不同培训水平的哥伦比亚牙医在牙髓病学中使用抗生素的情况：一项调查。
Antibiotic indication in endodontics by Colombian dentists with different levels of training: a survey.
机构信息
Universidade Estácio de Sá, Departamento de Pós-Graduação em Odontologia, Rio de Janeiro, Brasil.
Universidad Santo Tomás - Bucaramanga, Facultad de Odontología, Bucaramanga, Colombia.
出版信息
Acta Odontol Latinoam. 2022 Dec 31;35(3):198-205. doi: 10.54589/aol.35/3/198.
AIM
This study investigated how Colombian dentists with different academic levels indicate antibiotics with therapeutic purposes in endodontics.
MATERIALS AND METHOD
A cross-sectional survey was conducted among 559 dentists in the form of an online questionnaire.
RESULTS
Three hundred and twenty questionnaires were answered (57.2%). There were significant differences among respondents. For irreversible pulpitis, 140 dentists (43.7%) said they prescribe antibiotics (57.5% of general practitioners, 20.1% of specialists and 38.9% of those with Master's and/or PhD degrees), while for symptomatic apical periodontitis, 183 (57.2%) did so (74.1% of general practitioners, 28.4% of specialists and 50.0% of those with Master's and/or PhD degrees) (p<0.05). Amoxicillin was the most frequently prescribed antibiotic, and its association with clavulanic acid was the most often cited for acute periradicular abscess with systemic involvement.
CONCLUSIONS
The greatest misunderstandings in prescribing antibiotics occurred among general practitioners. Considering all clinical conditions that do not require antibiotics, 60% of general practitioners and 34% of specialists, on average, indicated antibiotics.
目的
本研究旨在调查不同学术水平的哥伦比亚牙医在牙髓病学中出于治疗目的而开具抗生素的情况。
材料和方法
采用在线问卷调查的方式，对 559 名牙医进行了横断面调查。
结果
共收回 320 份问卷（57.2%）。受访者之间存在显著差异。对于不可逆性牙髓炎，140 名牙医（43.7%）表示会开具抗生素（全科医生占 57.5%，专家占 20.1%，硕士及以上学历占 38.9%），而对于有症状的根尖周炎，183 名牙医（57.2%）会开具抗生素（全科医生占 74.1%，专家占 28.4%，硕士及以上学历占 50.0%）（p<0.05）。阿莫西林是最常被开具的抗生素，对于伴有全身症状的急性根尖周脓肿，常与克拉维酸联合使用。
结论
在开具抗生素方面，全科医生最容易出现误解。考虑到所有不需要使用抗生素的临床情况，平均有 60%的全科医生和 34%的专家会开具抗生素。
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