Iqbal Azhar
Assistant Professor & Head, Department of Conservative Dentistry, College of Dentistry, University of Aljouf , Saudi Arabia .
J Clin Diagn Res. 2015 May;9(5):ZC82-4. doi: 10.7860/JCDR/2015/13718.5964. Epub 2015 May 1.
The use of antimicrobial agents has been increased, leading to bacterial resistance. Therefore the health professionals should have a sound knowledge about the prescription of antibiotics to overcome the increasing bacterial resistance. The main objective of this study was to evaluate the attitudes of dentists towards the prescription of antibiotics during endodontic treatment in north of Saudi Arabia.
This was a survey based descriptive cross-sectional study. This study has been done among the dentists of northern region of Saudi Arabia. A questionnaire was designed, regarding pattern of prescription of antibiotics by the dentists in the north of Saudi Arabia and the use of antibiotics in the treatment of different endodontic conditions during endodontic treatment. This questionnaire was distributed among 200 dentists in the north of Saudi Arabia. This study will encourage the dentists of the northern region of Saudi Arabia to be up to date about the current and prospective guidelines for the prescription of antibiotics and follow these guidelines for the antibiotic prescription.
The collected information was analysed by using a computer software SPSS version 18. Majority of the dentists were male accounting for 86%. The age range for 68% of the respondents was 25-35 years. Most of the dentists were having just a basic dental qualification i.e. 65.60%. Out of the total responding dentists, 50% were working in the ministry of health. 77% of the respondents prescribed the antibiotics for necrotic pulp with acute apical periodontitis; swelling present; mod/ severe preoperative symptoms. Out of the total responding dentists, 45.2% prescribed amoxicillin and clavulanic acid combination as the drug of choice.
It is concluded from the present study that the dentists should know the scientific basis for the prescription of antibiotics during endodontic therapy. They should follow and should not neglect the current guidelines for antibiotic prescriptions. There should be community awareness programmes for the dentists regarding the misuse of antibiotics and antibiotic resistance so that they can play a role in controlling these global problems.
抗菌药物的使用不断增加,导致细菌耐药性增强。因此,卫生专业人员应具备扎实的抗生素处方知识,以应对日益增加的细菌耐药性。本研究的主要目的是评估沙特阿拉伯北部地区牙医在根管治疗期间对抗生素处方的态度。
这是一项基于调查的描述性横断面研究。该研究在沙特阿拉伯北部地区的牙医中进行。设计了一份问卷,内容涉及沙特阿拉伯北部地区牙医的抗生素处方模式以及在根管治疗期间不同根管疾病治疗中抗生素的使用情况。该问卷分发给了沙特阿拉伯北部地区的200名牙医。本研究将鼓励沙特阿拉伯北部地区的牙医了解抗生素处方的当前和未来指南,并遵循这些指南进行抗生素处方。
使用计算机软件SPSS 18版对收集到的信息进行分析。大多数牙医为男性,占86%。68%的受访者年龄在25 - 35岁之间。大多数牙医仅拥有基础牙科资格,即65.60%。在所有回复的牙医中,50%在卫生部工作。77%的受访者会为牙髓坏死伴急性根尖周炎、有肿胀、术前有中度/重度症状的患者开具抗生素。在所有回复的牙医中,45.2%选择开具阿莫西林和克拉维酸组合作为首选药物。
从本研究得出的结论是,牙医应了解根管治疗期间抗生素处方的科学依据。他们应遵循且不应忽视当前的抗生素处方指南。应针对牙医开展关于抗生素滥用和耐药性的社区宣传项目,以便他们能够在控制这些全球性问题中发挥作用。