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Antibiotic Resistance-An institutional questionnaire study 抗生素耐药性--机构问卷调查研究
Pub Date : 2024-01-24 DOI: 10.33882/jida.15.35155
Sai Sri Kolli, Sethu Manjusha S., Y. Samata, N. R. Rao Naik, P. Shruthi, M. Sanjana
To determine the pattern of antibiotic prescription and to assess the knowledge of antibiotic resistance among dentists.Material and MethodsAn electronic version of the questionnaire regarding antibiotic use and knowledge on antibiotic resistance was created using google forms and a link was mailed to dental surgeons and their response was recorded. Data obtained was recorded and analysed using descriptive statistics. Results Out of 130 responses recorded 45.4% of dentists prefer prescribing antibiotics daily. Amoxicillin was the most often recommended antibiotic by majority (49.6%) of the practitioners, While 54.6% of dentists considered a duration of 3 days course of antibiotics for odontogenic infections. 43.7% of the respondent’s considered clindamycin as an alternative in penicillin-allergic patients. Abscess was the most common (67.2%) condition considered for antibiotic prescription ,49.6% of the participants stated that availability of a particular brand as a primary factor for prescription of antibiotics. 40.3% of dental surgeons felt that failure to prescribe antibiotics was the main reason for the spread of infection. Almost 91.8% of dental surgeons were aware that antibiotic resistance was becoming a global concern. ConclusionAntibiotics revolutionized the way infections are being treated, Although incorrect and inappropriate use of antibiotics could be a contributing factor for the development of Antibiotic Resistance. Anti-microbial stewardship should be deeply integrated into dental practice and oral health care, to reduce the number of unnecessary prescriptions and educational intervention is utmost essential to limit non-medical prescriptions. Key WordsAnti-microbial resistance in dentistry, Antibiotic prescribing patterns, Antibiotic resistance, Over-prescription
材料和方法使用谷歌表格制作了关于抗生素使用和抗生素耐药性知识的电子版调查问卷,并将链接邮寄给牙科医生,记录他们的回复。对所获得的数据进行记录,并使用描述性统计进行分析。结果 在记录的 130 份回复中,45.4% 的牙科医生喜欢每天开具抗生素处方。大多数牙医(49.6%)推荐使用的抗生素是阿莫西林,54.6%的牙医认为牙源性感染的抗生素疗程为 3 天。43.7%的受访者认为,对青霉素过敏的患者可选择克林霉素。脓肿是抗生素处方中最常见的病症(67.2%),49.6%的受访者表示,是否有特定品牌的抗生素是处方中的首要因素。40.3%的牙科医生认为,没有开具抗生素处方是感染扩散的主要原因。近 91.8% 的牙科医生意识到抗生素耐药性正成为全球关注的问题。结论 抗生素彻底改变了治疗感染的方式,但不正确、不适当地使用抗生素可能是导致抗生素耐药性产生的一个因素。抗微生物管理应深入到牙科实践和口腔保健中,以减少不必要的处方数量,而教育干预对限制非医疗处方至关重要。关键字牙科中的抗微生物耐药性 抗生素处方模式 抗生素耐药性 过度处方
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引用次数: 0
QUALITY ACCREDITATION OF DENTAL CLINICS: NEED OF THE HOUR (PART 3) ADDRESSING REQUIREMENTS RELATED TO CARE OF PATIENTS 牙科诊所的质量认证:当务之急(第 3 部分)解决与病人护理有关的要求
Pub Date : 2020-04-27 DOI: 10.33882/jida.14.26976
Manjusha Dhule
This is the third article in the series of articles ‘Quality Accreditation of Dental Clinics – Need of the hour’. As described in the first article (Published in JIDA May 2020 issue) there are 10 chapters in NABH standards for Dental Healthcare Service Providers (DHSP). First chapter ‘Access, Assessment & Continuity of Care’ (AAC) was described in JIDA June 2020 issue. ‘Care Of Patients’ (COP) is the second chapter.Addressing accreditation standards and implementing them in day-to-day practices is the primary objective in the preparation of DHSP for accreditation. Involvement of clinical staff is needed to address requirements of this chapter; as this chapter describes the clinical aspects of care for patients under dental treatment. This expects to provide uniform care to all patients.This chapter covers aspects related to legal guidelines, clinical guidelines, emergency services in dental practice, dental laboratory, use of local anaesthesia and sedation in dentistry.Aim of this article was to provide brief idea about the criteria required to fulfill in order to address requirements related to the second chapter of NABH i.e. COP.KEY WORDS:Quality Accreditations, Dental Clinics, NABH, COP
这是 "牙科诊所质量评审--当务之急 "系列文章的第三篇。正如第一篇文章(发表于 JIDA 2020 年 5 月刊)所述,牙科保健服务提供者 (DHSP) 的 NABH 标准共有 10 章。第一章 "获取、评估和持续护理"(AAC)已在 2020 年 6 月的 JIDA 期刊上发表。第二章是 "患者护理"(COP)。在牙科保健服务提供者评审准备过程中,首要目标是制定评审标准并在日常实践中加以实施。要达到这一章的要求,需要临床工作人员的参与;因为这一章描述的是对接受牙科治疗的病人进行护理的临床方面。本文旨在简要介绍为满足 NABH 第二章(即 COP)的相关要求而必须达到的标准。
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引用次数: 0
MODELS AND BOTTLENECKS OF OUTPATIENT TERTIARYDENTAL HOSPITALS 三级牙科门诊医院的模式和瓶颈
Pub Date : 2020-04-24 DOI: 10.33882/jida.14.25728
Naga Sunil Vadde Venkata, Mrunalini Koneru, Prathima V
Providing quality and timely care to patients has been a constant challenge to the healthcare industry. Long waiting hours and unavailability of timely appointments are a major source of dissatisfaction among patients. The average access times, average internal waiting times, overtime, and utilization show the performance of the outpatient clinic in the current scenario. In this review we have elaborated you in recapitulating the need and importance of OPD, the functions and models of OPD, the problems encountered by patients in OPD, the tools and techniques to evaluate OPD service both qualitative and quantitatively in removing the bottlenecks and ameliorate shortcomings.KEY WORDS: OPD (outpatient department), Bottlenecks, waiting time, shop window, queue
为患者提供优质、及时的医疗服务一直是医疗行业面临的挑战。漫长的等候时间和无法及时预约是导致患者不满的主要原因。平均就诊时间、平均内部等候时间、加班时间和利用率显示了门诊部在当前情况下的表现。在这篇综述中,我们阐述了门诊部的必要性和重要性、门诊部的功能和模式、患者在门诊部遇到的问题、定性和定量评估门诊部服务的工具和技术,以消除瓶颈和改善不足。
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引用次数: 0
HALITOSIS IN CHILDREN- A REVIEW 儿童口臭--综述
Pub Date : 2020-04-24 DOI: 10.33882/jida.14.25729
Raksha Shetty, Sham Bhat, S. Hegde, Vidya Bhat, Shanai Sunny
Halitosis is a bad breath emanating from the oral cavity and may be due to oral or non-oral sources. It is one of the important factors in social communication; hence the origin of concern not only for a possible health condition but also for frequent psychological alterations leading to social and personal isolation. Halitosis is common in children and occurs due to many reasons like allergies, cold, chronic sinusitis, dietary pattern, large tonsils, dental caries, periodontal disease, poor oral hygiene. This article provides a review about aetiologic classification, diagnosis and management of halitosis along with a series of recommendations which will help in elimination of bad breath in children. Key Words: Halitosis,volatile Sulphur compound, malodor
口臭是指从口腔中散发出的口腔异味,可能由口腔或非口腔原因引起。口臭是社会交往中的重要因素之一;因此,口臭不仅是一种可能的健康问题,也是导致社会和个人孤立的经常性心理变化的根源。口臭在儿童中很常见,发生的原因很多,如过敏、感冒、慢性鼻窦炎、饮食习惯、扁桃体肥大、龋齿、牙周病、口腔卫生不良等。本文综述了口臭的病因分类、诊断和处理方法,并提出了一系列有助于消除儿童口臭的建议。关键字口臭、挥发性硫化合物、恶臭
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引用次数: 0
Does Dental Implant and Peri-implantitis Predispose to Oral Cancer – A mRNA differential expression study 种植牙和种植体周围炎是否易引发口腔癌--一项 mRNA 差异表达研究
Pub Date : 2020-04-24 DOI: 10.33882/jida.14.25727
R. Thavarajah
Brief BackgroundDental Implant associated malignant lesions are being increasingly reported. The pathway for this phenomenon largely remains unexplored and an attempt is made toaddress the same.Materials and MethodsThe mRNA expression of tissues from healthy peri-implant and peri-implantitis tissues were collected from human Gene Expression Omnibus database and subjected to differential expression (DE) analysis with adjusted P-value≤0.05 and Log-Fold-change at 1.5. From DE genes, those entities that were associated with “reaction to metals” were collated. Significant genes were subjected to network analysis and subsequent pathway enrichment analysis.ResultsIn all 430 genes had DE of which 22 genes were related to the“reaction to metals”. They were the IL1A, CPNE1, MDM2, CALR, NCSTN, HSPA5, NPC1, S100A8, HIF1A, CPNE3, EIF2A, APP, KRT14, SEC31A, S100A16, IQGAP1, PRNP, NFE2L2, ADAM9, B2M, CAV1 and LGMN. Network and enrichment analysis revealed them to be associated with several cancer pathways and signaling network.DiscussionPeri-implantitis has DE genes related to reaction to metals, are associated with tumorigenesis, apoptosis, cellular senescence and biological process linked with malignant transformation. In presence of elevated risks cumulative alterations in the transcriptome profile may increase the risk of malignant transformation.Key WordsDental Implants, Peri-implantitis, Oral Cancer, Implant associated cancer, Differential Gene expression, Metal ion, Titanium.
简要背景种植牙相关恶性病变的报道越来越多。材料与方法从人类基因表达总库(Gene Expression Omnibus)数据库中收集了健康种植体周围组织和种植体周围炎组织的 mRNA 表达,并对其进行了差异表达(DE)分析,调整后的 P 值≤0.05,对数折变(Log-Fold-change)为 1.5。从差异表达基因中整理出与 "对金属的反应 "相关的实体。结果共有 430 个基因被 DE,其中 22 个基因与 "对金属的反应 "相关,它们分别是 IL1A、CP1A 和 IL2A。它们是 IL1A、CPNE1、MDM2、CALR、NCSTN、HSPA5、NPC1、S100A8、HIF1A、CPNE3、EIF2A、APP、KRT14、SEC31A、S100A16、IQGAP1、PRNP、NFE2L2、ADAM9、B2M、CAV1 和 LGMN。网络和富集分析表明,它们与几种癌症通路和信号网络有关。讨论种植体周围炎有与金属反应有关的 DE 基因,它们与肿瘤发生、细胞凋亡、细胞衰老和与恶性转化有关的生物过程相关。在风险升高的情况下,转录组图谱的累积性改变可能会增加恶性转化的风险。
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引用次数: 0
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Journal of Indian Dental Association
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