Bawazir Omar A, Alsuwayt Bandar, Alqahtani Waleed, Al-Dhafiri Ahmad, Al-Shamrani Mosleh
Assistant Professor, Department of Pediatric Dentistry and Orthodontics, College of Dentistry, King Saud University, PO Box 60169, Riyadh 11545 Saudi Arabia, e-mail:
Dentist, Hafer Al-Batin Dental Center, Ministry of Health, Hafer Al-Batin Saudi Arabia.
J Contemp Dent Pract. 2014 Nov 1;15(6):755-60. doi: 10.5005/jp-journals-10024-1612.
This study was intended to assess the knowledge, attitude and practice of pediatricians and pharmacists about sugar free medications (SFMs) and their impact on oral health.
Self-administered close ended questionnaire was handed out to all pediatricians and pharmacists in five tertiary hospitals in Riyadh (King Khalid University Hospital, King Saud Medical City, King Fahad Medical City, Prince Sultan Medical Military City, Security Forces Hospital) to investigate the knowledge, attitude and practice concerning SFMs.
Eighty-five pediatricians and 77 pharmacists participated in this study. The results showed that pediatricians and pharmacists have a good knowledge, but negative attitude toward SFMs. Only (5.9%) of pediatricians had formal undergraduate training which is significantly lower than pharmacists (15.6%) (p = 0.04). One-third of pediatricans and pharmacists prescribe or dispense SFMs. The most influencing factors toward prescription (pediatrician) of SFMs was the medical status of the patient (70.6%), while the most influencing factor of dispensing (pharmacists) SFMs was the availability in the pharmacy (64.9%). Two-third of pediatricians (67%) guide the parents about the risk associated with sugar-containing medications (SCMs) which is significantly higher than pharmacists (p < 0.0001). Also, 53% of pediatricians recommend oral hygiene instructions when prescribing SCMs which is also significantly higher than pharmacists (p = 0.0 02).
There is a considerable knowledge about SFMs and its impact on dental caries, among pediatricians and pharmacists participated in this study. However, their attitude toward prescribing or dispensing SFMs was not positive and may be linked to the gap in knowledge. Further training and education of healthcare providers regarding the use of SFMs and its negative impact on dental caries has to be reiterated.
本研究旨在评估儿科医生和药剂师对无糖药物(SFMs)的知识、态度和实践,以及它们对口腔健康的影响。
向利雅得五家三级医院(哈立德国王大学医院、沙特国王医疗城、法赫德国王医疗城、苏丹王子军事医疗城、安全部队医院)的所有儿科医生和药剂师发放了自行填写的封闭式问卷,以调查他们对无糖药物的知识、态度和实践。
85名儿科医生和77名药剂师参与了本研究。结果表明,儿科医生和药剂师对无糖药物有一定的了解,但态度消极。只有5.9%的儿科医生接受过正规的本科培训,这一比例显著低于药剂师(15.6%)(p = 0.04)。三分之一的儿科医生和药剂师会开具或调配无糖药物。对儿科医生开具无糖药物影响最大的因素是患者的病情(70.6%),而对药剂师调配无糖药物影响最大的因素是药房是否有货(64.9%)。三分之二的儿科医生(67%)会向家长说明含糖药物(SCMs)的相关风险,这一比例显著高于药剂师(p < 0.0001)。此外,53%的儿科医生在开具含糖药物时会建议进行口腔卫生指导,这一比例也显著高于药剂师(p = 0.002)。
参与本研究的儿科医生和药剂师对无糖药物及其对龋齿的影响有相当的了解。然而,他们对开具或调配无糖药物的态度并不积极,这可能与知识差距有关。必须重申对医疗服务提供者进行关于无糖药物的使用及其对龋齿的负面影响的进一步培训和教育。