牙科抗生素耐药性:一次审查
Mohammed Zahedul Islam Nizami1,2, Iris Xiaoxue Yin2, John Yun Niu2
1Department of Mineralized Tissue Biology, ADA Forsyth Institute, 100 Chestnut Street, Somerville, MA 02143, USA.
Antibiotics (Basel, Switzerland)
|December 30, 2025
概括
由于过度使用,牙科中的抗生素耐药性正在上升,威胁到口腔健康. 负责任的处方和新疗法对于保持抗生素有效性和确保患者护理至关重要.
科学领域:
- 微生物学 微生物学
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- 在牙科中过度使用抗生素显著导致全球抗生素耐药性的上升.
- 这种耐药性对口腔和患者整体健康构成严重风险.
- 牙感染需要抗生素,但不适当的处方是常见的.
研究的目的:
- 审查目前牙科实践中抗生素的使用情况.
- 阐明抗生素耐药性发展的机制.
- 确定导致抗生素耐药性的因素,并提出抗生素耐药性的缓解策略.
主要方法:
- 这项研究是对牙科当前抗生素处方模式的叙事性审查.
- 它评估了对抗生素不必要或不适当使用的证据.
- 该审查审查了传统治疗对抗耐药性口腔病原体的有效性.
主要成果:
- 关键的口腔病原体,如 *Streptococcus* spp., *Enterococcus faecalis *和 *Porphyromonas gingivalis *显示越来越多的耐药性.
- 导致的因素包括不良的指导方针遵守,患者压力和缺乏抗生素管理意识.
- 基于证据的处方,管理计划和替代疗法至关重要.
结论:
- 打击牙科抗生素耐药性需要临床医生,研究人员,教育工作者和政策制定者之间的合作.
- 加强监督,管理政策和创新研究是必不可少的.
- 牙科专业必须致力于负责任的处方,以提供有效的患者护理.
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