泰米尔纳德邦Chengalpattu地区牙科学生抗生素耐药性知识-一项横断面研究

K. Indrapriyadharshini, S. Vishnuprasad, J. Mahesh, H. Faizunisa
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摘要

抗生素耐药性正在世界各地上升到危险的高水平。新的耐药机制正在出现并在全球蔓延,威胁到我们治疗常见传染病的能力。牙医开出的抗生素约占所有常用抗生素的9-11%。本研究旨在了解牙科毕业生对抗生素耐药的认知和态度。在2019年11月至2019年12月期间,对294名参与者进行了横断面研究。对牙科学生进行了一份包含14个问题的结构化问卷调查。对人口学变量进行描述性分析,采用Kruskal-Wallis H检验进行知识得分和态度得分。约85%的参与者建议阿莫西林作为抗生素的选择。在建议抗生素耐药性解决方案的四个领域中,48%的大四学生建议避免自我用药作为解决方案,34%的实习生建议避免过量用药,48%的大三学生建议完成抗生素疗程。大多数(87%)最后一年的学生建议对感染性心内膜炎患者使用预防性抗生素。两组间态度均变得分差异有统计学意义(P = 0.028)。研究显示,不同年级的学生对抗生素耐药性的认识和态度各不相同。研究结果表明,有必要对牙科学生进行更多关于抗生素及其正确使用的教育。
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Knowledge about antibiotic resistance among dental students in Chengalpattu district, Tamil Nadu – A cross-sectional study
Antibiotic resistance is rising to dangerously high levels in all parts of the world. New resistance mechanism is emerging and spreading globally, threatening our ability to treat common infectious diseases. Dentists prescribe about 9–11% of all common antibiotics. The aim of this study was to assess the knowledge and attitude of antibiotic resistance among graduating dental students. A cross-sectional study was conducted among 294 participants between November 2019 and December 2019. A structured questionnaire consisting of 14 questions was administered to the dental students. Descriptive analysis of demographic variables was done and knowledge score and attitude score were performed using Kruskal–Wallis H test. About 85% of the participants suggested amoxicillin as the choice of antibiotic. Among the four domains suggesting the solution for antibiotic resistance, 48% of the final year students suggested avoiding self-medication as a solution, 34% of interns suggested avoiding over dosage, and 48% of the 3rd year students suggested completing the course of antibiotics. A majority of (87%) of the final year students suggested the usage of prophylactic antibiotics in patients with infective endocarditis. The difference in mean change in attitude scores among the groups was statistically significant (P = 0.028). The research showed variable levels of knowledge and attitude about antibiotic resistance among the students of different year of study. The study result insists the need to educate the dental students more regarding antibiotics and their proper use.
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