氟化物：法国布列塔尼地区儿科医生11年来知识与处方习惯的变化

Fluoride: changes in knowledge and prescription habits of paediatricians for 11 years in Brittany, France.

作者信息

Palmada E, Gallazzini C, Barria K, Licht L, Marie-Cousin A, Sixou J-L

机构信息

Department of Paediatric Dentistry, UFR d'Odontologie de l'Université de Rennes 1 and Centre Hospitalier Universitaire, 2 Avenue du Professeur Léon Bernard, 35043, Rennes Cedex, France.

Department of Dentistry, CHU de Orléans, Orleans, France.

出版信息

Eur Arch Paediatr Dent. 2017 Feb;18(1):51-58. doi: 10.1007/s40368-016-0267-3. Epub 2017 Jan 12.

DOI:10.1007/s40368-016-0267-3

PMID:28083823

Abstract

AIMS

To assess via a questionnaire the changes in knowledge and prescription habits for systemic fluoride of physicians at maternal and infant protection centres (MIP) and paediatricians in private practice (PPP) in the Brittany region between 2003 and 2014.

METHODS

In both 2003 and 2014, the same seven-question survey was mailed to PPP (110 in 2003 and 101 in 2014) and MIP (61 in 2003 and 71 in 2014). An eighth question was added in 2014 about French guidelines published in 2008 (AFSSAPS guidelines).

RESULTS

The overall response rate was significantly higher in 2003 (69.0%) than in 2014 (54.7%). In 2014 systemic fluoride was still considered an effective means of caries prevention (79.8% vs. 98.7% in 2003) and systematic prescription of fluoride supplements was less common (39.4 vs. 87.0% in 2003). When prescribed, systemic fluoride was given after the first 6 months of a child's life in 2014 (79.8%) instead of within the first month of life (73.5%) in 2003.

CONCLUSIONS

Paediatricians and MIP physicians in Brittany were significantly less prone to routinely prescribe systemic fluoride in 2014. Certain sources of fluoride were still not well known in 2014. Collaboration and information sharing between dentists and physicians is necessary.

摘要

目的

通过问卷调查评估2003年至2014年间布列塔尼地区母婴保护中心（MIP）的医生以及私人执业儿科医生（PPP）在系统性氟化物知识和处方习惯方面的变化。

方法

在2003年和2014年，相同的七项问题调查问卷被邮寄给PPP（2003年为110份，2014年为101份）和MIP（2003年为61份，2014年为71份）。2014年增加了一个关于2008年发布的法国指南（AFSSAPS指南）的第八个问题。

结果

2003年的总体回复率（69.0%）显著高于2014年（54.7%）。2014年，系统性氟化物仍被视为预防龋齿的有效手段（79.8%，而2003年为98.7%），氟补充剂的系统性处方则不太常见（2014年为39.4%，2003年为87.0%）。在2014年，系统性氟化物在儿童出生后的前6个月后给予（79.8%），而在2003年是在出生后的第一个月内给予（73.5%）。