牙医在开具阿片类镇痛药和抗生素方面的作用：概述
Role of Dentists in Prescribing Opioid Analgesics and Antibiotics: An Overview.
作者信息
Dana Ralph, Azarpazhooh Amir, Laghapour Nima, Suda Katie J, Okunseri Christopher
机构信息
Faculty of Dentistry, University of Toronto, 710F-481 University Avenue, Toronto, Ontario, Canada.
Faculty of Dentistry, University of Toronto, 710F-481 University Avenue, Toronto, Ontario, Canada; Clinical Epidemiology & Health Care Research, School of Graduate Studies, Institute of Health Policy, Management and Evaluation, University of Toronto, 155 College Street, Suite 425, Toronto, Ontario M5T3M6, Canada; Department of Dentistry, Mount Sinai Hospital, 412-600 University Avenue, Toronto, Ontario M5G 1X5, Canada.
出版信息
Dent Clin North Am. 2018 Apr;62(2):279-294. doi: 10.1016/j.cden.2017.11.007.
Opioid analgesics and antibiotics prescribed by dentists is a useful and cost-effective measure when prescribed appropriately. Common dental conditions are best managed by extracting the offending tooth, restoring the tooth with an appropriate filling material, performing root canal therapy, and/or fabricating a prosthesis for the edentulous space. Unnecessary prescription of opioid analgesics and antibiotics to treat dental pain and bacterial infection is a growing public health concern. This article highlights the state of the literature on opioid analgesic and antibiotic prescribing practices in dentistry, the impact of opioid analgesic overdose, and prevention strategies to reduce opioid analgesics and antibiotic overprescription.
牙医开具的阿片类镇痛药和抗生素在合理使用时是一种有用且具有成本效益的措施。常见的牙科疾病最好通过拔除患牙、用合适的填充材料修复牙齿、进行根管治疗和/或为无牙间隙制作假体来进行处理。不必要地开具阿片类镇痛药和抗生素来治疗牙痛和细菌感染是一个日益严重的公共卫生问题。本文重点介绍了牙科领域阿片类镇痛药和抗生素处方实践的文献现状、阿片类镇痛药过量的影响以及减少阿片类镇痛药和抗生素过度处方的预防策略。
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