Lagha Malek, Khemiss Mehdi, Kallel Ines, Araissia Asma, Belkhir Chems, Sahtout Saida, Bagga Sana
Department of Conservative Dentistry and Endodontics, Dental Faculty of Monastir, University of Monastir, Monastir, Tunisia.
Dental Medicine Department in University Hospital Fattouma Bourguiba, University of Monastir, Monastir, Tunisia.
Int J Dent. 2021 Mar 24;2021:5542534. doi: 10.1155/2021/5542534. eCollection 2021.
This work aimed to estimate the knowledge and practice of general dentists in the governorate of Manouba regarding the management of patients at risk of infective endocarditis.
A survey involving private sector general dentists in the governorate of Manouba was performed. It contained 21 questions, and it was addressed to 111 dentists. Only 82 dentists responded. To carry out the descriptive study, we used the SPSS software version 21.0.
Our results proved the lack of knowledge among dentists in the governorate of Manouba with regard to the management of patients at risk of infective endocarditis. An overestimation of the risk and an overprescription of antibiotic were found in order to ensure an over-protection for the patients as well as the dentist. In fact, 85.4% of these dentists prescribed antibiotic prophylaxis for the two groups of patients (high risk and moderate risk). Only 9.8% followed the right modality of antibiotic prophylaxis prescription; 4.9% of the dentists prescribed antibiotic only 1 hour before the act and 4.9% of them prescribed antibiotic 1 hour before the act and continued the treatment in case of the presence of an infectious site.
A discrepancy towards an over-estimation of risk and overprescription of antibiotic was found between the recommendations and real practice. Similar studies in the other governorates of Tunisia are recommended in order to better understand the problem.
本研究旨在评估马努巴省普通牙医对感染性心内膜炎高危患者管理的知识和实践情况。
对马努巴省私营部门的普通牙医进行了一项调查。该调查包含21个问题，共向111名牙医发放问卷。只有82名牙医进行了回复。为开展描述性研究，我们使用了SPSS 21.0软件。
我们的研究结果表明，马努巴省的牙医在感染性心内膜炎高危患者管理方面知识欠缺。为确保对患者和牙医的过度保护，存在对风险的高估和抗生素的过度处方现象。事实上，这些牙医中有85.4%对两组患者（高危和中危）都开具了抗生素预防用药。只有9.8%的牙医遵循了正确的抗生素预防用药方式；4.9%的牙医仅在操作前1小时开具抗生素，4.9%的牙医在操作前1小时开具抗生素并在存在感染部位时继续用药。
在建议和实际操作之间发现了对风险高估和抗生素过度处方的差异。建议在突尼斯的其他省份开展类似研究，以便更好地了解该问题。
