Arizona Veterinary Dental Specialists, Thrive Pet Healthcare, Peoria, AZ.
Department of Veterinary Clinical Sciences, College of Veterinary Medicine, University of Minnesota, Saint Paul, MN.
J Am Vet Med Assoc. 2023 Sep 13;261(S2):S6-S13. doi: 10.2460/javma.23.06.0304. Print 2023 Dec 1.
To evaluate the knowledge, attitudes, and practices toward antibiotic use among board-certified veterinary dentists.
104 veterinarians board certified by the American Veterinary Dental College.
A 30-question survey was generated from an online platform and sent via email listserv to board-certified veterinary dentists. Responses were examined to identify patterns or correlations among the variables of interest.
There were 104 board-certified veterinary dentists who responded. The majority reported using prophylactic intraoperative antibiotics sparingly for dental procedures and predominately for patients with historic endocarditis or on immunosuppressive doses of steroids. For healthy patients, they reported that antibiotics are often prescribed during jaw fracture repair, maxillectomy/mandibulectomy, and treatment of stage 4 periodontal disease or periapical lucencies. Knowledge of antibiotic resistance and evidence-based antibiotic use were not significantly different between different practice sectors (academia vs private practice) or dependent on the duration of board certification. Dentists who did not believe antibiotics used postoperatively reduce local postoperative infection rates were less likely to prescribe injectable intraoperative antibiotics for the prevention of postoperative infection. No other variables were associated with the likelihood of prescribing intraoperative antibiotics. More than 95% of veterinary dentists surveyed agreed that specific antibiotic use guidelines for veterinary dentistry would help reduce inappropriate use of antibiotics.
There are differences among veterinary dentists regarding which procedures and patient-specific comorbidities they believe necessitate the use of prophylactic antibiotics. The development of a consensus statement and prospective studies of current antibiotic use are important next steps to improving antibiotic stewardship in veterinary dentistry.
评估兽医牙科委员会认证兽医对抗生素使用的知识、态度和实践情况。
美国兽医牙科学院认证的 104 名兽医。
从在线平台生成了 30 个问题的调查问卷，并通过电子邮件列表发送给兽医牙科委员会认证兽医。检查了答复，以确定感兴趣的变量之间的模式或相关性。
有 104 名兽医牙科委员会认证兽医做出了回应。大多数人报告说，在牙科手术中很少预防性地使用术中抗生素，主要用于患有历史上的心内膜炎或正在接受免疫抑制剂量类固醇治疗的患者。对于健康患者，他们报告说，抗生素通常在颌骨骨折修复、上颌骨切除术/下颌骨切除术以及治疗牙周病 4 期或根尖透光区时开具。不同实践领域（学术与私人实践）或兽医牙科委员会认证时间长短对抗生素耐药性和基于证据的抗生素使用知识没有显著影响。不认为术后使用抗生素会降低局部术后感染率的牙医不太可能为预防术后感染而开具术中注射用抗生素。其他变量与开具术中抗生素的可能性无关。超过 95%的接受调查的兽医牙医同意，兽医牙科特定的抗生素使用指南将有助于减少抗生素的不当使用。
兽医牙科医生在哪些程序和特定于患者的合并症需要使用预防性抗生素方面存在差异。制定共识声明和对当前抗生素使用的前瞻性研究是改善兽医牙科抗生素管理的重要下一步。
