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牙医的抗生素处方习惯可能受到患者处方请求的影响。

Dentists' Habits of Antibiotic Prescribing May be Influenced by Patient Requests for Prescriptions.

作者信息

Al-Khatib Aceil, AlMohammad Raneem Ahmad

机构信息

Faculty of Dentistry, Jordan University of Science and Technology, P.O. Box 3030, Irbid 22110, Jordan.

出版信息

Int J Dent. 2022 Aug 22;2022:5318753. doi: 10.1155/2022/5318753. eCollection 2022.

DOI:10.1155/2022/5318753
PMID:36046696
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9424009/
Abstract

OBJECTIVE

This study evaluates dentists' antibiotic prescribing habits and the frequency of facing patient pressure for prescriptions.

METHODS

An online anonymous survey was used to collect data on antibiotic prescribing practices, including prescribing unnecessary antibiotics if requested by patients.

RESULTS

The study population included 345 dentists; 227 (65.8%) were females and 118 (34.2%) were males. 54 (15.7%) reported that they prescribed unnecessary antibiotics more than once per week, 47 (13.6%) once per month, 135 (39.1%) rarely, and 109 (31.6%) never prescribed unnecessary antibiotics. 117 (33.9%) reported being pressured by patients to prescribe unnecessary antibiotics more than once per week. 110 (31.9%) reported being pressured by patients to do so at least once per month. There was a statistical difference between the two genders ( < 0.001) in reporting that patients pressured them to prescribe antibiotics when antibiotics were not necessary for treatment or prophylactic purposes and in prescribing unnecessary antibiotics sometimes if requested by a patient (=0.008). In addition, there was a statistical difference in dentists' confidence in their knowledge and practice in the area of antibiotic prescribing ( < 0.001).

CONCLUSIONS

The results show that unnecessary antibiotic prescribing by dentists can be influenced by patient pressure.

摘要

目的

本研究评估牙医的抗生素处方习惯以及面临患者要求开具处方的压力频率。

方法

采用在线匿名调查收集抗生素处方行为的数据,包括应患者要求开具不必要的抗生素。

结果

研究人群包括345名牙医;227名(65.8%)为女性,118名(34.2%)为男性。54名(15.7%)报告称他们每周不止一次开具不必要的抗生素,47名(13.6%)每月一次,135名(39.1%)很少开具,109名(31.6%)从未开具过不必要的抗生素。117名(33.9%)报告称每周不止一次受到患者压力要求开具不必要的抗生素。110名(31.9%)报告称每月至少一次受到患者压力要求这样做。在报告患者在治疗或预防不需要抗生素时施压要求开具抗生素以及有时应患者要求开具不必要的抗生素方面,两性之间存在统计学差异(<0.001)。此外,牙医在抗生素处方领域对自身知识和实践的信心存在统计学差异(<0.001)。

结论

结果表明,牙医开具不必要的抗生素可能受到患者压力的影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a54/9424009/30d1c868e8df/IJD2022-5318753.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a54/9424009/d9f547ddf84b/IJD2022-5318753.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a54/9424009/94b1cf62dec8/IJD2022-5318753.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a54/9424009/30d1c868e8df/IJD2022-5318753.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a54/9424009/d9f547ddf84b/IJD2022-5318753.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a54/9424009/94b1cf62dec8/IJD2022-5318753.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a54/9424009/30d1c868e8df/IJD2022-5318753.003.jpg

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