UK Specialists’ and GDPs’ Use of Systemic and Local Antimicrobial Administration in Periodontal Therapy: A Questionnaire Study

E. Padtong, W. Turner, D. Gillam
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Abstract

Aim: The aim of the present study was to evaluate the use of antimicrobials, the prescription patterns and the reason(s) for prescribing antimicrobials when treating periodontal disease in selected UK General Dental Practitioner (GDP) and Periodontal Specialists. Materials & Methods: The questionnaire consisted of 21 questions and was sent to 488 Periodontal Specialists and 488 GDPs. Data management and analysis was performed using Microsoft Excel, SPSS® version 22.0 software and frequency distributions, cross tabulation tables and graphs were constructed from the data. Any association between variables was tested at the 5 % level of significance (P≤ 0.05). Results: The questionnaires were completed by the Specialists (38.72%) (n=189) and 23.36% (n=114) of the GDPs. The results indicated that the use of systemic and local antimicrobials followed the current guidelines. Specialists prescribed more systemic antimicrobials than the GDPs, although Specialists limited the use of local antimicrobials. The GDPs reported that decision making was difficult when to use local antimicrobials although recognised that using local antimicrobials were more effective than root surface debridement alone. Other reasons for using antimicrobials were based either on the patient request or patient satisfaction with the treatment. Lower frequency of antimicrobial use was reported in regeneration and implant procedures by both Specialists and GDPs although the Specialists were more inclined to use antibiotics/antimicrobials in these procedures. Conclusions: The results of the study suggested that there was a need for dentists to follow current guidelines when prescribing antibiotics/antimicrobials in order to avoid unnecessary prescriptions, antibiotic resistance and adverse drug reactions.
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英国专家和国内生产总值在牙周治疗中使用系统和局部抗菌药物:一项问卷调查研究
目的:本研究的目的是评估抗菌药物的使用,处方模式和处方的原因(s)当治疗牙周病在选定的英国普通牙科医生(GDP)和牙周专家。材料与方法:问卷共21个问题,共发放给488名牙周专科医生和488名国内生产总值。使用Microsoft Excel、SPSS®version 22.0软件对数据进行管理和分析,并根据数据构建频率分布、交叉表和图表。变量之间的相关性在5%显著性水平下进行检验(P≤0.05)。结果:问卷的完成率分别为38.72% (n=189)和23.36% (n=114)。结果表明,系统和局部抗菌素的使用符合现行指南。尽管专家限制使用局部抗菌剂,但专家开出的全身性抗菌剂比国内生产总值更多。国内生产总值报告说,尽管认识到使用局部抗菌剂比单独使用根表面清创更有效,但在使用局部抗菌剂时很难做出决策。使用抗菌素的其他原因是基于患者的要求或患者对治疗的满意度。尽管专家更倾向于在这些手术中使用抗生素/抗菌素,但专家和国内生产总值在再生和植入手术中使用抗菌药物的频率较低。结论:本研究结果提示,牙医在开具抗生素/抗菌素处方时有必要遵循现行指南,以避免不必要的处方、抗生素耐药性和药物不良反应。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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