗生素处方指南.
- 目前处方实践中观察到的不一致性.
- 需要进行大规模的多中心研究,以建立基于证据的指南.
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