Belibasakis Georgios N, Lund Bodil K, Krüger Weiner Carina, Johannsen Benita, Baumgartner Desirée, Manoil Daniel, Hultin Margareta, Mitsakakis Konstantinos
Department of Dental Medicine, Karolinska Institutet, Alfred Nobels allè 8, 14104 Stockholm, Sweden.
Department of Clinical Dentistry, University of Bergen, 5009 Bergen, Norway.
Antibiotics (Basel). 2020 Nov 14;9(11):810. doi: 10.3390/antibiotics9110810.
Antibiotic resistance poses a global threat, which is being acknowledged at several levels, including research, clinical implementation, regulation, as well as by the World Health Organization. In the field of oral health, however, the issue of antibiotic resistances, as well as of accurate diagnosis, is underrepresented. Oral diseases in general were ranked third in terms of expenditures among the EU-28 member states in 2015. Yet, the diagnosis and patient management of oral infections, in particular, still depend primarily on empiric means. On the contrary, on the global scale, the field of medical infections has more readily adopted the integration of molecular-based systems in the diagnostic, patient management, and antibiotic stewardship workflows. In this perspective review, we emphasize the clinical significance of supporting in the future antibiotic resistance screening in dental practice with novel integrated and point-of-care operating tools that can greatly support the rapid, accurate, and efficient administration of oral antibiotics.
抗生素耐药性构成了全球威胁,这在多个层面都得到了认可,包括研究、临床应用、监管以及世界卫生组织。然而,在口腔健康领域,抗生素耐药性以及准确诊断的问题并未得到充分关注。2015年,在欧盟28个成员国中,口腔疾病的总体支出排名第三。然而,口腔感染的诊断和患者管理,尤其是仍然主要依赖经验性方法。相反,在全球范围内,医学感染领域更倾向于在诊断、患者管理和抗生素管理工作流程中采用基于分子的系统。在这篇观点综述中,我们强调了在未来牙科实践中支持抗生素耐药性筛查的临床意义,使用新型集成式即时检测操作工具,这些工具可以极大地支持口服抗生素的快速、准确和有效使用。