牙科和牙周治疗中合理使用抗生素的潜在障碍:基于问卷的在线调查。

IF 2.7 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Dental and Medical Problems Pub Date : 2024-05-01 DOI:10.17219/dmp/159490
Meltem Özdemir Kabalak, Ege Nadir Aytac, Nermin Tarhan, Erdem Karabulut, Hüseyin Gencay Keceli
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引用次数: 0

摘要

背景:牙科医生通过开具不恰当的抗生素处方,可能会导致全球抗生素耐药性(AR)问题:目的:了解牙科医生的抗生素处方模式、知识来源及其处方做法背后的驱动力,对于在牙科领域有效实施合理使用抗生素(RUA)至关重要:邀请土耳其牙科协会的活跃成员参与一项电子调查,调查问题包括他们的角色、对合理使用抗生素的认识和看法、在日常牙科工作中采用合理使用抗生素的障碍以及实际的抗生素处方做法。此外,还评估了年龄、性别、专业经验和牙医执业模式的潜在影响。此外,还对牙医针对牙周疾病/病症的处方做法进行了评估:结果:根据 1 005 份有效答卷,对 RUA 的必要性达成了共识(99.1%),但其实施率较低。主要障碍是牙医对自身安全的担忧(74.4%)、患者的强烈要求(42.2%)以及处方抗生素已成为一种职业习惯(35.8%)。不同的教育背景导致日常处方做法存在明显差异:结论:RUA 的实施还不够充分,所感知到的障碍对日常处方习惯有影响。通过有效传播循证临床指南和决策辅助工具为牙科专业人员提供支持,可能需要专业组织提供更多帮助,以积极防治AR。
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Potential barriers to the rational antibiotic use in dental and periodontal practice: A questionnaire-based online survey.

Background: Dentists, through inappropriate antibiotic prescription, may contribute to the global problem of antibiotic resistance (AR).

Objectives: Understanding dentists' antibiotic prescription patterns, source of knowledge, and the driving forces behind their prescription practices may be crucial for the effective implementation of the rational use of antibiotics (RUA) in dentistry.

Material and methods: Active members of the Turkish Dental Association were invited to participate in an electronic survey comprising questions focusing on their role, knowledge and perceptions regarding RUA, the perceived barriers to adapting RUA in daily dental work, and the actual antibiotic prescription practices. The potential impact of age, gender, professional experience, and the mode of dental practice was also evaluated. Dentists' prescription practices for periodontal disease/conditions were evaluated as well.

Results: Based on 1,005 valid responses, there was consensus on the necessity of RUA (99.1%); however, its implementation was low. The main barriers were dentists' own safety concerns (74.4%), strong patients' demands (42.2%) and the fact that prescribing antibiotics became a professional habit (35.8%). Different educational background resulted in clear variances in everyday prescription practices.

Conclusions: The implementation of RUA was not sufficient and the perceived barriers had an impact on daily prescribing habits. Support for dental professionals through the efficient dissemination of evidencebased clinical guidelines and decision-making aids is likely to require additional help from professional organizations in order to actively combat AR.

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来源期刊
CiteScore
4.00
自引率
3.80%
发文量
58
审稿时长
53 weeks
期刊最新文献
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