Rubanenko Moran, Blumer Sigalit, Maalof Kayan, Elbahary Shlomo, Katz Lazar, Kharouba Johnny
Department of Pediatric Dentistry, Faculty of Medicine, School of Dentistry, Tel Aviv University, Tel Aviv 6997801, Israel.
Antibiotics (Basel). 2021 Sep 28;10(10):1181. doi: 10.3390/antibiotics10101181.
Antibiotics are widely used in dentistry. Dentists often provide antibiotics unnecessarily. Excessive use can induce resistant bacterial strains. There are certain indications for the proper use of antibiotics for pediatric dentistry according to the European and American Pediatric Dentistry (EAPD and AAPD). Very often dentists do not follow these guidelines. This study aims to examine the level of knowledge among general dentists (who also treat children) and pediatric dentists on proper use of antibiotics. In addition, we examined whether there is unjustified use of antibiotics, if dentists are aware of the new and conservative approach of administering antibiotics to patients, and whether there is a relationship between years of professional seniority and dentist's knowledge level of proper use of antibiotics. One hundred general dentists (GD) who treat children in addition to 100 pediatric dentists (PD) completed the study questionnaires which measured knowledge, practice and attitudes regrading using antibiotics during dental treatment among children. The general average of level of knowledge on proper use of antibiotics among general dentists was relatively low for both GD (60.7%) and PDs (65%). PDs demonstrated a relatively greater knowledge of correct use of antibiotics, especially in cases of endodontics and trauma. PDs also showed higher awareness to latest guidelines for the admission of "prophylactic antibiotics" according to the American Association (AAPD) and/or the European Union (EAPD) compared with GDs (86.2% vs. 66.3%). The level of knowledge of both general dentists and pediatric dentists is poor, with a large percentage of dentists from both groups not knowing whether antibiotics are needed in a specific dental case or not. Compliance with the EAPD/AAPD guidelines is also low and inadequate. The method of prescribing antibiotics given by dentists can be improved by increasing awareness, educational initiatives, and postgraduate courses among dentists regarding the recommended indications.
抗生素在牙科领域被广泛使用。牙医常常不必要地开具抗生素。过度使用会诱发耐药菌株。根据欧美儿童牙科协会（EAPD和AAPD）的标准，儿童牙科中抗生素的合理使用有特定指征。但牙医常常不遵循这些指导方针。本研究旨在调查普通牙医（也治疗儿童）和儿童牙医在抗生素合理使用方面的知识水平。此外，我们还研究了是否存在抗生素的不合理使用情况、牙医是否了解对患者使用抗生素的新的保守方法，以及专业资历年限与牙医抗生素合理使用知识水平之间是否存在关联。100名兼治儿童的普通牙医（GD）和100名儿童牙医（PD）完成了研究问卷，该问卷测量了儿童牙科治疗期间使用抗生素的知识、实践和态度。普通牙医中抗生素合理使用知识水平的总体平均值相对较低，GD为60.7%，PD为65%。PD在抗生素正确使用方面表现出相对更丰富的知识，尤其是在牙髓病和创伤病例中。与GD相比，PD对美国牙科协会（AAPD）和/或欧盟（EAPD）关于“预防性抗生素”使用的最新指南也有更高的知晓率（86.2%对66.3%）。普通牙医和儿童牙医的知识水平都较差，两组中很大比例的牙医不知道在特定牙科病例中是否需要使用抗生素。对EAPD/AAPD指南的依从性也较低且不足。可以通过提高牙医对推荐指征的认识、开展教育活动和开设研究生课程来改进牙医开具抗生素的方法。
