Vlcek Daniel, Razavi Amir, Kuttenberger Johannes J
Clinic for Oral and Maxillofacial Surgery, Cantonal Hospital Lucerne, Switzerland.
Swiss Dent J. 2014;124(3):294-302. doi: 10.61872/sdj-2014-03-02.
The aim of this survey was to assess the knowledge and practice of Swiss dentists focusing on the use of antibiotics in prophylactic surgical removal of lower wisdom teeth. A postal survey was conducted among all 3288 dentists who are members of the Swiss Dental Society (SSO) representing nearly all dentists in Switzerland. The questionnaire consisted of 13 questions with mostly multiple-choice answers. Demographic profile, surgical experience, the use of antibiotics, and wound management, i.e. wound closure and the use of mouth rinse were assessed. A response rate of 55% was obtained. Most Swiss dentists perform surgical extractions in their practices. Of all dentists, 18.6% used antibiotics routinely, but a large variation was found comparing the three linguistic regions of Switzerland with the highest prescription rate of 48% in the French-speaking south-west of Switzerland. Fifty-two percent of dentists prescribed amoxicillin in a dose of 750 mg. Most often three daily doses were prescribed (47%). A postoperative regime was prescribed by 54.4% of dentists. French language (p=0.003), graduation from the university of Geneva (p=0.007), foreign diplomas (p<0.001), and dentists with diplomas awarded from 2001-2006 (p=0.004) showed a highly significant correlation with the use of antibiotics. In Switzerland, prophylactic antibiotics are used in third molar surgery. Antibiotic prescription however largely depends on geographical situation and dentist profiles. The assessment of antibiotic use in private practices is important in the light of growing evidence that antibiotic overuse may lead to development of multiresistant bacterial strains. In a second part results regarding wound management and mouth rinse will be presented.
本次调查的目的是评估瑞士牙医在预防性手术拔除下颌智齿时使用抗生素方面的知识和实践情况。对瑞士牙科协会（SSO）的所有3288名会员牙医进行了邮寄调查，这些会员代表了瑞士几乎所有的牙医。问卷包含13个问题，大多为多项选择题。评估了人口统计学特征、手术经验、抗生素的使用以及伤口处理情况，即伤口缝合和漱口水的使用。获得了55%的回复率。大多数瑞士牙医在其诊所进行外科拔牙手术。在所有牙医中，18.6%的人常规使用抗生素，但瑞士的三个语言区域存在很大差异，在瑞士西南部法语区处方率最高，为48%。52%的牙医开具750毫克剂量的阿莫西林。最常开具的是每日三次剂量（47%）。54.4%的牙医开了术后治疗方案。法语（p = 0.003）、毕业于日内瓦大学（p = 0.007）、外国文凭（p < 0.001）以及2001 - 2006年获得文凭的牙医（p = 0.004）与抗生素的使用显示出高度显著的相关性。在瑞士，预防性抗生素用于第三磨牙手术。然而，抗生素的处方很大程度上取决于地理位置和牙医的个人资料。鉴于越来越多的证据表明抗生素过度使用可能导致多重耐药菌株的产生，评估私人诊所中抗生素的使用情况很重要。在第二部分将展示有关伤口处理和漱口水使用的结果。
