Department of Pediatric Dentistry, School of Dentistry, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599-7450, USA.
J Am Dent Assoc. 2012 Jan;143(1):31-8. doi: 10.14219/jada.archive.2012.0015.
The authors conducted a study to examine the antibiotic prescribing practices of general and pediatric dentists in the management of odontogenic infections in children.
The authors relied on a cross-sectional study design to assess the antibiotic prescribing practices of general and pediatric dentists in North Carolina. The survey instrument consisted of five clinical case scenarios that included antibiotic-prescribing decisions in a self-administered questionnaire format. The participants were volunteers attending one of four continuing education courses. The authors invited all pediatric dentists in private practice to participate in the study, as well as general practitioners who treated children in general practice. The authors compared the practitioners' responses for each clinical case scenario with the prescribing guidelines of the American Academy of Pediatric Dentistry and the American Dental Association.
A total of 154 surveys were completed and returned (55 percent response rate). The mean age of respondents was 47 years, and the mean number of years in practice was 19. Of the 154 overall, 106 (69 percent) were general practitioners and 48 (31 percent) were pediatric dentists. Across the three in-office clinical case scenarios, adherence to professional prescribing guidelines ranged from 10 to 42 percent. For the two weekend scenarios, overall adherence to the professional prescribing guidelines dropped to 14 and 17 percent. Dentists who had completed postgraduate education (n = 73 [51 percent]) were more likely (P < .05) to have adhered to published guidelines in prescribing antibiotics.
The results of this survey show that dentists' adherence to professional guidelines for prescribing antibiotics for odontogenic infections in children was low. There appears to be a lack of concordance between recommended professional guidelines and the antibiotic prescribing practices of dentists. Clearer, more specific guidelines may lead to improved adherence among dentists.
作者开展了一项研究，旨在检查普通和儿科牙医在儿童牙源性感染管理中开具抗生素处方的情况。
作者采用横断面研究设计，评估北卡罗来纳州普通和儿科牙医的抗生素处方实践。调查工具包括五个临床病例情景，以自我管理问卷格式包括抗生素处方决策。参与者是参加四个继续教育课程之一的志愿者。作者邀请所有私人执业的儿科牙医以及在普通科治疗儿童的普通科医生参加研究。作者将每位医生对每个临床病例情景的反应与美国儿科学会和美国牙科协会的处方指南进行了比较。
共完成并返回 154 份调查问卷（55%的回复率）。受访者的平均年龄为 47 岁，平均从业年限为 19 年。在 154 名整体受访者中，有 106 名（69%）为普通科医生，48 名（31%）为儿科牙医。在三个门诊临床病例情景中，遵守专业处方指南的比例从 10%到 42%不等。对于两个周末的情况，整体遵守专业处方指南的比例下降到 14%和 17%。接受过研究生教育的牙医（n=73[51%]）更有可能（P<.05）遵守发表的抗生素处方指南。
这项调查的结果表明，牙医对儿童牙源性感染抗生素处方的专业指南的遵守率较低。推荐的专业指南与牙医的抗生素处方实践之间似乎存在不一致。更清晰、更具体的指南可能会提高牙医的遵医嘱率。
