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沙特阿拉伯利雅得市牙医的抗生素处方模式。

Pattern of antibiotic prescription among dentists in Riyadh, Saudi Arabia.

作者信息

Baskaradoss Jagan K, Alrumaih Abdulaziz, Alshebel Abdulrahman, Alfaqih Ahmed, Aleesa Mohammed, Alkhashan Saleh, Altuwaijri Mohamad

机构信息

Department of Developmental and Preventive Sciences, Faculty of Dentistry, Kuwait University, Safat, Kuwait.

Department of Preventive Dental Science, King Saud bin Abdulaziz University for Health Science, Riyadh, Saudi Arabia.

出版信息

J Investig Clin Dent. 2018 Aug;9(3):e12339. doi: 10.1111/jicd.12339. Epub 2018 Apr 1.

DOI:10.1111/jicd.12339
PMID:29607628
Abstract

AIM

The aim of the present study was to investigate the pattern of antibiotic prescription and dentists' awareness about the recent guidelines for antibiotic prescription.

METHODS

This cross-sectional study was conducted among 282 dentists practicing in Riyadh, Saudi Arabia. The data were collected from 20 randomly-selected dental clinics from each of the five administrative blocks in Riyadh. In addition, data were also collected from four tertiary care centers and three academic universities. The questionnaire measured the antibiotic prescription pattern of the dentists and their choice of antibiotics for various dental conditions.

RESULTS

Amoxicillin was the most commonly prescribed antibiotic. More than 70% of dentists prescribed antibiotics for dental patients with various cardiac conditions. Bivariate analysis showed that female dentists had significantly higher mean scores for ideal prescription pattern (P = .04) compared to male dentists. Saudi nationals, especially those working in the government sector were found to have better prescription pattern compared with others (P = .02). Dentists with higher educational qualifications (board certificate and above) had a more ideal prescription pattern than other dentists (P = .04).

CONCLUSION

Inappropriate antibiotic prescription practice was highly prevalent in this population.

摘要

目的

本研究旨在调查抗生素处方模式以及牙医对近期抗生素处方指南的知晓情况。

方法

这项横断面研究在沙特阿拉伯利雅得执业的282名牙医中进行。数据从利雅得五个行政区中每个行政区随机选取的20家牙科诊所收集。此外,数据还从四个三级护理中心和三所学术大学收集。该问卷测量了牙医的抗生素处方模式以及他们针对各种牙科病症选择的抗生素。

结果

阿莫西林是最常开具的抗生素。超过70%的牙医为患有各种心脏疾病的牙科患者开具抗生素。双变量分析显示,与男性牙医相比,女性牙医在理想处方模式方面的平均得分显著更高(P = 0.04)。发现沙特国民,尤其是在政府部门工作的沙特国民,与其他人相比具有更好的处方模式(P = 0.02)。具有较高学历(董事会证书及以上)的牙医比其他牙医具有更理想的处方模式(P = 0.04)。

结论

在这一人群中,不适当的抗生素处方行为非常普遍。

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