Robles Raya Purificación, Javierre Miranda Ana Pilar, Moreno Millán Nemesio, Mas Casals Ariadna, de Frutos Echániz Elena, Morató Agustí M Luisa
Grupo de Prevención en Enfermedades Infecciosas de la Sociedad Catalana de Medicina Familiar y Comunitaria (CAMFiC).
Grupo de Prevención en Enfermedades Infecciosas de la Sociedad Española de Medicina Familiar y Comunitaria (PAPPS-semFyC).
Aten Primaria. 2017 Dec;49(10):611-618. doi: 10.1016/j.aprim.2017.05.003. Epub 2017 Jul 25.
Our aim is to contribute to the rational use of antibiotics prescribed by family doctors when a patient consults for a dental problem. Nowadays we should not ask which antibiotic to give. The question has to be if we need to prescribe antibiotics in front of the most common odontogenic infections seen in our practice. We review the main dental infections, which should be their appropriate management and the role of prevention. We need to know the complexity of the oral microbiome because it?ll depend on the appropriateness of the antibiotherapy, the evolution towards cure or progression of some odontogenic infections. The bacterial plaque, formed by the biofilm, behaves as a barrier to the action of antimicrobials. It?s in the prevention of its development as well as in it mechanical elimination once shaped, in what the family doctor should insist. We must transmit antibiotics don?t heal dental pain.
我们的目标是,当患者因牙科问题前来咨询时,助力家庭医生合理使用抗生素。如今,我们不应再问该用哪种抗生素。问题在于,面对我们诊所中最常见的牙源性感染,是否需要开具抗生素。我们回顾了主要的牙科感染、其恰当的治疗方法以及预防的作用。我们需要了解口腔微生物群的复杂性,因为这将决定抗菌治疗的合理性、某些牙源性感染治愈或进展的情况。由生物膜形成的牙菌斑,对抗菌药物的作用起到屏障作用。家庭医生应着重强调预防牙菌斑的形成以及在其形成后进行机械清除。我们必须让患者明白,抗生素并不能治愈牙痛。